- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05683236
The Clinical Effect of Palliative Treatment on Patients With Terminal Cancer
January 11, 2023 updated by: Yujing Liu, Shijiazhuang People's Hospital
The Clinical Effect Evaluation of Multidisciplinary Collaborative Team Combined With Palliative Care Model in Patients With Terminal Cancer: A Randomised Controlled Study
This study proposed a multidisciplinary collaborative team combined with a palliative care model and proposed to establish a team composed of medical staff in various disciplines to make up for the defects of a conventional nursing team.
This study applied the multidisciplinary collaboration team combined with a palliative care model to patients with terminal cancer to evaluate its clinical effect.
Study Overview
Status
Completed
Study Type
Interventional
Enrollment (Actual)
84
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
-
-
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Shijiazhuang, China
- Shijiazhuang People's Hospital
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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
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients were diagnosed as terminal by imaging, pathology and clinical manifestations
- the expected length of stay was more than seven days
- patients with clear consciousness, good communication and understanding ability
- voluntary participation in this study and signing of informed consent
- the estimated survival period is more than three months
Exclusion Criteria:
- Patients with cognitive impairment and mental illness
- those who were seriously ill and could not cooperate with the completion
- patients with severe communication disorders
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: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: intervention group
The patients in the intervention group received multidisciplinary collaborative team care combined with palliative care.
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Doctors carried out health education for patients to avoid patients giving up their lives, encouraged them to actively cooperate with medical staff, and instructed patients on how to face the disease with a brave and strong attitude and actively fight the disease.
Nurses conducted daily psychological counselling for patients, learnt their inner thoughts through communication with patients, and provided timely comfort and encouragement.
An attention-shifting method can be used to alleviate the patient's attention to the disease, effectively improving internal depression and avoiding depression.
For patients with anxiety and loneliness, family members were instructed to accompany and care.
Reasonable control of indoor temperature and humidity is necessary to ensure that warm, light conditions permit properly dressed patients to feel warm.
Nurses need to ensure that patients are kept clean and tidy in personal hygiene.
They would regularly assist patients in turning over while giving patients sufficient respect.
Clinicians should regularly evaluate the patient's physical pain and give reasonable analgesic drugs to patients.
Nurses should closely observe the medication response of patients.
At the same time, it is necessary to observe and record patients' physical pain daily and take effective pain control measures.
The clinical nutritionist formulated appropriate nutritional diets according to the nutritional status and personal preferences of patients, provided nutritional support for patients, and followed up with patients once a week after discharge to improve their nutritional status.
Two nurses with psychological counselling qualifications in the team used the anxiety and depression scale to evaluate the psychological and emotional status of patients and referred to "The Questionnaire Survey on Awareness of Palliative Care" by the Department of Elderly Section of the union medical college hospital.
The content mainly included the patient's medical history and general situation, the needs and awareness of patients and their families for palliative care, the choice of patients and their families for the final treatment plan, and the needs of families for grief counselling.
Timely professional counselling and intervention were undertaken to alleviate the patient's adverse emotions.
|
Active Comparator: control group
The control group was given routine nursing intervention.
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The control group was given routine nursing intervention, strictly in accordance with a routine treatment process, monitoring the vital signs of patients, giving basic nursing, health education, diet guidance and so on.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Self-rating Anxiety Scale
Time Frame: Within 8 hours after hospitalization
|
This involved 20 items, of which the 5th, 9th, 13th, 17th and 19th items were reverse scoring, and the 1-5 items were positive scoring.
The items were scored according to Likert4 grade.
The sum of the scores of each item is the total score of the scale.
The scores were converted to a standard score: standard score = total anxiety score×1.25.
The higher the score, the more severe the anxiety state.
A score <50 showed no anxiety, 50-59 showed mild anxiety, 60-69 showed moderate anxiety, and >70 showed severe anxiety
|
Within 8 hours after hospitalization
|
Self-rating Anxiety Scale
Time Frame: through study completion, an average of 1 year
|
This involved 20 items, of which the 5th, 9th, 13th, 17th and 19th items were reverse scoring, and the 1-5 items were positive scoring.
