Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT04925635 |
Other study ID # |
i060708c.A |
Secondary ID |
|
Status |
Completed |
Phase |
|
First received |
|
Last updated |
|
Start date |
June 1, 2020 |
Est. completion date |
October 31, 2020 |
Study information
Verified date |
June 2021 |
Source |
Saglik Bilimleri Universitesi |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
In recent years, applications designed specifically to encourage physical activity in the
field of mobile technology have gained momentum. As a result of the literature research, no
examples of mobile health applications developed with educational content on fistula care,
which hemodialysis-dependent patients can reach at any time and place, have not been found.
Based on this, it was planned to increase the knowledge level of arteriovenous fistula care
and examine their self-care behaviors and their adaptation to the disease with the mobile
application developed with a focus on education on fistula care, which can be used
independently by machine-dependent hemodialysis patients. In this context, it is aimed that
dialysis patients will benefit especially in arteriovenous fistula care applications, thanks
to the ever-increasing mobile applications in daily use with the developing technology. It is
thought that the use of these technology-based trainings will be more comfortable, useful and
encouraging for their own self-care. It is planned to be a guide for healthcare
professionals.
Description:
Chronic renal failure is a clinical picture characterized by chronic, progressive
deterioration in metabolic and endocrine functions, in adjusting the fluid-electrolyte
balance of the kidney as a result of a decrease in glomerular filtration value. When the
glomerular filtration value decreases to 5-10 ml/minute, end-stage renal failure develops.
Renal replacement therapies such as hemodialysis, peritoneal dialysis and kidney
transplantation are applied in patients diagnosed with end-stage renal disease. Renal
replacement therapies are life-sparing treatments and the most common method applied is
hemodialysis. The success of dialysis, which is a highly effective medical technology, in
saving lives is indisputable. Arteriovenous fistula opened for hemodialysis is the lifeline
of sick individuals, and hemodialysis is a critical treatment method based on the vascular
access pathway. In this context, compliance with treatment is of vital importance in
individuals with a diagnosis of end-stage renal disease, and lack of vascular access can
reduce its efficiency in a short time. Studies show that only 25% of hemodialysis patients
can take care of themselves.
The inadequacy of the individual's knowledge and behaviors of arteriovenous fistula care
impairs adherence to treatment, reduces the effectiveness of the treatment and increases the
cost. Interventions that encourage changes in health behavior and encourage individuals to
change their lifestyle should be integrated into daily life, and there should be support for
when and where individuals can make decisions that may affect their health. Mobile
technologies, such as smart mobile phones, that individuals regularly carry, can be an
effective platform for encouraging health behavior change, especially since they are likely
to be with the individual when they need it.
In recent years, applications designed specifically to encourage physical activity in the
field of mobile technology have gained momentum. As a result of the literature research, no
examples of mobile health applications developed with educational content on fistula care,
which hemodialysis-dependent patients can reach at any time and place, have not been found.
Based on this, it was planned to increase the knowledge level of arteriovenous fistula care
and examine their self-care behaviors and their adaptation to the disease with the mobile
application developed with a focus on education on fistula care, which can be used
independently by machine-dependent hemodialysis patients. In this context, it is aimed that
dialysis patients will benefit especially in arteriovenous fistula care applications, thanks
to the ever-increasing mobile applications in daily use with the developing technology. It is
thought that the use of these technology-based trainings will be more comfortable, useful and
encouraging for their own self-care. It is planned to be a guide for healthcare
professionals.