Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT05909891 |
| Other study ID # |
B.30.2.ATA.0.01.00/416 |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
July 1, 2023 |
| Est. completion date |
February 1, 2024 |
Study information
| Verified date |
June 2023 |
| Source |
Ataturk University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Iron Deficiency Anemia is an important health problem. Iron deficiency anemia constitutes
half of the anemia seen in the world, and children and women constitute the group with iron
deficiency anemia in our country (Internal Medicine Nursing Book with Case Scenarios, 2019;
Turkey Program Guide as Iron).
The treatment is iron replacement by oral or parenteral route (Guzelcuk, Ozbek, 2017).
Due to the side effects of the drugs given in the treatment, the patients have difficulty in
adapting to the treatment and there is a change in their fatigue levels (Guzelcuk, Özbek,
2017; Guide, 2019; Çipil, Demircioğlu, 2016).
It is thought that the education given to the patients will increase their compliance with
the treatment. It is thought that patients' hospital admissions and fatigue levels may change
in the failure to comply with the treatment.
In this study, the effect of the education given on the treatment compliance and fatigue of
the patients will be investigated. This research will help patients with iron deficiency
anemia whether they need education, the importance of treatment compliance and their fatigue
levels.
Description:
Iron Deficiency Anemia (DEA) is one of the acquired anemia, which is seen as a result of
insufficient intake of iron necessary for the body or rapid decrease in iron stores (Internal
Medicine Nursing Book with Case Scenarios, 2019). It is the most common anemia in the world
and constitutes 50% of anemias (Internal Medicine Nursing Book with Case Scenarios, 2019). It
is stated that the incidence is increasing in low-income societies (As Iron Turkey Program
Guide; Erduran ,2010). In studies on adults, the frequency of IDA is around 20%, and it is
most commonly seen in women due to pregnancy and menstruation (Iron Deficiency and Iron
Deficiency Anemia Clinical Protocol, 2020).
The aim of the "Turkey Like Iron" program, which was started in our country in 2004, is to
try to prevent iron deficiency anemia as new generations are the adults of the future (As
Iron Turkey Program Guide). The most common findings in patients with iron deficiency anemia
are fatigue, weakness, activity intolerance, hair loss and thinning,
thinning-breaking-flattening of nails, and headache (Dağ, Kıyak, 2021; Guide, 2019). The
reason for fatigue, which is one of these symptoms, is the decrease in the amount of oxygen
carried to the tissues as a result of the low hemoglobin level in the blood (Dağ, Kıyak,
2021). Depending on the inability to carry enough oxygen to the muscles, activity intolerance
occurs in people (Dağ, Kıyak, 2021). The degree of anemia affects the severity of fatigue
(Dağ, Kıyak, 2021). The severity of fatigue also affects the person's ability to perform
activities of daily living (Ovayolu, Ovayolu, 2017). Oral or parenteral iron replacements are
used in the treatment of anemia that causes fatigue and activity intolerance (Kılavuz, 2019).
However, some side effects may be seen in patients due to the use of oral iron drugs
(Kılavuz,2019; Çipil, Demircioğlu, 2016). These side effects are stated as tooth
discoloration, nausea, vomiting, indigestion, constipation, diarrhea, and darkening of stool
color (Kılavuz, 2019; Çipil, Demircioğlu, 2016). Patients cannot continue treatment due to
these side effects (Kılavuz,2019; Çipil, Demircioğlu, 2016). Trainings given to patients to
increase adherence to treatment can be effective in coping with the treatment process and
side effects (Aydemir Geduk, 2018). It is stated that the symptoms experienced by the
patients who continue the treatment will decrease in a short time such as 1 month (Çipil,
Demircioğlu, 2016; Bolaman, 2004). However, it was stated by the experts that the treatment
should be continued for 3-6 months in order to replace the iron stores (Guide, 2019). When
the increase in the hemoglobin values of the patients who continue the treatment and the
oxygen carried to the tissues reach a sufficient level, the symptoms such as fatigue and
activity intolerance will decrease and disappear over time (Kılavuz, 2019; Dağ, Kıyak, 2021).
Considering the authorities and responsibilities of the nursing profession, one of the most
important is to provide training in line with the needs of the patient and their relatives.
Nurses provide training to individuals in order to protect and improve the health of the
individual, family and society, and to gain the right health behaviors to improve in case of
illness (Aydemir Geduk, 2018). From past to present, training given to patients by healthcare
professionals increases patients' adherence to treatment (Yel, Kardadakovan, 2021).
