Cognitive Behavioral Nursing Model

NCT05943184 | Completed

• 1 other identifier: TaiyuanCH 001
• Study Type: interventional
• Target: 153
• Locations: 1 country
• Sites: 1

Brief Summary

Materials and Methods

1. 1.General information This study enrolled 153 patients with congenital glaucoma who were treated at our hospital from January 2021 to December 2022. These patients were divided into an observation group (n = 76) and a control group (n = 77) using a random number table. The inclusion criteria were as follows: (1) meeting the diagnostic criteria for glaucoma, (2) following the attending doctor's recommendations to receive surgical treatment, and (3) volunteering to participate in the study. The exclusion criteria were as follows: (1) severe organic dysfunction, (2) cardiovascular and/or cerebrovascular diseases, (3) hypertension, (4) contraindications for surgery, (5) other eye diseases, (6) communication disorders, and (7) mental illnesses. Informed consent with signature was obtained from every participant, and the study has been approved by the hospital's ethics committee.
2. 2.Research methods The control group was provided with routine care, including warm reception and provision of a quiet, clean, and well-ventilated ward environment for good rest. Patients were educated to broaden their knowledge of the disease and related surgical treatment, particularly the importance and outcomes of surgical treatment, thereby allaying their feeling of fear and boosting their confidence in recovery. Meanwhile, patients were encouraged to break their unhealthy habits, avoid bad diet choices, and take medications on time.
3. 3.Statistical analysis The software SPSS22.0 was used for data analysis. Measurement data were expressed as "mean ± standard deviation (x±s)", and comparisons between the two groups were examined by the t-test. Enumeration data were represented as percentages (%) and inter-group comparisons were examined using the χ2 test. Significance was set at the level of P \<0.05.

Conditions

Cognitive Behavioral Nursing; Congenital Glaucoma

Outcome Measures

Primary Outcomes (7)

• SDS scores

  The cutoff score for SAS is 50, with scores of 50-59 indicative of mild anxiety, 60-69 of moderate anxiety, and scores above 70 of severe anxiety.

  before and at one month of nursing intervention

• SAS scores

  The cutoff score for SDS is 53, with scores of 53-62 standing for mild depression, 63-72 for moderate depression, and scores above 72 for severe depression.

  before and at one month of nursing intervention

• Psychological resilience

  The level of psychological resilience was evaluated using the Connor-Davidson Resilience Scale, which covers three dimensions: optimism, self-efficacy, and resilience, with the total score ranging from 0 to 100, and higher scores reflecting greater resilience.

  Baseline (Before the intervention)

• Patient compliance

  The level of patient compliance during the perioperative period was assessed using an evaluation form that describes the level of compliance as complete compliance (compliance with all medical orders, surgical procedures, dietary guidelines, and schedule), partial compliance (occasional compliance with all medical orders, surgical procedures, dietary guidelines, and schedule), or noncompliance (failure to meet any of the above-mentioned criteria). The compliance rate (%) was calculated as (complete compliance + partial compliance) / total cases × 100%.

  Immediately after nursing

• Visual acuity (VA)

  a higher VA value indicates better treatment outcomes

  At 2 weeks of nursing intervention

• IOP

  a lower IOP values indicates better treatment outcomes

  At 2 weeks of nursing intervention

• mean deviation (MD)

  a lower MD values indicates better treatment outcomes

  At 2 weeks of nursing intervention

Study Arms (2)

Control group

NO INTERVENTION

Observation group

EXPERIMENTAL

Behavioral: Cognitive Behavioral Nursing Model

Interventions

Cognitive Behavioral Nursing Model BEHAVIORAL

(1)Psychological intervention was accessible to those who felt resistant to their treatment plans or developed inferior feelings due to visual impairment to establish a good relationship with patients and help them better cope with unhealthy emotions. (2) Health education was provided through self-developed booklets and question-and-answer sessions to publicize the fundamental knowledge and make sure all patients have a full understanding of the disease and related treatments. (3) Dietary guidelines were set out to encourage a light, healthy diet with fruits and vegetables, free of irritating food, and containing a limited amount of oily food. (4) Behavioral guidelines were developed to address the importance of quitting tobacco use and prevent eye strain due to excessive eye use with tailored eye care plans.

Observation group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• meeting the diagnostic criteria for glaucoma;
• following the attending doctor's recommendations to receive surgical treatment, and;
• volunteering to participate in the study

You may not qualify if:

• severe organic dysfunction;
• cardiovascular and/or cerebrovascular diseases;
• hypertension;
• contraindications for surgery;
• other eye diseases;
• communication disorders;
• mental illnesses

Sponsors & Collaborators

• Taiyuan Central Hospital of Shanxi Medical University: lead

Study Sites (1)

Taiyuan Central hospital of Shanxi Medical University

Taiyuan, Shanxi, 030009, China

Location

MeSH Terms

Conditions

Hydrophthalmos

Condition Hierarchy (Ancestors)

Eye Abnormalities; Eye Diseases; Glaucoma, Open-Angle; Glaucoma; Ocular Hypertension; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Infant, Newborn, Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: June 14, 2023
• First Posted: July 13, 2023
• Study Start: January 1, 2021
• Primary Completion: December 31, 2022
• Study Completion: December 31, 2023
• Last Updated: April 24, 2024

Record last verified: 2024-04

Locations

CN (1)