The Effect of Discharge Education Based on Roy Adaptation Model on Palliative Care Patients and Caregivers

NCT05840393 | Unknown DMC

• 1 other identifier: EUYGUN
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

This research will be carried out in order to reveal how the discharge education that will be formed in line with the Roy Adaptation Model for oncological palliative care patients and caregivers will affect the nutritional outcomes, quality of life and adaptation difficulties of the patients, coping and adaptation processes of caregivers, their quality of life and their level of knowledge about nutritional care.

Conditions

Nurse's Role; Nutritional Deficiency; Adaptation Reaction

Keywords

Discharge training; Nutrition; Quality of life; Adaptation; Palliative care

Outcome Measures

Primary Outcomes (2)

• Quality of Life Scale

  The quality of life of palliative care patients will be assessed using the EORTC QLQ-C30 Quality of Life Scale (consisting of 30 items, the first 28 of which are four-point Likert-type scales and the items are None: 1, Somewhat: 2, Somewhat: 3 or Very: 4 points. Question 29 asks the patient to rate their health on a scale from 1 to 7 (1: Very poor and 7: Excellent) and question 30 asks the patient to rate their overall quality of life. High scores in this section indicate a high quality of life and low scores indicate a low quality of life.) The World Health Organization Quality of Life Scale (It consists of 26 questions related to physical, mental, environmental, social relations and general health status. Each domain is calculated over 20 points or 100 points. A high score indicates a high quality of life).

  Pre-discharge and 3-month post-discharge follow-up of the patients

• Compliance Scale

  The adaptation of palliative care patients will be determined using the Difficulty of Adaptation in the Elderly Assessment Scale (a four-point Likert-type scale consisting of 24 items, scored as "not at all, a little, quite, a lot"). As the score obtained from the scale increases, the level of adaptation to old age decreases. The adaptation of caregivers will be determined using the Coping and Adaptation Process Scale. The scale, which is based on the Roy Adaptation Model and the concepts related to the cognitive process it defines and used to determine the coping and adaptation strategies of individuals in critical and difficult situations, is a four-point Likert-type scale consisting of five sub-dimensions and 47 items (each statement is answered "never, rarely, sometimes, always"). As the scores obtained from the scale increase, it is evaluated as the use of effective coping methods and adaptation increases.

  Pre-discharge and 3-month post-discharge follow-up of the patients

Study Arms (2)

Intervention Group: Discharge training based on the Roy adaptation model

EXPERIMENTAL

Oncologic palliative care patients and caregivers in this group will receive discharge training based on the Roy adaptation model.

Other: Discharge training based on Roy adaptation model

Control Group: Standard discharge training

NO INTERVENTION

Oncologic palliative care patients and caregivers in this group will not receive any training other than the discharge training routinely applied in the clinic.

Interventions

Discharge training based on Roy adaptation model OTHER

The Roy Adaptation Model consists of four main areas of adaptation. In this study, the content of the discharge education given within the scope of the adaptation areas of the Roy Adaptation Model will be continued with information such as home nutrition process, pain, anxiety, fear, stress and coping methods, addressing changing roles and responsibilities, communication, problem solving and utilizing social support. A booklet will be prepared to increase the effectiveness of discharge training based on the Roy Adaptation Model and the booklet will be used as a guide in the training program.

Intervention Group: Discharge training based on the Roy adaptation model

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• years of age or older,
• Receiving inpatient treatment in a palliative care clinic for an existing oncological disease,
• To be discharged home after the end of palliative care treatment,
• Continuing home nutritional support (Percutaneous Endoscopic Gastrostomy/PEG) during hospitalization and after discharge,
• NRS-2002 malnutrition risk score of 3 and above during hospitalization (data to be obtained from the patient file),
• To have the ability to understand and speak Turkish,
• To be able to communicate by phone,
• No disability in terms of state of consciousness and sensory organs,
• Volunteering to participate in the research.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Related Publications (13)

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  PMID: 20937544 BACKGROUND

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  PMID: 8433390 BACKGROUND

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  PMID: 21556200 BACKGROUND

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  PMID: 22732970 BACKGROUND

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  PMID: 15115469 BACKGROUND

• Kaya A, Boz I. The development of the Professional Values Model in Nursing. Nurs Ethics. 2019 May;26(3):914-923. doi: 10.1177/0969733017730685. Epub 2017 Sep 20.

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• Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003 Jun;22(3):321-36. doi: 10.1016/s0261-5614(02)00214-5.

  PMID: 12765673 BACKGROUND

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  PMID: 22360373 BACKGROUND

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Officials

• Aylin ÖZAKGÜL

  Istanbul University - Cerrahpasa

  STUDY DIRECTOR

Central Study Contacts

ELİF TUĞBA UYGUN

CONTACT

+90 539 505 26 37; elftugb9@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator Phd candidate of nursing

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: March 29, 2023
• First Posted: May 3, 2023
• Study Start: June 1, 2023
• Primary Completion: December 31, 2023
• Study Completion: February 28, 2024
• Last Updated: May 3, 2023

Record last verified: 2023-04