Effect of videotape for home instruction on the quality of life of tracheostomy patients: a randomized clinical trial

摘要

>Background: Nowadays, some of the patients, such as the patients with tracheostomy are taken care of at home. The quality of life of these cases may decrease due to the appearance of changes, limitations caused by tracheostomy and improper care.>Objectives: This research was performed in order to discover the effect of videotape for home instruction on the quality of life of tracheostomy cases.>Patients and Procedure: A quasi-empirical research was carried out on 80 cases by a tracheotomy in Amir Elm Hospital and the Imam Khomeini Medical Center in Tehran. Patients were randomized into two teams of invasion and check through the randomized block design method. At the time of discharge and after a routine training from the clinical staff, the two groups completed a questionnaire regarding the demographic information and the sf-36 quality of life. Then, the intervention team was given a CD containing the routine training for patient care to watch at home. After two months, the participants completed the sf-36 questionnaires again, and the data were entered into SPSS version 20. The information was investigated by using the statistical tests.>Findings: The statistical investigation demonstrated that the comparison between the two groups after the intervention in the overall quality of life (p = 0.003) and all the concepts included: the physical role (p = 0.02), the mental role (p = 0.01), energy and fatigue (p = 0.03), motion health (p = 0.005), social functioning (p = 0.06), disorder (p = 0. 001), common health percentage (p = 0.002) and physical functioning (p = 0.001) in the arbitration team, being higher than in the check one. >Conclusion: Using the videotape education additionally to routine care has a significant effect on the improvement of the quality of life in these patients. Therefore, the use of this method is recommended as a complementary program for tracheostomy patients.