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IRCT20150607022592N3 IRCT 2023-11-06 Mashhad University of Medical Sciences The effect of adaptation nurturance on the self-efficacy and quality of life of patients with colorectal cancer undergoing chemotherapy Comparing the effect of adaptation nurturance using the Adaptive Potential Assessment Model (APAM) and routine education praogram on the self-efficacy and quality of life of patients with colorectal cancer undergoing chemotherapy 2023-11-08 anticipated 70 Complete https://irct.ir/trial/73035 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: At first, using statistical software, 18 permutation blocks of size 4 will be recovered. Then the units of each block are placed separately in sealed envelopes. Before starting the sampling, the researcher asks one of the ward nurses to open the first envelope and open the characters inside the envelope for the researcher, according to the patients who met the criteria for entering the study and consent to participate in the study with the help of the consent form. They have consciously announced that they will be placed in the intervention and control groups in parallel. This process will continue until the completion of the samples in two groups based on the sample size of 70 people (35 people in each group). 3 Colorectal Cancer. Intervention 1: Intervention group: The intervention begins in the second phase of chemotherapy after obtaining informed consent. First, questionnaires to check demographic information, self-efficacy and quality of life are completed by the patient. adaptation Nurturance as an intervention of the present study is implemented in two stages of modeling and role modeling. Nurturance includes educational, supportive and caring interventions. In the modeling stage, the researcher tries to gain the patient's trust and use the process of active listening to determine the patient's adaptation status by using a questionnaire to determine the degree of adaptation based on the nursing theory of modeling and role modeling and determine the existing stressors. Then, a pattern of the patient's adaptation status is drawn, including three phases: arousal, equilibrium, and impoverishment. At this stage, the researcher can determine the patient's condition based on the identification of various internal and external stressors (related stressors of colorectal cancer patients according to existing articles It often includes the disorder of imbalanced nutrition less than body requirements, decreased fluid volume, not knowing how to take care of the colostomy bag, as well as nausea and vomiting and diarrhea caused by chemotherapy.) But based on the unique needs of each patient some other the stressors might be determined. Then, in the role modeling stage, the researcher tries to bring the patient's educational support closer to balance by using appropriate care interventions, if the patient is in the phase of equilibrium or impoverishment. The researcher tries to implement the process of modeling and role modeling for the patient during 3 to 5 face-to-face sessions of 30 to 45 minutes. At least two face-to-face sessions are held in each chemotherapy period. And between the chemotherapy courses, video communication is established with the patient twice using the virtual network, and the patient's condition is evaluated and the necessary recommendations are given to the patient. In the third and fourth stages of chemotherapy (one month and two months after the start of the intervention), the level of self-efficacy and the quality of life of the patient are measured. Intervention 2: Control group: In the control group, all the usual care and training is done in hospitals, which includes the use of educational pamphlets and participation in health clinic training programs. along with participation in the telephone follow-ups that are done by the nurses of the health clinic of the hospitals. Educational measures and follow-ups by phone and virtual network are done in the intervention group with the coordination of the hospital's health education clinic. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is It is possible to modify it while studying
public Nahid Aghebati
Nursing and Midwifery School; Shahid Dr Kharazmi Educational institute ;Pardis of Mashhad university of Medical Sciences; The East door of Ferdowsi University; Azadi Square, Mashhad
Mashhad Iran (Islamic Republic of) 9178948564 +98 51 3800 2000 aghebatin@mums.ac.ir Mashhad University of Medical Sciences scientific Nahid Aghebati
Nursing and Midwifery School; Shahid Dr Kharazmi Educational institute ;Pardis of Mashhad university of Medical Sciences; The East door of Ferdowsi University; Azadi Square, Mashhad
Mashhad Iran (Islamic Republic of) 9177948564 +98 51 3800 2000 Aghebatin@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Being at the age of 30-80 years old Having Colorectal cancer with an oncologist special diagnosis Having a caregiver at home Being Persian Having the ability to speak Having a personal smart phone 30 years 80 years Both Reducing level of consciousness and being refereed to ICU Evidence of metastasis in the description of the patient's operation Having a diagnosed psychological disease C18-C21 Malignant neoplasms of digestive organs: Malignant neoplasm of colon, Malignant neoplasm of rectosigmoid junction, Malignant neoplasm of rectum, Malignant neoplasm of anus and anal canal Rehabilitation Rehabilitation Intervention group: The intervention begins in the second phase of chemotherapy after obtaining informed consent. First, questionnaires to check demographic information, self-efficacy and quality of life are completed by the patient. adaptation Nurturance as an intervention of the present study is implemented in two stages of modeling and role modeling. Nurturance includes educational, supportive and caring interventions. In the modeling stage, the researcher tries to gain the patient's trust and use the process of active listening to determine the patient's adaptation status by using a questionnaire to determine the degree of adaptation based on the nursing theory of modeling and role modeling and determine the existing stressors. Then, a pattern of the patient's adaptation status is drawn, including three phases: arousal, equilibrium, and impoverishment. At this stage, the researcher can determine the patient's condition based on the identification of various internal and external stressors (related stressors of colorectal cancer patients according to existing articles It often includes the disorder of imbalanced nutrition less than body requirements, decreased fluid volume, not knowing how to take care of the colostomy bag, as well as nausea and vomiting and diarrhea caused by chemotherapy.) But based on the unique needs of each patient some other the stressors might be determined. Then, in the role modeling stage, the researcher tries to bring the patient's educational support closer to balance by using appropriate care interventions, if the patient is in the phase of equilibrium or impoverishment. The researcher tries to implement the process of modeling and role modeling for the patient during 3 to 5 face-to-face sessions of 30 to 45 minutes. At least two face-to-face sessions are held in each chemotherapy period. And between the chemotherapy courses, video communication is established with the patient twice using the virtual network, and the patient's condition is evaluated and the necessary recommendations are given to the patient. In the third and fourth stages of chemotherapy (one month and two months after the start of the intervention), the level of self-efficacy and the quality of life of the patient are measured. Control group: In the control group, all the usual care and training is done in hospitals, which includes the use of educational pamphlets and participation in health clinic training programs. along with participation in the telephone follow-ups that are done by the nurses of the health clinic of the hospitals. Educational measures and follow-ups by phone and virtual network are done in the intervention group with the coordination of the hospital's health education clinic. Self-efficacy score. Timepoint: Before the intervention - the first month and the second month after the start of the study. Method of measurement: Cancer Behavior Inventory–Brief Version (CBI-B). Quality of life score. Timepoint: Before the intervention; 1 month and 2 months later. Method of measurement: Quality of life questionnaire-cancer 30 (EORTC QLQ-C30). Mashhad University of Medical Sciences Approved 2023-07-11 Research Ethics Committees of School of Nursing & Midwifery; Mashhad University of Medical Sciences Nursing and Midwifery School; Shahid Dr Kharazmi Educational institute ;Pardis of Mashhad university of Medical Sciences; The East door of Ferdowsi University; Azadi Square, Mashhad Mashhad Razavi Khorasan Iran (Islamic Republic of)