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IRCT20191223045868N2 IRCT 2022-05-27 Gonabad University of Medical Sciences Evaluation of follow-up nurse plan and its effect on disease severity and dyspnea in patients with chronic obstructive pulmonary disease (COPD) Evaluation of follow-up nurse plan and its effect on disease severity and dyspnea in patients with chronic obstructive pulmonary disease (COPD) 2022-06-10 anticipated 88 Complete https://irct.ir/trial/63658 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: Random permutation blocks of sizes 2 and 4 will be used for randomization. The analyzer will determine the randomization list based on a web-based randomization program. The allocation will be concealed using opaque sealed envelopes with a random sequence, Blinding description: Blinding will be done for the data analyzer. For the study groups, A and B codes are considered, and the data analyzer is not told the type of intervention. N/A chronic obstructive pulmonary disease. Intervention 1: The intervention group: The follow-up nurse care plan for the intervention group includes: 1- Safe discharge procedures; 2- Introduce the patient to the follow-up nurse and send a summary of the patient history; 3- Initial evaluation of the patient by the nurse to continue the necessary training after discharge and 4- The main phase of follow-up, which will be called to the patient by phone 3 to 7 days after discharge according on the checklist. Then the nurse introduces him/herself, the appropriate follow-up is performed based on the relevant checklist, and recommendations are offered if the patient requires additional training. Also, if the patient needs support resources such as outpatient clinics, hospital self-care clinics, health centers, psychologists, addiction and smoking cessation centers, nutrition counselors, and home care centers, will refer the patient to the mentioned institutions. The frequency of follow-up of patients is determined based on the severity of the disease and the symptoms from three days to three months after discharge as follows: 1. The "Green area": once a month; 2. The "Yellow area": once a week; 3. The "Red area": Advising to go to the hospital emergency department immediately; follow-up by phone up to 6 hours later; follow-up twice a week after discharge from the hospital until they will be set at the "Green area". Note: The relevant doctor's order could determine the frequency of follow-up. Intervention 2: Control group: The control group will receive routine hospital training and follow-up. In order to preserve ethics, at least one routine follow-up will be done in the control group. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information
public Elham Saberi Noghabi
Parstar Ave., Gonabad University of Medical Sciences
Gonabad Iran (Islamic Republic of) 9691793718 +98 51 5722 3028 saberi.e@gmu.ac.ir Gonabad University of Medical Sciences scientific Elham Saberi Noghabi
Parstar St., Gonabad University of Medical Sciences
Gonabad Iran (Islamic Republic of) 9691793718 +98 51 5722 3028 saberi.e@gmu.ac.ir Gonabad University of Medical Sciences Iran (Islamic Republic of) Patients with definitive diagnosis of COPD by a specialist Referring to the hospital's self-care and follow-up unit after discharge Being conscious Moderate to severe shortness of breath (Shortness of breath score more than 3 on the Borg scale) Informed consent Resident of Gonabad city Access to landline or mobile 18 years no limit Both Speech, hearing, and vision disorders and the disability to understand and answer questions History of mental illness based on self-reporting or patient records data J44.9 Chronic obstructive pulmonary disease, unspecified Rehabilitation Rehabilitation The intervention group: The follow-up nurse care plan for the intervention group includes: 1- Safe discharge procedures; 2- Introduce the patient to the follow-up nurse and send a summary of the patient history; 3- Initial evaluation of the patient by the nurse to continue the necessary training after discharge and 4- The main phase of follow-up, which will be called to the patient by phone 3 to 7 days after discharge according on the checklist. Then the nurse introduces him/herself, the appropriate follow-up is performed based on the relevant checklist, and recommendations are offered if the patient requires additional training. Also, if the patient needs support resources such as outpatient clinics, hospital self-care clinics, health centers, psychologists, addiction and smoking cessation centers, nutrition counselors, and home care centers, will refer the patient to the mentioned institutions. The frequency of follow-up of patients is determined based on the severity of the disease and the symptoms from three days to three months after discharge as follows: 1. The "Green area": once a month; 2. The "Yellow area": once a week; 3. The "Red area": Advising to go to the hospital emergency department immediately; follow-up by phone up to 6 hours later; follow-up twice a week after discharge from the hospital until they will be set at the "Green area". Note: The relevant doctor's order could determine the frequency of follow-up. Control group: The control group will receive routine hospital training and follow-up. In order to preserve ethics, at least one routine follow-up will be done in the control group. Disease severity. Timepoint: Before and three months after intervention. Method of measurement: COPD Assessment Test (CAT). ِDyspnea. Timepoint: Before and three months after intervention. Method of measurement: Borg scale. Satisfaction of patients. Timepoint: Three months after intervention. Method of measurement: percentage- questionnaire. Percentage of unscheduled referrals of discharged patients to hospital emergencies. Timepoint: Three months after intervention. Method of measurement: Hospital file. Physical complications after discharge in relation to self-care at home. Timepoint: Three months after intervention. Method of measurement: Percentage of physical complications-questionnaire. Re-hospitalization after discharge. Timepoint: Three months after intervention. Method of measurement: Percentage of Re-hospitalization after discharge-questionnaire. Gonabad University of Medical Sciences Approved 2022-04-11 Research Ethics Committee of Gonabad University of Medical Sciences Gonabad University of Medical Sciences, Asian Road Border Gonabad Razavi Khorasan Iran (Islamic Republic of)