Improve Mental Health and Emotional Labor Among Nurses Who Care the End-of-life Patients

NCT05541523 | Unknown

• 1 other identifier: SJCX22_0702
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 2

Brief Summary

CBT: cognitive behavioural therapy MBT: mindfulness-based therapy

Conditions

End-of-life; Depression, Anxiety

Outcome Measures

Primary Outcomes (3)

• Anxiety

  The Hamilton Anxiety Rating Scale (HAM-A), developed by Hamilton in 1959,26 was used in this study to assess the anxiety level of the patients. The HAM-A contains 14 items, each scored on a 5-point scale (0, asymptomatic; 1, mild symptoms; 2, moderate symptoms; 3, severe symptoms; 4, extremely severe symptoms). The total sum score, ranging from 0 to 56, can be classified into four levels: 0, no anxiety symptoms; 1-17, mild anxiety; 18-24, moderate anxiety; 25-56, severe anxiety.

  up to 8 weeks

• Emotional labor

  Chinese version scale of emotional labor(C-ELS). Permission to use the Chinese version of the instruments was obtained. To the best of our knowledge, this is the first time these questionnaires are used in palliative care programs in China, using a five-point Likert type scale ("1" = "strongly disagree," "7" = "strongly agree"). The scale divided emotional labor into four part surface acting, deep acting, expression of naturally felt emotions and emotion termination. The Cronbach's α of surface acting, deep acting, expression of naturally felt emotions and emotion termination were 0.714, 0.743, 0.846, 0.758, respectively.

  up to 8 weeks

• Self-Efficacy

  Occupational Coping Self-Efficacy Scale for Nurses ( OCSE-N, Occupational Coping Self-Efficacy Scale for Nurses ), a total of 9 items, using Likert 5-level scoring method, 1 means ' can not easily deal with ' to 5 means ' can easily deal with ', the total score range of 9 to 45 points, the higher the score, the higher the occupational coping self-efficacy of nurses.

  up to 8 weeks

Study Arms (2)

cognitive behavioural therapy

EXPERIMENTAL

Behavioral: mindfulness-based therapy

mindfulness-based therapy

EXPERIMENTAL

Behavioral: cognitive behavioural therapy

Interventions

cognitive behavioural therapy BEHAVIORAL

The three therapists in the cognitive behavioural group therapy condition were two students of master's degree of nursing with formal education in cognitive therapy and one psychological specialist nurse working in a palliative care unit. There was no evidence of significant deviation from the protocol.

mindfulness-based therapy

mindfulness-based therapy BEHAVIORAL

The two therapists in the mindfulness-based stress reduction condition were one clinical psychologist and one student of master's degree of nursing with formal education in mindfulness.Both interventions were manualized. To assure adherence to the study protocol meetings between the therapists and the researchers were organized regularly and the therapists detailed the content of each group session in clinical records which were frequently monitored by a research assistant.

cognitive behavioural therapy

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• (1) Eligible participants were the nurses who nursing patients with stage IV cancer or other incurable diseases;
• (2) agree to participate in this research;
• (3) no history of mental illness.

You may not qualify if:

• None

Sponsors & Collaborators

• Huichao Zhang: lead

Study Sites (2)

the First Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, 210001, China

RECRUITING

Wu Ye

Nanjing, Jiangsu, 210001, China

RECRUITING

MeSH Terms

Conditions

Death; Depression; Anxiety Disorders

Interventions

Cognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavioral Symptoms; Behavior; Mental Disorders

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: September 12, 2022
• First Posted: September 15, 2022
• Study Start: May 1, 2022
• Primary Completion: December 30, 2022
• Study Completion: January 1, 2023
• Last Updated: September 15, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

CN (2)