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IRCT20180721040540N5 IRCT 2023-06-07 Khoram-Abad University of Medical Sciences The effectiveness of community-based supportive palliative interventions The effect of community-based palliative support interventions on the palliative outcomes of patients with advanced cancer and the quality of life of their family caregivers 2023-04-21 anticipated 60 Complete https://irct.ir/trial/68288 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: According to the provided list of qualified people from health centers, using a table of random numbers, moving from top to bottom even codes for the control group and odd codes for the intervention group as an example in are considered and this work continues until reaching the sample size for two groups. N/A Condition 1: Quality of Life. Condition 2: Supportive treatment. Condition 3: cancer. Intervention 1: Intervention group:the method of interventions in the intervention group will be as follows; When the doctor puts the cancer patient on palliative treatment, a meeting will be held with the presence of the family members in the presence of the student and caregiver working in the comprehensive health service center, and the consent and cooperation of the family to cooperate and receive palliative services from The channel of comprehensive health service centers will be acquired. The questionnaires will be provided to the research samples (patients and family caregivers) and they will be given the opportunity to complete them in a self-reported form. Then the student will explain the patient care plan and how to access services during the illness to the patient and family and encourage the patient and family to continue caring for the patient at home if the patient's condition is stable. In this meeting, the student will explain to the patient and family based on the type of cancer, the prognosis of the disease, the needs of the patient, the care that should be provided for him, as well as the structure of comprehensive health service centers, the capacities and how to access these services. The student will provide necessary training on how to provide care and also adapt the care environment to the patient and family at home. During the first week after the introduction, if the patient's condition is favorable, the patient and his main caregiver are invited to the comprehensive health center where the patient's family is a member, and the patient and the family meet with the team members, including doctors, psychologists, nurses, and nutritionists. They will get to know each other. In this meeting, the patient's case will be examined by the doctor and necessary information will be collected from the patient and the family. Also, the necessary information will be collected by other experts and necessary training will be given to the patient and family. Two weeks after the introduction, the nurse will visit the patient's home again through comprehensive health service bases and provide the necessary interventions and training to the patient and the patient's family based on the patient's condition and care needs. Home visit once every two weeks (of course, depending on the patient's condition) will be done through the comprehensive health service database channel, for two months from the time the patient entered the study. From the beginning of the palliative treatment, the patient and the family will be able to communicate with the nurse through the WhatsApp social messenger as well as the phone and get answers to their questions from the health staff. In the numerous meetings held with the presence of the patient and his family, things such as the diagnosis of patients' care needs, the nature of cancer, chemotherapy, radiotherapy and the importance of self-care will be discussed. Also, it will be discussed about digestive complications, problems related to skin, hair, fatigue, shortness of breath, pain, diarrhea, and vomiting, and proposed solutions to reduce and control these complications, as well as ways to improve the patient's adaptation in the field of social, family, and psychological issues. . A training booklet on how to care for the patient will be provided to the intervention group. In fact, the research starts from the specialized centers in the clinic accompanied by a specialist and continues to the people's homes, then it continues through the comprehensive health centers of the patient's place of residence. In addition to the educational and care services provided to the patient, the potential of other people present in the centers such as doctors, psychologists and nutritionists will also be used. At the end of two months and also 4-6 weeks after the completion of the interventions (to evaluate the sustainability of the interventions), the questionnaires will be provided to the test group, and again the QOLLTI-F family quality of life questionnaires of cancer patients and palliative care outcomes in adults with Cancer POS will be completed. Intervention 2: Control group: During the research period, the control group received their usual care from health service providers and no intervention will be done for them by the research team. Yes - There is a plan to make this available What will be shared: The final thesis report and questionnaires are shared When: After registering the thesis and publishing the articles related to the project To whom: The research team, the university's research officials, the supervisors' plan, the editors of specialized journals of researchers in the field of medical sciences Conditions: Conducting research to improve the quality of life of cancer patients and their families Where to obtain: Responsible researcher How to obtain: Coordinating with the researcher via e-mail, referring to the library of the Nursing Faculty of Lorestan University of Medical Sciences Comments: Special cases are not considered