The items were scored according to Likert4 grade.
The sum of the scores of each item is the total score of the scale.
The scores were converted to a standard score: standard score = total anxiety score×1.25.
The higher the score, the more severe the anxiety state.
A score <50 showed no anxiety, 50-59 showed mild anxiety, 60-69 showed moderate anxiety, and >70 showed severe anxiety
|
through study completion, an average of 1 year
|
Self-rating Depression Scale
Time Frame: Within 8 hours after hospitalization
|
There are a total of 20 entries, of which 10 are scored by forward and 10 by reverse.
The entries are scored by Likert4 level.
The sum of the scores of each item is the total score of the scale.
The scores were converted to a standard score: standard score = total anxiety score×1.25.
The higher the score, the more serious the depression.
A score ≤50 showed no depression, 50-59 showed mild depression, 60-69 showed moderate depression, and >70 showed severe depression
|
Within 8 hours after hospitalization
|
Self-rating Depression Scale
Time Frame: through study completion, an average of 1 year
|
There are a total of 20 entries, of which 10 are scored by forward and 10 by reverse.
The entries are scored by Likert4 level.
The sum of the scores of each item is the total score of the scale.
The scores were converted to a standard score: standard score = total anxiety score×1.25.
The higher the score, the more serious the depression.
A score ≤50 showed no depression, 50-59 showed mild depression, 60-69 showed moderate depression, and >70 showed severe depression
|
through study completion, an average of 1 year
|
Social Support Rating Scale
Time Frame: Within 8 hours after hospitalization
|
The scale was with a total of 10 items, including three dimensions of subjective support, objective support and utilisation of support.
The total score of the scale is the sum of the scores of the three dimensions, and the higher the score, the greater the social support.
Judgement criteria: A total score of ≤22 indicates a low level, 23-44 indicates a moderate level, and 45-66 indicates a high level, with a domestic norm score of 34.56±3.73
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Within 8 hours after hospitalization
|
Social Support Rating Scale
Time Frame: through study completion, an average of 1 year
|
The scale was with a total of 10 items, including three dimensions of subjective support, objective support and utilisation of support.
The total score of the scale is the sum of the scores of the three dimensions, and the higher the score, the greater the social support.
Judgement criteria: A total score of ≤22 indicates a low level, 23-44 indicates a moderate level, and 45-66 indicates a high level, with a domestic norm score of 34.56±3.73
|
through study completion, an average of 1 year
|
Quality of Life Scale
Time Frame: Within 8 hours after hospitalization
|
QLQ-C30 consists of one overall QOL scale and five functional scales.
The functional scales include physical function, role function, emotional function, cognitive function and social function.
Rating criteria: After the scores of each part of the scale are converted to standardised scores, and the score range is 0-100.
The higher the score on the scale, the better the overall QOL and functional status
|
Within 8 hours after hospitalization
|
Quality of Life Scale
Time Frame: through study completion, an average of 1 year
|
QLQ-C30 consists of one overall QOL scale and five functional scales.
The functional scales include physical function, role function, emotional function, cognitive function and social function.
Rating criteria: After the scores of each part of the scale are converted to standardised scores, and the score range is 0-100.
The higher the score on the scale, the better the overall QOL and functional status
|
through study completion, an average of 1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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)
June 6, 2019
Primary Completion (Actual)
May 10, 2022
Study Completion (Actual)
May 16, 2022
Study Registration Dates
First Submitted
December 25, 2022
First Submitted That Met QC Criteria
January 11, 2023
First Posted (Estimate)
January 13, 2023
Study Record Updates
Last Update Posted (Estimate)
January 13, 2023
Last Update Submitted That Met QC Criteria
January 11, 2023
Last Verified
January 1, 2023
More Information
Terms related to this study
Other Study ID Numbers
- ShijiazhuangPeoplesH
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
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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