Evaluation of the Effects of Education and Counseling Provided to Patients Via Distance Nursing After Cataract Surgery on Regular Use of Medications and Patient Satisfaction. CAT-TELEMED (Cataract - Telemedicine) TNCat-25 (Tele-Nursing Cataract - 2025) (TELE-NURSİNG)

Züleyha Sönmez

Status: Active, not recruiting

Conditions: Cataract Patients; Cataract After Surgery; Cataract Surgery

Treatments: Behavioral: Structured Tele-Nursing Education and Counseling

Study type: Interventional

Funder types: Other

Identifiers

NCT07262866

B.30.2.ATA.0.01.00/587

Details and patient eligibility

About

This randomized controlled study aims to investigate the effects of tele-nursing-based education and counseling on medication adherence and patient satisfaction following cataract surgery.

Cataract surgery is a common procedure, especially among the elderly, to improve visual function. However, the postoperative period is critical, and the success of the treatment greatly depends on whether patients use their prescribed eye drops and medications correctly and consistently. Patient satisfaction with the healthcare experience also plays a key role in overall outcomes.

The main hypothesis of this study is that structured education and counseling provided remotely by nurses (tele-nursing) will lead to better medication adherence and higher satisfaction compared to standard postoperative care.

Participants undergoing cataract surgery will be randomly assigned into two groups:

Intervention group: Will receive tele-nursing education and counseling via scheduled phone calls.

Control group: Will receive routine postoperative care with no additional support.

Nurses in the intervention group will educate patients on medication usage, eye care, possible complications, and other relevant topics after surgery. Follow-up calls will allow patients to ask questions and receive continuous support.

Both medication adherence and patient satisfaction will be measured using validated scales. Data will be analyzed using SPSS (Statistical Package for the Social Sciences) statistical software.

The results of this study may demonstrate the potential benefits of integrating tele-health interventions into postoperative care, especially in ophthalmology. It may also highlight the critical role of nurses in delivering remote patient education and support, contributing to the growing field of digital health.

Full description

This randomized controlled study investigates the impact of tele-nursing education and counseling on medication adherence and patient satisfaction following cataract surgery.

Cataract surgery is a widely performed procedure to restore vision by replacing the eye's clouded lens. While the surgical technique is well established, postoperative management remains critical for successful outcomes. Patients must adhere to prescribed eye drops and medications to prevent infection, control inflammation, and promote healing. Non-adherence can increase the risk of complications such as infection or poor visual recovery.

The study tests the hypothesis that structured, nurse-led telephonic education and counseling improves medication adherence and enhances patient satisfaction compared to standard postoperative care.

Participants who have undergone cataract surgery are randomly allocated to either:

An intervention group receiving scheduled tele-nursing sessions that provide education on medication administration, eye care, signs of complications, and emotional support.

A control group receiving routine postoperative instructions without additional tele-nursing support.

Tele-nursing sessions are designed to be interactive, allowing patients to ask questions and receive tailored advice. This method leverages accessible technology (telephone) to overcome barriers like geographical distance, mobility limitations, or lack of in-person follow-up resources.

Data collection focuses on self-reported medication adherence and validated patient satisfaction questionnaires, analyzed statistically to determine the effectiveness of tele-nursing interventions.

This study contributes evidence on integrating telehealth approaches in postoperative care protocols, potentially offering scalable solutions to improve patient outcomes and healthcare quality in ophthalmology.

Enrollment: 128 patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 18 years and older
• Patients who voluntarily agree to participate in the study
• Patients able to communicate in Turkish
• Patients who own a personal mobile phone
• Patients who can read text messages or have a relative at home who can assist them after discharge
• Patients without hearing impairments
• Patients undergoing eye surgery (cataract surgery) for the first time

Exclusion criteria

• Patients under 18 years of age
• Patients who do not volunteer to participate in the study
• Patients who do not understand Turkish and cannot communicate in Turkish
• Patients with any psychiatric illness
• Patients with hearing or perception problems

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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128 participants in 2 patient groups

Tele-nursing Education

Experimental group

Description:

Patients receive structured tele-nursing education and counseling through scheduled phone calls on postoperative days 1, 7, 15, and 30. The education includes medication adherence, eye care, symptom and complication management, nutrition, and balance precautions. Daily SMS(Short Message Service) reminders are sent during the first postoperative week to support medication adherence, followed by twice-weekly SMS (Short Message Service) reminders during weeks 2 to 4.

Treatment:

Behavioral: Structured Tele-Nursing Education and Counseling

Standard Postoperative Care

No Intervention group

Description:

Patients receive standard postoperative care without tele-nursing education or SMS (Short Message Service) reminders. They are contacted by phone once weekly for general follow-up during the first postoperative month.