public Heshmatullah Heydari
5 km of Khorram Abad-Boroujerd road
Khorramabad Iran (Islamic Republic of) 68149-93165 0174 3312 66 98 + Hidari74@gmail.com Khoram-Abad University of Medical Sciences scientific Heshmatullah Heydari
5 km of Khorram Abad-Boroujerd road
Khorramabad Iran (Islamic Republic of) 68149-93165 +98 66 1233 0174 hidari74@gmail.com Khoram-Abad University of Medical Sciences Iran (Islamic Republic of) Willingness to participate in the study Having advanced cancer Having health records in comprehensive health centers Age range between 20 and 75 years Estimating the minimum survival of six months for the patient (due to cancer) The inclusion criteria of the patient's main family caregiver included a willingness to participate in the study A person who cares for patients on a daily basis but is not paid for the care they provide 20 years 75 years Both Participation in similar training courses Lack of consciousness of time and place The patient can't attend the training sessions Known diseases Z51.5 Encounter for palliative care Lifestyle Lifestyle Intervention group:the method of interventions in the intervention group will be as follows; When the doctor puts the cancer patient on palliative treatment, a meeting will be held with the presence of the family members in the presence of the student and caregiver working in the comprehensive health service center, and the consent and cooperation of the family to cooperate and receive palliative services from The channel of comprehensive health service centers will be acquired. The questionnaires will be provided to the research samples (patients and family caregivers) and they will be given the opportunity to complete them in a self-reported form. Then the student will explain the patient care plan and how to access services during the illness to the patient and family and encourage the patient and family to continue caring for the patient at home if the patient's condition is stable. In this meeting, the student will explain to the patient and family based on the type of cancer, the prognosis of the disease, the needs of the patient, the care that should be provided for him, as well as the structure of comprehensive health service centers, the capacities and how to access these services. The student will provide necessary training on how to provide care and also adapt the care environment to the patient and family at home. During the first week after the introduction, if the patient's condition is favorable, the patient and his main caregiver are invited to the comprehensive health center where the patient's family is a member, and the patient and the family meet with the team members, including doctors, psychologists, nurses, and nutritionists. They will get to know each other. In this meeting, the patient's case will be examined by the doctor and necessary information will be collected from the patient and the family. Also, the necessary information will be collected by other experts and necessary training will be given to the patient and family. Two weeks after the introduction, the nurse will visit the patient's home again through comprehensive health service bases and provide the necessary interventions and training to the patient and the patient's family based on the patient's condition and care needs. Home visit once every two weeks (of course, depending on the patient's condition) will be done through the comprehensive health service database channel, for two months from the time the patient entered the study. From the beginning of the palliative treatment, the patient and the family will be able to communicate with the nurse through the WhatsApp social messenger as well as the phone and get answers to their questions from the health staff. In the numerous meetings held with the presence of the patient and his family, things such as the diagnosis of patients' care needs, the nature of cancer, chemotherapy, radiotherapy and the importance of self-care will be discussed. Also, it will be discussed about digestive complications, problems related to skin, hair, fatigue, shortness of breath, pain, diarrhea, and vomiting, and proposed solutions to reduce and control these complications, as well as ways to improve the patient's adaptation in the field of social, family, and psychological issues. . A training booklet on how to care for the patient will be provided to the intervention group. In fact, the research starts from the specialized centers in the clinic accompanied by a specialist and continues to the people's homes, then it continues through the comprehensive health centers of the patient's place of residence. In addition to the educational and care services provided to the patient, the potential of other people present in the centers such as doctors, psychologists and nutritionists will also be used. At the end of two months and also 4-6 weeks after the completion of the interventions (to evaluate the sustainability of the interventions), the questionnaires will be provided to the test group, and again the QOLLTI-F family quality of life questionnaires of cancer patients and palliative care outcomes in adults with Cancer POS will be completed. Control group: During the research period, the control group received their usual care from health service providers and no intervention will be done for them by the research team. Quality of Life. Timepoint: 2 months, a week before, a month after. Method of measurement: The score obtained from the QOLLTI-F questionnaire. Palliative care. Timepoint: 2 months, a week before, a month after. Method of measurement: The score obtained from the POS questionnaire. Khoram-Abad University of Medical Sciences Approved 2023-01-23 Ethics Committee of Lorestan University of Medical Sciences Lorestan University of Medical Sciences, Kamalvand Road, Khorramabad, Borujerd, km 5 Khorramabad Lorestan Iran (Islamic Republic of)