Nurse-led telephone follow-up according to the revised nursing outcomes classification for laryngeal carcinoma surgery patients: a randomized controlled trial

Abstract

Background This study used the revised nursing outcomes classification (NOC) outlined in our previous study, “Core nursing outcomes for otorhinolaryngology head-neck,” for telephone follow-up of patients who had laryngeal carcinoma surgery in China. This randomized controlled trial aimed to compare nurse-led telephone follow-up according to the revised NOC with traditional telephone follow-up. Methods A total of 100 postoperative patients were recruited from March 2018‒March 2020. Patients were randomly assigned to nurse-led telephone follow-up groups as either revised NOC follow-up (n = 51) or traditional follow-up (n = 49). The investigated outcomes included nursing outcomes, quality of life, and self-care abilities. Results The baseline characteristics of patients were well balanced. We noted that improvements in nursing outcomes in the intervention group were significantly better than for those in the control group (P = 0.018), primarily regarding psychosocial health (P < 0.001) and health knowledge and behavior (P < 0.001). Moreover, patient outcomes in the intervention group were associated with greater improvements in quality of life than those in the control group (P < 0.001), especially for social conditions (P < 0.001), emotional health (P < 0.001), functional status (P < 0.001), and additional attention (P = 0.001). Finally, compared with the control group, significant improvements were observed in self-care abilities in the intervention group (P = 0.002), mainly regarding general self-care abilities (P = 0.016) and development self-care abilities (P < 0.001). Conclusion This study found that nurse-led telephone follow-up according to the revised NOC improved nursing outcomes, quality of life, and self-care abilities. Trial registration: ChiCTR2100045941.

Telenursing in the postoperative period: a scoping review

“…A randomized clinical trial, carried out in China, including 100 patients in the postoperative period of head and neck surgery, compared telephone monitoring versus traditional monitoring. The results show that telenursing increased health knowledge and behaviors (12.52±9.27 vs. 5.94±8.12; P<0.001 ( 21 ) . A study conducted in Brazil considers that the telephone approach is a strategy for promoting health ( 1 ) .…”

“…As evidenced outcomes, 11 (91.6%) studies reported better results in the telenursing intervention group, with emphasis on: improvement in disability levels, autonomy and activities of daily living, self-care skills, quality of life and improvement of knowledge in health (n=3) ( 21 - 22 , 24 - 26 ) ; user satisfaction (n=3) ( 1 , 23 , 26 ) ; stoma management (n=3) ( 20 , 23 , 28 ) ; less need for acute care, lower rate of adverse events and postoperative complications (n=2) ( 22 , 27 ) ; reduction in pain levels (n=2) ( 24 , 27 ) ; improvement in anxiety and depression assessment scores, mental health levels (n=2) ( 20 , 24 ) ; and cost reduction (n=1) ( 22 ) .…”

“…Of the surgical specialties, six (50%) ( 1 , 20 , 22 - 23 , 28 , 30 ) studies performed telenursing in patients undergoing gastrosurgery; three (24.9%) ( 25 , 27 , 29 ) , in patients undergoing heart surgery; one (8.3%) ( 26 ) , in patients undergoing gynecological surgery; one (8.3%) ( 21 ) , in patients undergoing head and neck surgery; and one (8.3%) ( 24 ) , in patients undergoing neurosurgery. Only one (8.3%) ( 20 ) study was developed with pediatric patients.…”

“…In this context, this study showed the predominance of monitoring as a strategy for providing care to post-operative patients at home. Among the main interventions, telephone calls ( 1 , 21 - 27 , 29 - 30 ) and text messages ( 20 , 28 ) stand out. The outcomes identified in the studies are diverse and also differ between the groups of surgeries and patients assessed.…”

“…As outcomes related to the surgical experience, telenursing favored self-care in the dimensions of general self-care skills, self-care skills developed and self-care skills developed with poor health status and total scores on the Appraisal of Self-Care Agency Scale ( 21 ) . Regarding the resumption of activities of daily living, telephone interventions brought significant results in the functional autonomy of elderly patients, measured by the Functional Autonomy Measurement System (SMAF) ( 25 ) .…”