]>
IRCT20150607022592N2 IRCT 2022-09-16 Mashhad University of Medical Sciences The effect of using supportive-educative self-care program with the approach of telenursing on hope and body image in women with breast cancer undergoing mastectomy The effect of using supportive-educative self-care program with the approach of telenursing on hope and body image in women with breast cancer undergoing mastectomy 2022-10-23 anticipated 108 Complete https://irct.ir/trial/65738 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In this study, for randomization, permutation blocks of 4 will be retrieved using Excel software. with the explanation that each of the blocks has 4 members and the shape of the blocks can be as follows: [ABAB4],[BB4AA],[BABA4], … Codes A and B are assigned to the accident related to the intervention and control groups. The aforementioned site randomly selects 18 blocks out of all the four possible blocks so that all patients are included in the study. Allocation Concealment method: At first, replacement blocks will be provided by the statistics professor. Each block is placed separately in sealed envelopes and all envelopes are provided to a research assistant. Then, at the beginning of sampling, the researcher asks the researcher to open the first envelope and tell the researcher based on random letters which group the first patient will be in, and the sampling will be done in the same way until the end of the research. 3 Body Image disturbance in Patients undergoing mastectomy surgery. Intervention 1: Intervention group: The intervention in this research includes firstly designing, construction and validation of a supportive-educative self-care application for breast cancer patients and secondly implementing a self-care educational support program through telenursing using the application and remote communication with the patient through the WhatsApp virtual network during a a clinical trial research. the intervention group, after obtaining informed consent from the patient and having the code of ethics at the beginning of the researcher's acquaintance with the patient in the surgical department, demographic and disease data, mental body image questionnaire and Herth hope index will be given to the patient for preliminary examination. At this stage, the effort to create a suitable relationship between the nurse and the patient by using active listening, using appropriate sentences to prove professional competence and having up-to-date information of the nurse to gain trust and encourage the patient to cooperate in the process of care and education, which is Virtualization will continue, then the self-care application will be provided to the patients in person undergoing mastectomy surgery, and the researcher will teach the patients how to install the application on the smart phone, and the researcher will explain how to work with the application. is given and after installing the application, the patient uses it in the presence of the researcher and asks his questions. Then the researcher will establish the first message through WhatsApp with the patient. During the period of one month, by communicating daily with the patient (4 days a week) through WhatsApp, he is asked to gradually use the app based on his preferences and learning needs, and at the same time, the researcher provides related support, such as further explanations in the field of activities. Self-care needed by the patient and responding to his care needs, and emotional support such as calming the patient using various counseling and sedation techniques. Use of WhatsApp group: The purpose of forming groups is to interact with similar patients in a group and share daily problems caused by the disease in the field of quality of life, including: nutritional needs and daily activities and mental problems, and to share mental concerns about the side effects of drugs and Also, examining similar challenges and answering questions in the presence of the researcher. In general, sharing the experiences of different people and taking role models from them to increase awareness will be done according to the need for training in self-care. These sessions will be twice a week with a duration of at least 30 to 45 minutes, and the number of sessions will increase depending on the needs of the patients. Intervention 2: Control group: The control group consists of women with breast cancer undergoing mastectomy hospitalized in the surgery departments of Omid and Imam Reza Hospitals. At the time of discharge, after filling out the consent questionnaire to participate in the research, the usual procedures of the department are performed for these patients, which includes face-to-face training of nurses. to these patients during discharge and providing them with educational pamphlets. In the following, the contact number of the researcher will be provided to these patients so that they can raise any questions and problems with the researcher. Phone calls are optional in this group of patients and the researcher does not communicate with this group in a targeted manner like the intervention group. No - There is not a plan to make this available Justification or reason for not sharing IPD is There are no plans to release it
public Nahid Aghebati
Daneshgah Street, Ebne Sina Aven, Nursing and Midwifery School, Mashhad University of Medical Sciences
