- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05242016
Structured Individiual Reminiscence on Self Transcendence of Palliative Care Patients
May 24, 2023 updated by: Canan BOZKURT, Bandırma Onyedi Eylül University
The Effect of Structured Individiual Reminiscence on Symptom Management, Life Satisfaction and Self Transcendence of Palliative Care Patients
Palliative Care is the care offered by a simultaneous multidisciplinary approach with all treatments aimed at preventing/alleviating suffering and increasing the quality of life by early identifying all physical, psycho-social and spiritual needs, especially pain, to individuals and their families who face problems arising from life-threatening diseases.
philosophy.
For this reason, it includes the quality of life and the positive effect of the disease process.
Symptom management starts from the moment of diagnosis and lasts until the moment of death, and as in all areas, complementary therapies are very important in palliative care as well as pharmacological treatment.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
It is thought that increasing the quality of life of palliative care patients, making sense of the past life and transforming the negative perspective into a positive one, as well as the symptoms seen in the process until death, can contribute positively to the quality of life of the individual.
The reason for this is personality development, which he mentioned in the Psychosocial Development Theory, which was introduced in the 1950s.
He reported that personality development lasts for a lifetime and consists of eight stages, and the last stage will be hopeless in an individual whose self-integrity is not complete.
Because, according to the theory, every individual has accepted all the experiences he has lived in his life as they are, assimilated and adapted to complete the integrity of the self.
In this totality, there is no regret for the past, no fear and anxiety for the future.
Despair will cause the individual to experience fear of death because death is an inevitable end and should be expected in peace as a natural part of life.
Based on this theory, a gerontologist and psychiatrist argued in his 1963 study Life Review that the act of reviewing the past is about integrating and interpreting experiences in the dimension of analyzing the past.
After the word reminiscence was derived, studies emerged as Reminiscence Therapy by structuring the review process of life.
Although it originally emerged as a psychoanalytic concept, reminiscence therapy has been used as a component of nursing in long-term care settings.
Nurses began using Reminiscence Therapy in the late 1960s and published their experiences in the 1970s.
At that time, the purpose of nurses in applying Reminiscence Therapy was to help older individuals reframe their experiences and prepare for death.
In 1978, a nurse described some of the therapeutic factors of Reminiscence Therapy as identification, socialization, intergenerational sharing, memory stimulation, and self-actualization.
As a definition of self-transcendence, it was first defined in British literature by Maslow in 1969 as the highest, most inclusive or holistic consciousness that transcends time, culture and self.
Later, Maslow modified the "Hierarchy of Needs" model and reported adding self-actualization as a motivational step.
Over time, a middle-class nursing theory named "Self-Transcendence Theory" was developed by Pamela G. Reed (1991).
Nursing as a science is thought to be based on the self-transcendence theory developed by Pamela G. Reed for the nursing care they will apply to palliative care patients in a conceptual framework.
Because in his theory, Reed argues that individuals who experience chronic illness, loss and aging or who accompany others with these events should face vulnerability.
It has been reported that nurses can facilitate the individual's self-transcendence and support the welfare potential of individuals.
Meditation, prayer, visualization, life review, structured reminiscence, self-reflection, and journaling are techniques of self-transcendence that nurses can facilitate to help their patients recognize their own patterns of healing.
In the light of this information, the aim of this study is to investigate the effect of structured individual reminiscence on symptom management, life satisfaction and self-transcendence of palliative care subordinates.
Study Type
Interventional
Enrollment (Estimated)
48
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Balikesi̇r
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Bandirma, Balikesi̇r, Turkey, 10200
- Recruiting
- Bandirma Training and Research Hospital
-
Contact:
- Muzaffer Şenveli, MD
- Phone Number: 10999 +90.266 738 00 22
- Email: balikesirdhs3@saglik.gov.tr
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Speaking and understanding Turkish
- Those who volunteered to participate in the research
- Inpatient in Palliative Care Service
- Without clinical diagnosis of dementia, cognitive impairment, agitation and delirium
- No hearing or vision problems
Exclusion Criteria:
- Patients who are planned to be transferred and/or discharged to another unit/institution within the estimated period of investigation (15 days) by the physician and who do not have a life expectancy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: structured individual reminiscence
Sessions, in chronological order; Starting with birth, it is planned to progress through life years by focusing on important events.
In the sessions, considering the age and individual characteristics of the patients, the house and region where they were born and raised, childhood and school memories, childhood and school friends, youth years and friends, business life, if any, marriage process, birth of the first child, happy memories about children, successful events, old holidays It is talked about subjects such as unforgettable people or events, happy places to visit, old meals, old items, old songs.
In each session, different sensory stimuli (visual, auditory, tactile, smelling, tasting) are used according to the subject.
|
reminiscence therapy
|
Placebo Comparator: unstructured social interview
Unstructured social interviews are conducted on topics such as current events not related to recollection, information specific to the individual patient wants to share, illness/diseases, hobbies, and activities.
|
placebo
|
No Intervention: Control
There is no intervention other than standard nursing care.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
self-transcendence scale
Time Frame: 15 days
|
The change in self-transcendence scores of the patients in the structured individual reminiscence group after the application compared to the pre-application.
The self-transcendence scale score ranges from 15 to 60, and an increase in scores indicates that the individual is self-actualizing.
|
15 days
|
life satisfaction
Time Frame: 15 days
|
The change life satisfaction in scores of the patients in the structured individual reminiscence group after the application compared to the pre-application.
The life satisfaction scale score ranges from 5-35, and an increase in the score indicates that the individual's life satisfaction is high.
|
15 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 4, 2021
Primary Completion (Actual)
March 31, 2022
Study Completion (Estimated)
May 25, 2023
Study Registration Dates
First Submitted
January 2, 2022
First Submitted That Met QC Criteria
February 12, 2022
First Posted (Actual)
February 16, 2022
Study Record Updates
Last Update Posted (Actual)
May 26, 2023
Last Update Submitted That Met QC Criteria
May 24, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- bandirma
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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