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The Impact of e-Mobile Education Based on the Life Model on Anxiety and Daily Living Activities in Thyroidectomy
1Surgical Nursing Department, Faculty of Health Sciences, Çukurova University, Adana, Turkey.
Purpose:
Anxiety following thyroid surgery adversely impacts the recovery process and the reintegration of patients into everyday life activities. This study aims to assess the impact of e-mobile training, structured according to the Life Model, on anxiety level and daily living activities in patients who have undergone thyroidectomy.
Design:
Prospective, 2-arm (1:1), simple randomized controlled interventional study.
Methods:
This study was carried out as a prospective randomized controlled study involving 68 participants. The "Personal Information Form," "Trait Anxiety Scale," and "Standard Discharge Protocols" were administered to all patients 1 day before the operation by the clinical education nurse until discharge. The "e-Mobile Education," structured in accordance with the Life Model, was installed on the mobile devices of the intervention group. The control group received no intervention. On the 3rd, 7th, and 10th days post discharge, the "State Anxiety Scale" and "Activities of Daily Living Assessment and Monitoring Form" were administered to the intervention group through a mobile application and to the control group via telephone by the researcher. The CONSORT (Consolidated Standards of Reporting Trials) protocol was employed for reporting purposes.
Findings:
Preoperative trait anxiety level was 40.91 ± 5.75 (median: 39) in the experimental group and 39.88 ± 5.98 (median: 39) in the control group, and no significant difference was observed between the groups. The control group exhibited a higher median state anxiety score on the third day, with a significant difference observed between the groups. Furthermore, it was noted that on the 3rd, 7th, and 10th days following discharge, patients in the control group reported higher levels of anxiety and more difficulties carrying out daily living tasks.
Conclusions:
On the 3rd, 7th, and 10th days after thyroidectomy, the intervention group's state anxiety scores and degree of difficulty carrying out daily living tasks were reduced by the e-mobile training that was structured in accordance with the Life Model.
