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IRCT20231223060506N1 IRCT 2024-01-21 Kerman University of Medical Sciences "The effects of palliative care on anxious thoughts and life expectancy in patients with heart failure referred to the heart departments hospitals" "The effects of palliative care on anxious thoughts and life expectancy in patients with heart failure 2024-02-09 anticipated 80 Complete https://irct.ir/trial/74666 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: The samples will be selected by continuous sampling and the patients will be placed in 2 control and test groups by Block Balanced Randomization method. Allocation sequence will be done using the free web system http://www.randomization.com/.In this way, the number of samples in each block is determined by 4 people and the letter A will be considered for the intervention group and the letter B will be considered for the control group. And finally, by confirming the creation of the allocation sequence in the above system for 20 blocks, the allocation sequence for 80 samples will be created by combining the letters A and B. Finally, the cards containing the blocks will be placed inside the governor's envelope, and as a result, the concealment of the allocation will be considered and respected. Based on the qualified samples, an envelope will be removed by the researcher using random sampling method and finally the method of random allocation of research samples will be determined. N/A Heart Failure. Intervention 1: Intervention group: The intervention group includes patients with heart failure referred to the heart departments of hospitals affiliated to Kerman University of Medical Sciences. The intervention group receives the educational protocol along with routine care. The educational protocol of the study includes a two-week palliative care program in the form of one-hour training sessions, four times a week. The educational content is narrated by experts in the field of palliative care, and will be implemented by a researcher who is trained through a supervisor who is a professor of palliative medicine. In the first week of the sessions, when the patients are in the hospital, it will be performed individually for the patients. At the time of discharge, they are asked to go to the hospital in order to receive the continuation of the palliative care program on certain days, and the continuation of the educational sessions in the second week for the patients is carried out in the patient education center in groups (small groups) in coordination with the relevant hospitals. The content of the program is mostly related to the aspects of increasing the awareness and knowledge of patients in relation to their disease, increasing the aspects of self-care, techniques to control anxiety and anxious thoughts, and ways to increase self-confidence. During the intervention, the researcher will evaluate, educate and counsel the patients in the first session. Patients' knowledge and ability in self-management, family support system, and their educational and counseling needs, including heart failure symptoms and self-care, will be evaluated. An educational brochure will also be provided to patients. During the first week, when the meetings are held individually, the guidelines for heart failure will be explained and the researcher will provide emotional support to the patients by encouraging them to express their feelings. She will actively listen to the patient's responses by encouraging them to express their feelings and it will support them in taking small steps to solve the problem. And in the second week, the meetings are in groups , It will be explained in relation to the solutions of having a healthy lifestyle and strengthening your spirit, and how to control and manage the disease and strengthen self-confidence. Intervention 2: Control group: Usual care in heart failure will be provided to patients. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is The plan for providing the data has not been developed yet.
public Rezvan Askarpour
Razi Midwifery Nursing School,Kerman University of Medical Sciences, Haft Bagh Road first، Kerman
Kerman Iran (Islamic Republic of) 7616913555 +98 34 3132 5219 re.askarpour7879@gmail.com Kerman University of Medical Sciences scientific Esmat Nouhi
Razi Midwifery Nursing School,Kerman University of Medical Sciences, Haft Bagh Road first، Kerman
kerman Iran (Islamic Republic of) 7616913555 +98 34 3132 5219 smnouhi@yahoo.com Kerman University of Medical Sciences Iran (Islamic Republic of) Age over 18 years Having heart failure Ability to understand and speak Persian Ability to answer questionnaire questions 18 years no limit Both Not participating in more than two training sessions Not answering more than a third of the questions Sensory disorders such as vision and hearing problems that affect learning I50 Heart failure Behavior Behavior Intervention group: The intervention group includes patients with heart failure referred to the heart departments of hospitals affiliated to Kerman University of Medical Sciences. The intervention group receives the educational protocol along with routine care. The educational protocol of the study includes a two-week palliative care program in the form of one-hour training sessions, four times a week. The educational content is narrated by experts in the field of palliative care, and will be implemented by a researcher who is trained through a supervisor who is a professor of palliative medicine. In the first week of the sessions, when the patients are in the hospital, it will be performed individually for the patients. At the time of discharge, they are asked to go to the hospital in order to receive the continuation of the palliative care program on certain days, and the continuation of the educational sessions in the second week for the patients is carried out in the patient education center in groups (small groups) in coordination with the relevant hospitals. The content of the program is mostly related to the aspects of increasing the awareness and knowledge of patients in relation to their disease, increasing the aspects of self-care, techniques to control anxiety and anxious thoughts, and ways to increase self-confidence. During the intervention, the researcher will evaluate, educate and counsel the patients in the first session. Patients' knowledge and ability in self-management, family support system, and their educational and counseling needs, including heart failure symptoms and self-care, will be evaluated. An educational brochure will also be provided to patients. During the first week, when the meetings are held individually, the guidelines for heart failure will be explained and the researcher will provide emotional support to the patients by encouraging them to express their feelings. She will actively listen to the patient's responses by encouraging them to express their feelings and it will support them in taking small steps to solve the problem. And in the second week, the meetings are in groups , It will be explained in relation to the solutions of having a healthy lifestyle and strengthening your spirit, and how to control and manage the disease and strengthen self-confidence. Control group: Usual care in heart failure will be provided to patients. Anxious thoughts. Timepoint: Anxiety thoughts will be measured before the intervention and immediately after the intervention. Method of measurement: Wells Anxious thoughts Scale. Life expectancy. Timepoint: Life expectancy will be measured before the intervention and immediately after the intervention. Method of measurement: Schneider life expectancy scale. Kerman University of Medical Sciences Approved 2023-12-11 Ethics Committee of Kerman University of Medical Sciences Kerman University of Medical Sciences, The beginning of Haft Bagh Road, Kerman Kerman Kerman Iran (Islamic Republic of)