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IRCT20200811048368N1 IRCT 2020-10-11 Mashhad University of Medical Sciences The effect of the nurse's intentional presence on coping, stress and anxiety of patients undergoing intestinal obstruction The effect of the nurse's intentional presence based on holistic approach on coping, stress and anxiety of patients undergoing intestinal obstruction surgeries 2020-11-05 anticipated 10 Complete https://irct.ir/trial/50250 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: For randomization, blocks of size 4 or 6 will be used to increase the unpredictability of produced random sequence. To hide the generated sequence, envelopes will be numbered and opened for each participant sequentially to determine their group, Blinding description: It is explained to the patient that the patient will participate in a research study, but it is not explained which groups they will be allocated because patient's responses do not be affected by the results of the study and also the statistical analyst only has the statistical data and doesn't know about group of each patient. N/A Intestinal obstruction. Intervention 1: Intervention group: the intervention is the intentional presence of the holistic nurse which is based on the theories of holistic presence in three levels (physical, psychological and therapeutic) and holistic nurse's intentionality. According to this approach the nurse should start her nursing care based on the patient's trust and his/her exact needs. This research is planned in 5 holistic nursing care meetings in about 30-45 minutes. The research environment is the surgical ward, 24 hours after the surgery. In each session the researcher tries to be in an empathic relationship with the patient in which the patient would trust to the researcher. The intention to improve the patient's needs is the most important antecedent of each therapeutic relationship. Then the patient will release her emotions and tell the researcher about her/his actual needs. In this situation the researcher tries to use the holistic need assessment scale to help the patient to declare all of the needs (physical, psychological, social and spiritual needs). Then the researcher tries to sort the patient's needs from the most important to the less, and design a nursing care plan for the patient according to her/his needs. Simultaneously the researcher gives a self care education application to the patient which has all of the educational contents for the patients with bowel obstruction. The nursing care plan is unique for each patient. The intentional presence meetings will be started at the hospital and continued after discharge during one month at least 2 times in a week. It should be mentioned that the patients would give all of the routine treatments. Intervention 2: Control group: the patients in control group will give all of the routine cares and treatments such as monitoring vital signs, wound care, serum therapies, spacial drugs and treatments. All of the educational pamphlets would be given to the patients during the hospitalization and after the discharge. If the patient will have a colostomy, she/he would refer to a specialist nurse to learn about taking care of her/his colostomy. No - There is not a plan to make this available Justification or reason for not sharing IPD is No more information
public Mahboubeh Kavousi
90.1, Emammat 29, Emammat Blvd
Mashhad Iran (Islamic Republic of) 9188667334 +98 51 3605 8400 kavousim971@mums.ac.ir Mashhad University of Medical Sciences scientific Mahboubeh Kavousi
NO. 90.1; Emammat 29; Emammat boulevard
Mashhad Iran (Islamic Republic of) 9188667334 +98 918 866 7334 kavousim971@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Having informed consent Ability to read and write being hospitalized < 1 month Age between 20-70 years old Bowel resection length < 120 cm Having a smartphone patient or one of the family members) Ability to use smartphone ( by the patient or the key family member that is called the care giver) 20 years 70 years Both Drug addiction Occurrence of metastasis during the research Suffering from short bowel syndrome K56.69 Other intestinal obstruction Rehabilitation Rehabilitation Intervention group: the intervention is the intentional presence of the holistic nurse which is based on the theories of holistic presence in three levels (physical, psychological and therapeutic) and holistic nurse's intentionality. According to this approach the nurse should start her nursing care based on the patient's trust and his/her exact needs. This research is planned in 5 holistic nursing care meetings in about 30-45 minutes. The research environment is the surgical ward, 24 hours after the surgery. In each session the researcher tries to be in an empathic relationship with the patient in which the patient would trust to the researcher. The intention to improve the patient's needs is the most important antecedent of each therapeutic relationship. Then the patient will release her emotions and tell the researcher about her/his actual needs. In this situation the researcher tries to use the holistic need assessment scale to help the patient to declare all of the needs (physical, psychological, social and spiritual needs). Then the researcher tries to sort the patient's needs from the most important to the less, and design a nursing care plan for the patient according to her/his needs. Simultaneously the researcher gives a self care education application to the patient which has all of the educational contents for the patients with bowel obstruction. The nursing care plan is unique for each patient. The intentional presence meetings will be started at the hospital and continued after discharge during one month at least 2 times in a week. It should be mentioned that the patients would give all of the routine treatments. Control group: the patients in control group will give all of the routine cares and treatments such as monitoring vital signs, wound care, serum therapies, spacial drugs and treatments. All of the educational pamphlets would be given to the patients during the hospitalization and after the discharge. If the patient will have a colostomy, she/he would refer to a specialist nurse to learn about taking care of her/his colostomy. Coping. Timepoint: Before the intervention, discharge time and 27 days later. Method of measurement: The Filipino Coping Strategies scale. Stress. Timepoint: Before the intervention, 72 hours after the intervention, discharge time, 27 days after the intervention. Method of measurement: Depression, Anxiety, Stress scale DASS- 21 scale. Anxiety. Timepoint: Before the intervention, 72 hours after the intervention, discharge time, 27 days after the intervention. Method of measurement: Depression, Anxiety, Stress scale (DASS- 21 scale). The patient's weight. Timepoint: Before the intervention, at discharge time and 27 days after the intervention. Method of measurement: weight scale. Nutrition situation indices. Timepoint: Before the intervention, at discharge time and 27 days after the intervention. Method of measurement: Patient-Generated Subjective Global Assessment. Mashhad University of Medical Sciences Approved 2020-06-30 Ethics committee of Mashhad University of Medical Sciences NO. 90.1; Emammat 29; Emammat boulevard Mashhad Razavi Khorasan Iran (Islamic Republic of)