Evaluation of the Effects of Education and Counseling Provided to Patients Via Distance Nursing After Cataract Surgery on Regular Use of Medications and Patient Satisfaction. CAT-TELEMED (Cataract - Telemedicine) TNCat-25 (Tele-Nursing Cataract - 2025)
NCT ID: NCT07262866
Last Updated: 2025-12-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ACTIVE_NOT_RECRUITING
NA
128 participants
INTERVENTIONAL
2025-01-16
2025-12-28
Brief Summary
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Cataract surgery is a common procedure, especially among the elderly, to improve visual function. However, the postoperative period is critical, and the success of the treatment greatly depends on whether patients use their prescribed eye drops and medications correctly and consistently. Patient satisfaction with the healthcare experience also plays a key role in overall outcomes.
The main hypothesis of this study is that structured education and counseling provided remotely by nurses (tele-nursing) will lead to better medication adherence and higher satisfaction compared to standard postoperative care.
Participants undergoing cataract surgery will be randomly assigned into two groups:
Intervention group: Will receive tele-nursing education and counseling via scheduled phone calls.
Control group: Will receive routine postoperative care with no additional support.
Nurses in the intervention group will educate patients on medication usage, eye care, possible complications, and other relevant topics after surgery. Follow-up calls will allow patients to ask questions and receive continuous support.
Both medication adherence and patient satisfaction will be measured using validated scales. Data will be analyzed using SPSS (Statistical Package for the Social Sciences) statistical software.
The results of this study may demonstrate the potential benefits of integrating tele-health interventions into postoperative care, especially in ophthalmology. It may also highlight the critical role of nurses in delivering remote patient education and support, contributing to the growing field of digital health.
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Detailed Description
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Cataract surgery is a widely performed procedure to restore vision by replacing the eye's clouded lens. While the surgical technique is well established, postoperative management remains critical for successful outcomes. Patients must adhere to prescribed eye drops and medications to prevent infection, control inflammation, and promote healing. Non-adherence can increase the risk of complications such as infection or poor visual recovery.
The study tests the hypothesis that structured, nurse-led telephonic education and counseling improves medication adherence and enhances patient satisfaction compared to standard postoperative care.
Participants who have undergone cataract surgery are randomly allocated to either:
An intervention group receiving scheduled tele-nursing sessions that provide education on medication administration, eye care, signs of complications, and emotional support.
A control group receiving routine postoperative instructions without additional tele-nursing support.
Tele-nursing sessions are designed to be interactive, allowing patients to ask questions and receive tailored advice. This method leverages accessible technology (telephone) to overcome barriers like geographical distance, mobility limitations, or lack of in-person follow-up resources.
Data collection focuses on self-reported medication adherence and validated patient satisfaction questionnaires, analyzed statistically to determine the effectiveness of tele-nursing interventions.
This study contributes evidence on integrating telehealth approaches in postoperative care protocols, potentially offering scalable solutions to improve patient outcomes and healthcare quality in ophthalmology.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Tele-nursing Education
Patients receive structured tele-nursing education and counseling through scheduled phone calls on postoperative days 1, 7, 15, and 30. The education includes medication adherence, eye care, symptom and complication management, nutrition, and balance precautions. Daily SMS(Short Message Service) reminders are sent during the first postoperative week to support medication adherence, followed by twice-weekly SMS (Short Message Service) reminders during weeks 2 to 4.
Structured Tele-Nursing Education and Counseling
This intervention is distinguished by its use of a combined tele-nursing approach involving scheduled telephone counseling and frequent SMS (Short Message Service) reminders to enhance medication adherence and patient satisfaction after cataract surgery. It provides continuous, personalized remote support focusing on symptom management, complication awareness, nutrition, and medication compliance over a 30-day postoperative period. Unlike traditional care models that rely on in-person visits or infrequent follow-ups, this intervention integrates real-time communication with automated reminders, improving patient engagement and outcomes.
Standard Postoperative Care
Patients receive standard postoperative care without tele-nursing education or SMS (Short Message Service) reminders. They are contacted by phone once weekly for general follow-up during the first postoperative month.
No interventions assigned to this group
Interventions
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Structured Tele-Nursing Education and Counseling
This intervention is distinguished by its use of a combined tele-nursing approach involving scheduled telephone counseling and frequent SMS (Short Message Service) reminders to enhance medication adherence and patient satisfaction after cataract surgery. It provides continuous, personalized remote support focusing on symptom management, complication awareness, nutrition, and medication compliance over a 30-day postoperative period. Unlike traditional care models that rely on in-person visits or infrequent follow-ups, this intervention integrates real-time communication with automated reminders, improving patient engagement and outcomes.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Patients who voluntarily agree to participate in the study
* Patients able to communicate in Turkish
* Patients who own a personal mobile phone
* Patients who can read text messages or have a relative at home who can assist them after discharge
* Patients without hearing impairments
* Patients undergoing eye surgery (cataract surgery) for the first time
Exclusion Criteria
* Patients who do not volunteer to participate in the study
* Patients who do not understand Turkish and cannot communicate in Turkish
* Patients with any psychiatric illness
* Patients with hearing or perception problems
18 Years
100 Years
ALL
No
Sponsors
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Ataturk University
OTHER
Züleyha Sönmez
OTHER
Responsible Party
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Züleyha Sönmez
research assistant
Principal Investigators
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AYŞEGÜL YAYLA, ASSOCIATE PROFESSOR
Role: PRINCIPAL_INVESTIGATOR
Ataturk University
WORK Ataturk University
Role: PRINCIPAL_INVESTIGATOR
Atatürk Üniversitesi 25240 Erzurum/ TURKEY
Locations
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Atatürk University
Erzurum, , Turkey (Türkiye)
Countries
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Other Identifiers
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B.30.2.ATA.0.01.00/587
Identifier Type: -
Identifier Source: org_study_id
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