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Antenatal ultrasound diagnoses of gross lymphatic system abnormalities were made in three fetuses. Although the diagnosis was made in only 1 fetus at a stage early enough in pregnancy to allow selective termination, knowledge of the abnormality in the remaining 2 fetuses proved to be valuable for subsequent management of those pregnancies. It is stressed that the extent of the abnormality must be carefully assessed because of the possibility of corrective surgery should the lesion be small and that the parents must be given detailed counseling before any definitive measures are taken.

BACKGROUND Considering the prognosis of femur fractures worldwide, the ageing of our society, and the problems in adherence to treatment found in these patients, it is believed that mHealth can have a positive impact on the process and quality of care. OBJECTIVE We aim to evaluate the effectiveness of a pharmacological educational nurse intervention with Myplan App with regards to knowledge, adherence to pharmacological treatment and positive mental health of patients with a femur fracture. METHODS A non-randomized, quasi-experimental study will be carried out with a Pretest-Posttest control group. It will include 278 elderly patients diagnosed with femur fracture and a GCS of 15, with access to mobile devices. Patients with psychological pathologies, cognitive impairment or treated in isolation will be excluded. Study variables; sociodemographic (adhoc form), patient experience (Patient Experience Questionnaire-15), adherence to pharmacological treatment (Morisky-Green questionnaire), positive mental health (Positive Mental Health questionnaire). The measurements will be taken 24 hours after admission, upon discharge, and 25 days after discharge. RESULTS Enrollment was initiated in October 2022 and will be completed in April 2023. The main contribution of this protocol is a detailed description of a nursing intervention with the support of a smartphone app that will generate knowledge about patients’ experience, their adherence, and their positive mental health. CONCLUSIONS The results of this study will offer evidence of the effectiveness of a pharmacological educational nurse intervention by means of a free smartphone app. If its efficacy is demonstrated and the results are acceptable, it could mean an improvement in the care of patients with femur fractures and this technology could be used to guide other training interventions in patients with other pathologies. CLINICALTRIAL The protocol is registered in IRRID: NCTT05669040.

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