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NCT Number: NCT07262866

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)

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.

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This study is active but is not currently recruiting participants.

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Key information

Conditions

Cataract Patients Cataract Cataract After Surgery Cataract Surgery Eye Diseases Lens Diseases

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Atatürk University

Erzurum, 25000, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Structured Tele-Nursing Education and Counseling

Behavioral

This intervention is distinguished by its use of a combined tele-nursing approach involving scheduled telephone counseling and frequent SMS (Short Message Service) reminders to enhance medication adherence and patient satisfaction after cataract surgery. It provides continuous, personalized remote support focusing on symptom management, complication awareness, nutrition, and medication compliance over a 30-day postoperative period. Unlike traditional care models that rely on in-person visits or infrequent follow-ups, this intervention integrates real-time communication with automated reminders, improving patient engagement and outcomes.

Other names: Tele-Nursing Follow-up Program, Postoperative Remote Counseling, Cataract Surgery Tele-Care

Primary outcomes

  1. Visual Analog Scale - Satisfaction (VAS-S)

    Time frame: Postoperative day 30

    Patient satisfaction will be assessed using the Visual Analog Scale - Satisfaction (VAS-S). This scale ranges from 0 to 10, where: 0 = No satisfaction, 10 = Highest possible satisfaction. Higher scores indicate better patient satisfaction

  2. Medication Adherence Reporting Scale

    Time frame: Postoperative day 30

    Medication adherence will be evaluated using the Medication Adherence Self-Report Scale, a 5-item, 5-point Likert-type self-report scale.

    The scale total score ranges from 5 to 25, where: 5 = Lowest medication adherence, 25 = Highest medication adherence, Higher scores indicate better medication adherence.

Sponsors and collaborators

Lead sponsor

Züleyha Sönmez

Other

Collaborators

  • Ataturk University

Registry information

Official study title

Effect of Education and Counseling Provided Via Telenursing on Medication Compliance and Patient Satisfaction After Cataract Surgery

Acronym: TELE-NURSİNG

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Dec 4, 2025
Registry last updated
Dec 4, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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