Building family caregiver skills using a simulation-based intervention for care of patients with cancer: protocol for a randomized controlled trial.
Building family caregiver skills using a simulation-based intervention for care of patients with cancer: protocol for a randomized controlled trial.
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DOI：
10.1186/s12912-021-00612-4
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发表时间：
2021-06-09
期刊：
影响因子：
3.2
通讯作者：
Daly BJ
中科院分区：
文献类型：
--
作者：
Mazanec SR;Blackstone E;Daly BJ
接受放射治疗的癌症患者的家庭护理人员面临着与高症状负担和复杂护理需求相关的巨大痛苦和挑战。对于头颈癌、食道癌、肛门癌、直肠癌和肺癌患者的护理人员来说尤其如此，他们经常接受联合治疗，并且可能进行气管造口管、胃造口管或结肠造口术/回肠造口术。本研究旨在评估基于模拟的护理干预措施，以在放射治疗期间为护理人员提供信息、支持和培训。这项随机对照试验将包括 180 名患者及其家庭护理人员的样本。分配到对照组的护理人员将接受常规护理和国家癌症研究所 (NCI) 提供的信息手册。干预组中的患者将接受常规护理、NCI 小册子，并在放射治疗期间与护士干预师进行三次会议，然后在治疗后两周进行加强通话。干预会议重点关注与放射治疗轨迹一致的主题：患者体验/需求、护理人员体验和二人沟通以及向生存的过渡。在基线、治疗结束 (T2)、治疗后 4 (T3) 和 20 (T4) 周测量结果，主要结果是 T4 时护理人员的焦虑。 该试验的创新之处在于使用模拟对家庭护理人员进行心理教育干预。该干预措施在护理点进行，旨在实现融入临床实践的可行性。患者的生活质量和医疗保健利用措施将评估向护理人员提供支持和培训如何影响患者的治疗结果。该试验于 2019 年 8 月 14 日在 ClinicalTrials.gov 上注册（标识符 NCT04055948）。
Family caregivers of patients with cancer undergoing radiation therapy experience significant distress and challenges related to high symptom burden and complex care demands. This is particularly true for caregivers of patients with head and neck, esophageal, anal, rectal, and lung cancers, who are often receiving combined-modality treatment and may have tracheostomy tubes, gastrostomy tubes, or colostomies/ileostomies. This study aims to evaluate a simulation-based nursing intervention to provide information, support, and training to caregivers during radiation therapy. This randomized controlled trial will include a sample of 180 patients and their family caregivers. Caregivers assigned to the control group will receive usual care and an informational booklet from the National Cancer Institute (NCI). Those in the intervention group will receive usual care, the NCI booklet, and three meetings with a nurse interventionist during radiation treatment followed by a booster call two weeks posttreatment. Intervention sessions focus on themes consistent with the trajectory of radiation therapy: the patient experience/needs, the caregiver experience and dyad communication, and transition to survivorship. Outcomes are measured at baseline, end of treatment (T2), and 4 (T3) and 20 (T4) weeks posttreatment, with the primary outcome being caregiver anxiety at T4. This trial is innovative in its use of simulation in a psychoeducational intervention for family caregivers. The intervention is administered at point-of-care and aimed at feasibility for integration into clinical practice. Patient quality of life and healthcare utilization measures will assess how providing support and training to the caregiver may impact patient outcomes. The trial was registered on 08/14/2019 at ClinicalTrials.gov (identifier NCT04055948).
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影响因子：
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通讯作者：
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