]>
IRCT20161018030366N3 IRCT 2019-12-16 Bojnourd University of Medical Sciences The effect telenursing care on caregivers burden in family with Chronic Heart failure The effect of family supportive program through telenursing care on caregivers burden in family with Congestive Heart failure in Bojnurd in 2019 2019-12-22 anticipated 66 Complete https://irct.ir/trial/43472 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: First, a list of all chronic heart failure patients admitted to Imam Hassan Hospital in Bojnourd during the past year will be compiled and the samples will be randomly divided into tele-nursing group and standard care group by random number table. Based on this, the researcher will go to the cardiology department and the sample will be selected based on which group the patient was previously in. To blind patients, sampling will be done at discharge so that other patients are not aware of the study method, Blinding description: Both groups of participants will be contacted by telephone and counseled, and neither participant will be aware of the actual intervention. In this study, the researchers will try not to be aware of the intervention group.for blinding the data analyzer, the study groups would be coded and thus the analyst would not know the nature of the groups. N/A Heart failure. Intervention 1: The intervention in the tele-nursing group will consist of three parts: 1- Discharge training to family caregivers at discharge 2- Manage scheduled contacts 3- Remote monitoring of vital signs and weight of the patient at home. The discharge plan will be taught by a research nurse who is not a member of the patient treatment team. Through Booklet, he will teach family caregivers training on heart failure, medication, salt avoidance, fluid monitoring, exercise training, daily weight control and foot swelling, and limb time. Discharge planning training, training on how to measure vital signs, and working with tele-nursing equipment individually and face-to-face will be given to the patient's family caregiver prior to discharge. These tutorials will include how to use tele-nuring, how to measure physiological parameters and their importance. The patient contact plan will be conducted by one patient call coach. Patients will be given a heart failure educational booklet, a 7-day, one-month checklist and informed consent form. Patients in the intervention group should have an Internet-enabled smartphone and an approved information exchange software such as Whats App, Telegram or Soroush and a blood pressure monitor to measure blood pressure. Patient caregivers will be taught how to measure blood pressure, pulse rate, respiration and weighting to measure the physiological parameters of the patient on a daily basis and to upload the software. The call coach will teach caregivers about the pathophysiology of the disease, the symptoms, the treatment regimen and the fluid restriction. The call coach will provide caregivers a weekly counseling and pharmacy program. The phone caller will record and monitor patient vital information and weight information daily and provide feedback to caregivers. Will provide a patient visit if necessary. Intervention 2: Control group, Standard care: Common discharge plans for the standard care group will include a heart failure training booklet for family caregivers of patients to examine symptoms and symptoms, teach health care skills, and assist in understanding illness and facilities, and if they have problems call to call coach. The call coach should contact the family caregiver of the patients, actively and weekly after discharge, to inform them of the patient's condition and to provide counseling if needed. No - There is not a plan to make this available Justification or reason for not sharing IPD is For greater security of participants' data
public Mohammad Ghaderi
Shahryar Street, Emam Ali Blvd, School of nursing
Bojnurd Iran (Islamic Republic of) 9678694176 +98 58 3229 7095 ghaderi.mohammad1@gmail.com Bojnourd University of Medical Sciences scientific Mohammad Ghaderi
Sharyar Ave, Emam Ali Blvd, School of nursing
Bojnurd Iran (Islamic Republic of) 9678694176 +98 58 3229 7095 m.ghaderi@nkums.ac.ir Bojnourd University of Medical Sciences Iran (Islamic Republic of) At least six months have passed since the diagnosis of heart failure. The patient has a family. The patient has a family caregiver who has the highest share of patient care. Have a caregiver over 18 years of age. Lack of family caregivers with mental disorder and chronic diseases Ability to read and respond to the Farsi questionnaire. 18 years 65 years Both Not be able to provide appropriate telemedicine care after receiving trained nursing education Not able to communicate with telemedicine for 2 weeks. If the patient also has a private nurse and the patient's caregiver uses other educational programs. I50 Heart failure Rehabilitation Rehabilitation The intervention in the tele-nursing group will consist of three parts: 1- Discharge training to family caregivers at discharge 2- Manage scheduled contacts 3- Remote monitoring of vital signs and weight of the patient at home. The discharge plan will be taught by a research nurse who is not a member of the patient treatment team. Through Booklet, he will teach family caregivers training on heart failure, medication, salt avoidance, fluid monitoring, exercise training, daily weight control and foot swelling, and limb time. Discharge planning training, training on how to measure vital signs, and working with tele-nursing equipment individually and face-to-face will be given to the patient's family caregiver prior to discharge. These tutorials will include how to use tele-nuring, how to measure physiological parameters and their importance. The patient contact plan will be conducted by one patient call coach. Patients will be given a heart failure educational booklet, a 7-day, one-month checklist and informed consent form. Patients in the intervention group should have an Internet-enabled smartphone and an approved information exchange software such as Whats App, Telegram or Soroush and a blood pressure monitor to measure blood pressure. Patient caregivers will be taught how to measure blood pressure, pulse rate, respiration and weighting to measure the physiological parameters of the patient on a daily basis and to upload the software. The call coach will teach caregivers about the pathophysiology of the disease, the symptoms, the treatment regimen and the fluid restriction. The call coach will provide caregivers a weekly counseling and pharmacy program. The phone caller will record and monitor patient vital information and weight information daily and provide feedback to caregivers. Will provide a patient visit if necessary. Control group, Standard care: Common discharge plans for the standard care group will include a heart failure training booklet for family caregivers of patients to examine symptoms and symptoms, teach health care skills, and assist in understanding illness and facilities, and if they have problems call to call coach. The call coach should contact the family caregiver of the patients, actively and weekly after discharge, to inform them of the patient's condition and to provide counseling if needed. Family Caregiver burden. Timepoint: Pre- intervention. Method of measurement: Questionnaire. Bojnourd University of Medical Sciences Approved 2019-10-27 Ethics Committee of North Khorasan University of Medical Sciences Shahryar Street, School of Nursing Bojnurd North Khorasan Iran (Islamic Republic of)