The Effect of Nursing Care Based on Kolcaba's Comfort Theory on of Intensive Care Patients

NCT05791903 | Completed

• 1 other identifier: Ebkrkpln
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Nurses aim to care for people who can no longer carry out their life activities and needs, and to ensure that they can continue to live their lives as well as possible. The aim is to improve the quality of life by making life more comfortable through care. Comfort in care means solving the patient's problems, being peaceful and content, and relieving pain/suffering. Kolcaba explained that comfort theory can be used as a guide to meet the comfort needs of individuals in the care process. The theory explains the concept of comfort as relaxation, refreshment and the ability to overcome problems (superiority). According to this theory, the nurse identifies the comfort needs of the patient and family and plans and implements interventions to meet these needs. There are no studies in the literature that have investigated the effect of nursing care based on Kolcaba's comfort theory on the comfort, satisfaction and sleep quality of ICU patients. The aim of this study is to determine the effect of nursing care based on Kolcaba's Comfort Theory on the comfort, satisfaction and sleep quality of ICU patients.

Conditions

Critical Care; Patient Satisfaction

Keywords

comfort; satisfaction; quality of sleep

Outcome Measures

Primary Outcomes (3)

• General Comfort Scale

  The scale, which was developed by Katharine Kolcaba in 1992 in order to determine the comfort needs of individuals, to evaluate the nursing initiatives that can provide comfort and the increase in comfort, was adapted to Turkish society by Kuğuoğlu and Karabacak in 2004.The scale, which is a four-point Likert-type scale with 48 items, was created by guiding the taxonomic structure consisting of the theoretical components of comfort, including 3 levels and 4 dimensions. Level; While the dimension is evaluated as relief (16 items), relief (17 items) and overcoming the problems (15 items); It is evaluated in three parts: physical (12 items), psychospritual (13 items) and socio-cultural (10 items). Negative expressions in the scale are calculated by reverse coding during the evaluation phase. While the lowest total score that can be obtained from the scale is 48, the highest total score is 192.

  24 hours later

• Comfort Behaviors Checklist

  The Comfort Behaviour Checklist was developed by Katharina Kolcaba in 1989. The checklist is completed by the observer when it is not possible for the person to complete the questionnaire. The Comfort Behaviour Checklist consists of 30 behavioural indicators. In addition to these, Kolcaba suggests that if the checklist is the only tool used to measure comfort, the individual should give a numerical score for pain and comfort so that comfort can be objectively assessed.

  24 hours later

• Richard-Campbell Sleep Scale

  The scale was developed by Richards et al. (1987) to assess sleep quality in intensive care units (Richards, 1987; Richards et al., 2000). The RQAS includes six items (depth of sleep, time to fall asleep, frequency of awakening, duration of wakefulness, quality of sleep and ambient noise level). The scale score is evaluated with the sum of the first five items. A score of 25 and below indicates very poor sleep, while a minimum score of 76 and above indicates very good sleep.

  24 hours later

Study Arms (2)

Experimental Group

EXPERIMENTAL

In the application process, individuals in the experimental group will receive care based on Kolcaba's comfort theory and comfort behaviour checklist during their stay in the ICU.

Other: Nursing Care Based on Kolcaba's Comfort Theory

Control Group

NO INTERVENTION

In this study, the control group will receive standard care.

Interventions

Nursing Care Based on Kolcaba's Comfort Theory OTHER

Comfort-orientated care

Experimental Group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteering to participate in the research,
• years of age or older,
• Being open to communication,
• Clear state of consciousness
• Staying in the intensive care unit for at least 24 hours

You may not qualify if:

• The patient is taking sedative medication
• Being diagnosed with a sleep disorder,
• The use of sleeping pills,
• Loss of hearing and/or vision
• Use of a hearing aid
• Dependence on mechanical ventilator
• illiteracy

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead
• Yuzuncu Yil University: collaborator

Study Sites (1)

Van yüzüncü yıl university

Van, 65100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Patient Satisfaction; Personal Satisfaction; Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Study Officials

• Aylin ÖZAKGÜL, PhD

  Istanbul University - Cerrahpasa

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: randomized
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD student

Model Details: Experimental, randomised controlled, single-blind study

Study Record Dates

• First Submitted: March 7, 2023
• First Posted: March 30, 2023
• Study Start: May 3, 2023
• Primary Completion: July 5, 2023
• Study Completion: June 6, 2024
• Last Updated: June 13, 2024

Record last verified: 2024-06

Locations

TU (1)