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 Aghebatin@mums.ac.ir Mashhad University of Medical Sciences scientific Nahid Aghebati
Daneshgah Street, Ebne Sina Avenu, Nursing and Midwifery School, Mashhad University of Medical Sciences
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 Aghebatin@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) At least three days have passed since the surgery At least one month has passed since the diagnosis of cancer Be literate in reading and writing have access to a smartphone The age of patients should be in the range of 18 to 60 years old Absence of metastatic cancer so that the patient has not metastasized to other parts of the body in the pathology report or Positron emission tomography scan 18 years 60 years Female Not using the application for more than ten consecutive days or less than 20% of referrals to the application Failure to provide feedback in WhatsApp consultations for more than four sessions Sudden hospitalization due to life-threatening problems Code C50 Malignant neoplasm of breast Lifestyle Lifestyle Intervention group: The intervention in this research includes firstly designing, construction and validation of a supportive-educative self-care application for breast cancer patients and secondly implementing a self-care educational support program through telenursing using the application and remote communication with the patient through the WhatsApp virtual network during a a clinical trial research. the intervention group, after obtaining informed consent from the patient and having the code of ethics at the beginning of the researcher's acquaintance with the patient in the surgical department, demographic and disease data, mental body image questionnaire and Herth hope index will be given to the patient for preliminary examination. At this stage, the effort to create a suitable relationship between the nurse and the patient by using active listening, using appropriate sentences to prove professional competence and having up-to-date information of the nurse to gain trust and encourage the patient to cooperate in the process of care and education, which is Virtualization will continue, then the self-care application will be provided to the patients in person undergoing mastectomy surgery, and the researcher will teach the patients how to install the application on the smart phone, and the researcher will explain how to work with the application. is given and after installing the application, the patient uses it in the presence of the researcher and asks his questions. Then the researcher will establish the first message through WhatsApp with the patient. During the period of one month, by communicating daily with the patient (4 days a week) through WhatsApp, he is asked to gradually use the app based on his preferences and learning needs, and at the same time, the researcher provides related support, such as further explanations in the field of activities. Self-care needed by the patient and responding to his care needs, and emotional support such as calming the patient using various counseling and sedation techniques. Use of WhatsApp group: The purpose of forming groups is to interact with similar patients in a group and share daily problems caused by the disease in the field of quality of life, including: nutritional needs and daily activities and mental problems, and to share mental concerns about the side effects of drugs and Also, examining similar challenges and answering questions in the presence of the researcher. In general, sharing the experiences of different people and taking role models from them to increase awareness will be done according to the need for training in self-care. These sessions will be twice a week with a duration of at least 30 to 45 minutes, and the number of sessions will increase depending on the needs of the patients. Control group: The control group consists of women with breast cancer undergoing mastectomy hospitalized in the surgery departments of Omid and Imam Reza Hospitals. At the time of discharge, after filling out the consent questionnaire to participate in the research, the usual procedures of the department are performed for these patients, which includes face-to-face training of nurses. to these patients during discharge and providing them with educational pamphlets. In the following, the contact number of the researcher will be provided to these patients so that they can raise any questions and problems with the researcher. Phone calls are optional in this group of patients and the researcher does not communicate with this group in a targeted manner like the intervention group. Hope score in Herth Hope Index. Timepoint: When entering the study and one month after entering the study. Method of measurement: Herth Hope Index (HHI). The body image score based on the Body Image after Breast Cancer Questionnaire (BIBCQ). Timepoint: When entering the study and one month after entering the study. Method of measurement: Body Image after Breast Cancer Questionnaire (BIBCQ). Vice President of Research and Technology of Mashhad University of Medical Sciences and Health Services Approved 2022-07-05 Ethics committee of Mashhad University of Medical Sciences Daneshgah St, Ebn Sina Ave, Nursing and Midwifery School, Mashhad University of Medical Sciences Mashhad Razavi Khorasan Iran (Islamic Republic of)