Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effects of QR Code-Supported Training on Cast-Related Problems at Home and Quality of Life in Patients with a Cast: A Pilot Randomized Controlled Study
Alçılı Hastalarda QR Kod Destekli Öğretimin Evde Alçı ile İlgili Yaşanan Sorunlar ve Yaşam Kalitesi Üzerine Etkisi: Randomize Kontrollü Pilot Çalışma
Nilgün ÖZBAŞa , Murat KORKMAZb
aYozgat Bozok University Akdağmadeni School of Health, Department of Nursing, Division of Surgical Diseases Nursing, Yozgat, Türkiye
bYozgat Bozok University Faculty of Medicine, Department of Orthopedics and Traumatology, Yozgat, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(1):43-53
doi: 10.5336/nurses.2023-99444
Article Language: EN
Full Text
ABSTRACT
 Objective: Many individuals who have cast after fractures experience cast-related problems due to a lack of knowledge. The lack of knowledge about cast care leads to difficulties in properly managing the cast, resulting in various problems during the healing process. The aim of this randomized controlled study is to examine the effect of a QR code-supported training on cast-related problems at home and quality of life in patients with a cast. Material and Methods: A total of 40 participants were randomly assigned to the intervention (n=20) and control (n=20) groups. The intervention group was given QR code-supported patient training. Data were collected with ''Patient Information Form'', ''Form for Problems Experienced with the Cast at Home'' and ''SF-36 Quality of Life Scale''. In the evaluation of the data, descriptive statistics (mean, standard deviation, frequency, and percentage), MannWhitney U test, Spearman correlation coefficient, chi-square test, Mixed Design ANOVA test, and Bonferroni-Dunn test were used. Study findings were reported based on the CONSORT Statement. Results: After QR code-supported training, the intervention group experienced significantly reduced problems and higher quality of life scores (p<0.05). The rate of admission to the emergency department was lower in the intervention group (p=0.011). It was determined that the problems experienced with the cast were negatively correlated with the quality-of-life scores (p<0.05). Conclusion: QR code-supported training reduced the problems associated with the cast at home and positively impacted the quality of life. Additionally, QR-supported training was identified as a nursing intervention that reduces hospital readmissions.

Keywords: Patients; QR-code supported training; cast; nursing; quality of life
ÖZET
 Amaç: Alçı uygulaması sonrası pek çok birey bilgi eksikliği nedeni ile alçı ile ilgili sorunlar yaşamaktadır. Alçı bakımı hakkındaki bilgi eksikliği alçının doğru bir şekilde yönetilmesinde zorluklara yol açar ve iyileşme sürecinde çeşitli sorunlara neden olur. Bu randomize kontrollü çalışmanın amacı, alçılı hastalarda QR kod destekli öğretimin evde alçı ile ilgili yaşanan sorunlar ve yaşam kalitesi üzerindeki etkisini incelemektir. Gereç ve Yöntemler: Toplam 40 katılımcı rastgele olarak müdahale (n=20) ve kontrol (n=20) gruplarına atanmıştır. Müdahale grubuna QR kod destekli hasta öğretimi verilmiştir. Veriler ''Hasta Bilgi Formu'', ''Evde Alçıyla İlgili Yaşanan Sorunlar Formu'' ve ''SF-36 Yaşam Kalitesi Ölçeği'' ile toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler (ortalama, standart sapma, frekans ve yüzdelik), Mann-Whitney U testi, Spearman korelasyon katsayısı, ki-kare testi, Karma Desen ANOVA testi ve Bonferroni-Dunn testi kullanılmıştır. Çalışma bulguları CONSORT Bildirgesi'ne uygun olarak rapor edilmiştir. Bulgular: QR kod destekli öğretim sonrasında müdahale grubunda yaşanan sorunlar önemli ölçüde azalmış ve yaşam kalitesi puanları daha yüksek bulunmuştur (p<0,05). Müdahale grubunda acil servise başvuru oranı daha düşük bulunmuştur (p=0,011). Alçı ile ilgili yaşanan sorunlar ile yaşam kalitesi puanları arasında negatif yönlü bir ilişki olduğu belirlenmiştir (p<0,05). Sonuç: QR kod destekli öğretim, evde alçıyla ilgili sorunları azaltmış ve yaşam kalitesini olumlu etkilemiştir. Ayrıca, QR destekli öğretimin hastaneye geri dönüşleri azaltan bir hemşirelik müdahalesi olduğu saptanmıştır.

Anahtar Kelimeler: Hastalar; QR kod destekli hasta eğitimi; alçı; hemşirelik; yaşam kalitesi
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