Investigating the effect of "nurse telephone follow-up" on "self-care ability" and "fatigue severity" of the elderly with chronic obstructive pulmonary disease (COPD)

The effect of "nurse telephone follow-up" on "self-care ability" and "fatigue severity" of the elderly with COPD

Clinical trial with control group, with parallel groups, single blind, randomized, phase 3 on 70 patients. Randomized block design was used for randomization.

Place of study: Pulmonary Department of Shahid Sayad Shirazi Hospital Blinding is a type of blinding ( evaluator of study outcomes)

Inclusion criteria: Seniors 60 to 75 years old Diagnosis of chronic obstructive pulmonary disease based on medical records Having sufficient literacy and knowledge to complete the questionnaires Having the minimum physical and cognitive ability to perform self-care measures based on the abbreviated cognitive test (AMT) Having a cell phone or landline available Non-entry criteria: A score of less than 7 on the Abbreviated Cognitive Test (AMT) due to cognitive difficulties Having a serious and limiting medical problem such as cancer and...

In the intervention group, in addition to face-to-face training, telephone follow-up will also be implemented for 3 months. Phone calls will be made twice a week. The conversation time between 9 am and 12 noon, the duration of each conversation will be recorded. The content of the conversations includes self-introduction, questions about the patient's general health status and answers to the patient's questions about the management and health status, encouraging the patient to comply with the recommendations made and providing advice on the use of drugs and nutrition and sports and providing support in Times will be necessary. In the control group: they will receive face-to-face training sessions and usual and routine care, but they will not be followed up by phone.

Fatigue intensity and self-care

Participates in the study will be assigned to two intervention (B) and control (A) groups using Block Randomization. In this way, by using a dice that has 6 faces, the samples are assigned to their groups, a number is written on each face, and each number is assigned to one of the blocks of the table, which shows its special state. The control group (has face-to-face training but no phone follow-up) and the intervention group (has face-to-face training and is followed up by phone by a nurse). The complete list of randomized blocks will be provided to the principal investigator by the study epidemiology consultant.

Blinding in this study is single blind. So that the patient knows which treatment group he is in, but the fatigue intensity and self-care evaluator (Investigator) will not be informed of the patient's treatment group. So that the evaluator of the outcome variables of the study is not the student himself (the main implementer of the project) and a nurse colleague who does not know about the study design is used.