Cystic Fibrosis, Exercise Addiction, Exercise Adherence, Nursing Caries, Quality of Life
Conditions
Brief summary
The aim of this study was to examine the effect of the tele-exercise program applied to children with cystic fibrosis in the Covid-19 pandemic on the quality of life and the symptoms experienced during exercise
Detailed description
Cystic fibrosis is a chronic, progressive, life-shortening, genetic, complex disease that affects multiple organs and systems. The care and treatment process of cystic fibrosis disease requires a multidisciplinary approach. Regular exercise (as it is an important component of therapeutic treatment) improves respiratory function in children with cystic fibrosis. However, the treatment burden of the disease in the child and the serious respiratory system complications caused by the Covid-19 infection during the pandemic process cause patients with cystic fibrosis to be in the high risk group. Since it is thought that it is difficult for children with cystic fibrosis to exercise during the pandemic process, home exercise programs have gained importance. With the developing technology, patients are consulted remotely, training and consultancy services are provided and they can be followed continuously through phone calls and video conferences. Nurses are an important part of the multidisciplinary team responsible for the protection, development and maintenance of the health of the individual in every period of life. They have assumed the roles of educator, consultant, decision-maker, therapeutic, caregiver and researcher in order to protect the quality of life of children with exercise programs and to ensure that they lead an active life. In order for nurses to make exercise a part of the lives of children with cystic fibrosis, they should determine the knowledge level, awareness and needs of children and their families, and provide adequate and effective counseling so that they can meet their individual needs.
Interventions
BEHAVIORALTele-Exercise Program
Data collection tools were applied to the tele-exercise group and control group at the beginning of the study. For the tele-exercise group, by the researcher, Exp. A 6-week exercise program was created under the consultancy of a physiotherapist. Children who met the research criteria were asked to do these exercises for 20 minutes, 3 times a week for 6 weeks. The exercises were performed online with the researcher at the scheduled time one day a week, and by the children twice a week. On the days they exercised, diaries consisting of semi-structured questions were sent to the children's addresses by cargo and they were allowed to keep a diary. Phone calls were made once a week to provide motivation and increase compliance with exercise. A smart watch was sent to the children by cargo to increase motivation. The children were asked to fill in the follow-up form, which was sent via weekly google forms.
BEHAVIORALJust observation
Standard care was given to the children in the control group.
Sponsors
Ondokuz Mayıs University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
The study is a randomized controlled experimental study.
Eligibility
Sex/Gender
ALL
Age
10 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Voluntary to participate in the study * Getting consent from parents * Being a child with cystic fibrosis between the ages of 10-18 * Having no psychological health problems * No physical problems that would prevent the child from exercising * Computer/ owning a smart phone and being able to use these devices and having an internet connection at home.
Exclusion criteria
* Not participating in the exercise regularly (at least 2 times), * Not wanting to continue working out. * Not being willing to participate in the study * Not being able to get consent from their parents * Being under the age of 10, over the age of 18 with a diagnosis of Cystic Fibrosis * Having a psychological health problem * Having a physical problem that prevents the child from exercising * Using a computer/smartphone not having and not being able to use these devices * Not having an internet connection at home.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| changing the quality of life | Up to Six Weeks | changing the quality of life of children with cystic fibrosis after tele-exercise program |
| affects the symptoms | Up to Six Weeks | affects the symptoms experienced by the children in the tele-exercise group during exercise. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| changing the quality of life Cystic Fibrosis Quality of Life Questionnaire | Up to Six Weeks | The questionnaire prepared in a four-point likert type is scored according to frequency and difficulty level or whether the answers are correct or incorrect. It is thought that the higher the total score obtained from the questionnaire, the higher the health-related quality of life. |
| affects the symptoms during the tele-exercise | Up to Six Weeks | The children were asked to record their symptom findings daily and they were asked to share the recording documents with the researcher. In addition, the researcher questioned the symptom findings of the participants once a week by phone call and once a week via google form. The symptoms questioned through diary keeping, phone call and google form were recorded as symptom present/absent. |
Countries
Turkey (Türkiye)
Outcome results
None listed