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IRCT20220611055134N1 IRCT 2022-07-12 Mashhad University of Medical Sciences The effect of tele-nursing self-care training on anxiety and quality of life in Avestin-treated patients The effect of tele-nursing self-care training on anxiety and quality of life in Avestin-treated Diabetic retinopathy patients 2022-07-21 anticipated 76 Complete https://irct.ir/trial/64083 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Randomization is block type.To ensure an equal number of people in the study, a randomized permutation block method will be used in both groups.For this purpose, we will use the www.sealedenvelope.com website. in this way, 19 blocks of 4 members are randomly created through the site.The researcher assigns the sample to the groups. By listing the patients selected based on the inclusion criteria by the doctor, the researcher first groups the samples and then meets with the patients. N/A Diabetic retinopathy. Intervention 1: Intervention group: In the first stage of the researcher's face-to-face meeting with the patient, the researcher completes the demographic information questionnaire, quality of life questionnaires and overt and covert Spielberger questionnaire as a pre-test with the patient's help.From the time of the first appointment to the day of the Austin drug injection (one day later), the researcher sends short audio and video files of 3-4 minutes through the WhatsApp application, which includes pre-injection care and how to inject, as a personal message to The patient sends.In the morning of the injection, the anxiety questionnaire is completed for the second time. The patient is then injected by the doctor and as soon as he/she is discharged from the Austin drug injection unit, a file containing post-injection care, symptoms and complications of the injection is sent to the patient.From the day after the day of the injection until the night of the second injection for four weeks (intervals between each injection is one month) files containing how to measure and control blood sugar, importance and how to fill the blood sugar chart, importance and how to control diet, activity and Exercise is sent twice a week in a personal message (pv) and each time after receiving feedback from the patient.The night before the second injection (one month later), the files related to the injection (pre-injection care and injection method) are sent to the patient again. On the morning of the second injection (before the injection), the patient completes the anxiety questionnaire for the third time. After the injection, the patient is discharged from the Austin drug injection unit and the audio and video files continue to be sent for another month. After two months before the doctor's visit, the quality of life and anxiety questionnaire will be checked.Each time the files are sent, if a question arises for the patient, the question is first raised with the professors in the research and after receiving an answer from them, the answer is sent to the patient. Intervention 2: Control group: During the intervention, the control group will receive the routine care of the hospital, such as educational pamphlets available in the hospital, and after completing the study, they will receive all audio and video files and pamphlets prepared from the intervention product. Yes - There is a plan to make this available What will be shared: The plan in this study is to publish the final report in the form of an article and a senior thesis. When: Probably, the results of this study will be published and made available to the public in the next two years. To whom: All researchers working in different institutions Conditions: All researchers who intend to conduct meta-analysis and systematic review studies in the future can use the results of this study. Also, they can request more data in this field from researchers. Where to obtain: Khorasan Razavi, Mashhad, Daneshgah St., Ph.D. Intersection, Ibn Sina St., School of Nursing and Midwifery Postal code: 9137913199 Fax: 051 38597313 Phone: 051-38591511-3 Email: nms.pr@mums.ac.ir / aghebatin@mums.ac.ir / keshavarziane981@mums.ac.ir Respondents: Nahid Aghebati / Elaheh Keshavarzian / Mashhad College of Nursing and Midwifery Library How to obtain: Request from the corresponding author using email Comments: thanks
public Nahid Aghebati
Khorasan Razavi, Mashhad, Daneshgah St., Ph.D. Intersection, Ibn Sina St., School of Nursing and Midwifery
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 Aghebatin@mums.ac.ir Mashhad University of Medical Sciences scientific Nahid Aghebati
Khorasan Razavi, Mashhad, Daneshgah St., Ph.D. Intersection, Ibn Sina St., School of Nursing and Midwifery
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 aghebatin@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Diagnosis of diabetic retinopathy by a doctor Diagnosis of a candidate for Avastin by a doctor Having a smart phone Having enough hearing Having a minimum literacy Lack of other eye diseases No history of psychological illness Satisfaction for participation no limit no limit Both Having previous experience of injecting Avastin E08.31 Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy Rehabilitation Rehabilitation Intervention group: In the first stage of the researcher's face-to-face meeting with the patient, the researcher completes the demographic information questionnaire, quality of life questionnaires and overt and covert Spielberger questionnaire as a pre-test with the patient's help.From the time of the first appointment to the day of the Austin drug injection (one day later), the researcher sends short audio and video files of 3-4 minutes through the WhatsApp application, which includes pre-injection care and how to inject, as a personal message to The patient sends.In the morning of the injection, the anxiety questionnaire is completed for the second time. The patient is then injected by the doctor and as soon as he/she is discharged from the Austin drug injection unit, a file containing post-injection care, symptoms and complications of the injection is sent to the patient.From the day after the day of the injection until the night of the second injection for four weeks (intervals between each injection is one month) files containing how to measure and control blood sugar, importance and how to fill the blood sugar chart, importance and how to control diet, activity and Exercise is sent twice a week in a personal message (pv) and each time after receiving feedback from the patient.The night before the second injection (one month later), the files related to the injection (pre-injection care and injection method) are sent to the patient again. On the morning of the second injection (before the injection), the patient completes the anxiety questionnaire for the third time. After the injection, the patient is discharged from the Austin drug injection unit and the audio and video files continue to be sent for another month. After two months before the doctor's visit, the quality of life and anxiety questionnaire will be checked.Each time the files are sent, if a question arises for the patient, the question is first raised with the professors in the research and after receiving an answer from them, the answer is sent to the patient. Control group: During the intervention, the control group will receive the routine care of the hospital, such as educational pamphlets available in the hospital, and after completing the study, they will receive all audio and video files and pamphlets prepared from the intervention product. Anxiety score in Spielberger overt and covert anxiety questionnaire. Timepoint: Anxiety will be measured before the intervention ,before the first injection , before the second injection and after the intervention. Method of measurement: Spielberger overt and covert anxiety questionnaire. Quality of life measuring with SF36 quality of life questionnaire. Timepoint: before the intervention and two months after the quality of life of patients will be measured. Method of measurement: Sf 36 questionnaire will be used to measure the quality of life of patients. Mashhad University of Medical Sciences Approved 2022-06-07 Ethics committee of Mashhad University of Medical Sciences Ebne sina avenue-school of nursing and midwiferry Mashhad Razavi Khorasan Iran (Islamic Republic of)