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IRCT20140212016564N6 IRCT 2018-01-12 Oroumia University of Medical Sciences The effect of group therapy on mental adjustment of the women with gynecological cancer The effect of group therapy based on coping strategies on mental adjustment of the women with gynecological cancer that referred to urmia education- research and treatment centers 2018-01-20 anticipated 70 Complete https://irct.ir/trial/15479 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: 150 women with gynecological cancer who were referred to treatment centers in the years 1395 and 1396 were selected. After reviewing the records of these patients and considering the inclusion and exclusion criteria and other criteria, 100 eligible patients were enrolled in the study. Considering that 70 patients were needed for intervention. A total of 70 individuals were randomly selected (random numbers). The method of assignment to groups was done in this way That: We put 35 A cards and 35 B cards in the envelope and mixed them thoroughly(Card A represents the intervention group and the B card index represents the control group), Then the cards are randomly arranged in a row. Anyone who entered the study was able to take one of the cards and enter the study, respectively. In this way, the intervention group and the control group were identified. N/A Gynecologic cancer. Intervention 1: To implement the group therapy, the intervention group was divided into three small groups of 11-12-12 people, Each subgroup underwent a group therapy based on coping strategie which was held in eight sessions of 2 hours and one day per week. The group's force was used to create new methods and to have a positive impact on each other and learning from each other. At the end of each meeting, a homework assignment was provided for patients. Which was reviewed and rated at the next meeting at the end of the work, those who received more points were ewarded. The titles of the meetings were as follows: The First meeting included introduction and familiarity of the group members with each other and explaining the principles of the group, the definition of cancer and the causes of cancerous cell and the presentation of an educational booklet prepared by the researcher for study, which included the knowledge that help to alleviate patient anxiety.The second meeting included discussions about the fighting spirit, acceptance of their role, belief in their ability, and negative self-change. Third session included physical care such as: healthy eating, physical activity, changing the style of life, accepting responsibility and seeking social support.The fourth session included a search for treatment, such as: Participation with the treatment team and follow-up therapy. The fifth session included psychological care such as: religious beliefs, valuing your interests, modifying negative beliefs, gaining emotional support, self-control and do not follow the culprit. The sixth session included the use of sedative techniques such as slow and deep breathing, mental imagery, thought leadership, realism, and complementary therapies such as laughter therapy and the use of relaxed speech.The seventh session included anti recurrence strategies, such as providing information on the recurrence of disease, the importance of pursuing health care and maintaining the fighting spirit.The Eighth session Scores recorded from each patient were reviewed and awarded to the highest score. one of the Cancer who were victorious in curing cancer, talked to patients. After the end of the sessions, a three month deadline was given to the team to carry out coping skills working in the group, in their daily lives. Assessment form of mental adaptation in cancer before the intervention; after intervention; one month after the intervention; and three months after the intervention was completed by patients. Intervention 2: During the intervention, the control group did not receive any coping skills and in terms of data entry was about control. Yes - There is a plan to make this available What will be shared: File Title: Mental Adjustment Data The whole data will be shared after being unidentified. When: Start the access period 6 months after printing the results To whom: Researchers working in academia Conditions: The data will be available to other researchers in the form of a printed article. Other researchers are allowed from the research team to use the data. Where to obtain: Radfar moloud Email:mradfar1343@gmail.com How to obtain: You will submit your application to Mrs. Radfar, who will send you the requested application within ten days after reviewing your request. Comments:
public Smaeilzadeh khangah Sepideh
Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
Urmia Iran (Islamic Republic of) 5756115111 +98 44 3345 4810 Sepideh29729784@gmail.com Oroumia University of Medical Sciences scientific Radfar Moloud
Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
Urmia Iran (Islamic Republic of) 5756115111 +98 44 3275 4964 Mradfar1343@gmail.com Oroumia University of Medical Sciences Iran (Islamic Republic of) Women with gynecological cancer lack of participation in group therapy programs in the last three months having Literacy reading and writing ability to communicate Passed at least six months after the onset of the disease lack of distant metastases Awareness of own illness The desire to participate in the study no limit no limit Female History of using Psychiatric drug concurrent suffering with another chronic illness Participation in psychiatric interventions simultaneously with research implementation The emergence of an important stressful factor in life A prominent history of mental illness C51-C58 Malignant neoplasms of female genital organs Behavior Behavior To implement the group therapy, the intervention group was divided into three small groups of 11-12-12 people, Each subgroup underwent a group therapy based on coping strategie which was held in eight sessions of 2 hours and one day per week. The group's force was used to create new methods and to have a positive impact on each other and learning from each other. At the end of each meeting, a homework assignment was provided for patients. Which was reviewed and rated at the next meeting at the end of the work, those who received more points were ewarded. The titles of the meetings were as follows: The First meeting included introduction and familiarity of the group members with each other and explaining the principles of the group, the definition of cancer and the causes of cancerous cell and the presentation of an educational booklet prepared by the researcher for study, which included the knowledge that help to alleviate patient anxiety.The second meeting included discussions about the fighting spirit, acceptance of their role, belief in their ability, and negative self-change. Third session included physical care such as: healthy eating, physical activity, changing the style of life, accepting responsibility and seeking social support.The fourth session included a search for treatment, such as: Participation with the treatment team and follow-up therapy. The fifth session included psychological care such as: religious beliefs, valuing your interests, modifying negative beliefs, gaining emotional support, self-control and do not follow the culprit. The sixth session included the use of sedative techniques such as slow and deep breathing, mental imagery, thought leadership, realism, and complementary therapies such as laughter therapy and the use of relaxed speech.The seventh session included anti recurrence strategies, such as providing information on the recurrence of disease, the importance of pursuing health care and maintaining the fighting spirit.The Eighth session Scores recorded from each patient were reviewed and awarded to the highest score. one of the Cancer who were victorious in curing cancer, talked to patients. After the end of the sessions, a three month deadline was given to the team to carry out coping skills working in the group, in their daily lives. Assessment form of mental adaptation in cancer before the intervention; after intervention; one month after the intervention; and three months after the intervention was completed by patients. During the intervention, the control group did not receive any coping skills and in terms of data entry was about control. The effect of intervention (group therapy based on coping strategies) on mental adjustment of participants was assessed using the mental adjustment questionnaire in cancer in four stages before intervention, after intervention, one month after intervention and three months after intervention. And compared to the control group. Timepoint: Before the intervention immediately after the intervention one month later and three months after the intervention. Method of measurement: Mini-Menta lAadjustment to Cancer scale. Oroumia University of Medical Sciences Approved 2016-12-09 Ethics committee of Urmia University of Medical Sciences Urjance alley, Resalat Blvd, Urmia, Iran urmia West Azarbaijan Iran (Islamic Republic of)