Benign Thyroid Disease, Postoperative Anxiety, Thyroidectomy
Conditions
Keywords
e-mobile education, thyroidectomy, anxiety, activities of daily living, nursing, Life Model
Brief summary
This study aimed to assess the impact of e-mobile training, structured according to the Life Model, on the anxiety levels and daily living activities of patients who had undergone thyroidectomy. The study was conducted as a prospective, two-arm (1:1), randomized controlled interventional study involving 68 patients. All patients received standard discharge protocols. In addition, patients in the intervention group received Life Model-based e-mobile education through a mobile application. Trait anxiety was assessed before surgery, while state anxiety and activities of daily living were evaluated on postoperative days 3, 7, and 10. The study investigated whether e-mobile education could reduce anxiety levels and improve adaptation to daily living activities after thyroidectomy.
Detailed description
The study was designed as a prospective, two-arm (1:1), randomized controlled interventional study. The study officially commenced in September 2021 with the development of the e-mobile intervention. During the preparatory phase (September 2021-February 2022), educational content was developed according to the Life Model, expert evaluations were completed, the mobile application was developed with the support of software engineers and graphic designers, pilot testing was conducted, and sample size calculations were performed. Participant recruitment and data collection were conducted in the general surgery clinic of a university hospital between March and November 2022. The sample consisted of patients who underwent partial thyroidectomy due to benign thyroid disease, were between 18 and 65 years of age, were able to communicate, used Android-based smartphones, and agreed to participate in the study. A pilot study was conducted before the main trial, and sample size was determined using a priori power analysis. A total of 68 participants were included in the study and randomized into intervention and control groups. The intervention group received Life Model-based e-mobile education in addition to standard discharge protocols. The e-mobile application was developed by the researchers with the support of software engineers and graphic designers. Educational content was structured according to the Activities of Daily Living Model developed by Roper, Logan, and Tierney. The application included information related to the preoperative, postoperative, and home-care periods, educational materials, frequently asked questions, questionnaires, reminder functions, and a messaging system. The control group received standard discharge protocols only during the study period. After completion of the study, participants in the control group were provided access to the educational material. Data were collected using the Personal Information Form, State-Trait Anxiety Inventory (STAI), and Activities of Daily Living Assessment and Monitoring Form. Trait anxiety was assessed preoperatively. State anxiety and activities of daily living were assessed on postoperative days 3, 7, and 10. The primary objective of the study was to evaluate the effect of e-mobile education on anxiety levels following thyroidectomy. The secondary objective was to evaluate its effect on activities of daily living during the postoperative recovery period.
Interventions
OTHERe-Mobile Application Patient Education for Patients with Thyroidectomy
Its mobile application is prepared according to the "Android Operating System" and can be downloaded free of charge from the Google Play Store, it is an application that provides training and consultancy services for patients who have had thyroidectomy surgery.
Sponsors
Cukurova University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
After the researh report is written, a third person will assing an intervention and control group to the letters
Intervention model description
Prospective, 2-arm (1:1), simple randomized controlled interventional study.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Planned thyroidectomy for benign thyroid disease * Hospitalized at least one day before surgery * Aged between 18 and 65 years * Able to communicate in Turkish * Conscious and oriented to person, place, and time * No psychiatric disorder * No hearing, speech, or visual impairment * Undergoing partial thyroidectomy, lobectomy, or total thyroidectomy under general anesthesia * Possession and use of an Android-based smartphone * Willing to participate and provide written informed consent
Exclusion criteria
* Presence of psychiatric disorders * Hearing, speech, or visual impairment * Refusal to provide informed consent * Withdrawal from the study after enrollment * Failure to use the e-mobile application after allocation to the intervention group * Employment in a health-related profession * Cancellation of surgery for any reason * Inability to be contacted during the follow-up period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| STAI State and Trait Anxiety Inventory | Preoperative assessment and postoperative days 3, 7, and 10 | State and trait anxiety were assessed using the State-Trait Anxiety Inventory (STAI). Trait anxiety was assessed preoperatively, whereas state anxiety was assessed on postoperative days 3, 7, and 10. Higher scores indicate higher anxiety levels. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment and Monitoring Form for Daily Living Activities | Postoperative days 3, 7, and 10 | Activities of daily living were assessed using the Assessment and Monitoring Form for Daily Living Activities. The form evaluates patients' adaptation to daily living activities during the postoperative recovery period. Higher scores indicate greater difficulty in performing daily living activities. |
Countries
Turkey (Türkiye)
Outcome results
None listed