- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT05285163
The Effect of Palliative Care Training on Symptom Management and Quality of Life in Chronic Heart Failure
14. mars 2022 oppdatert av: Gülşah Çamcı, Marmara University
The Effect of Palliative Care Training on Symptom Management, Rehospitalization and Quality of Life in Chronic Heart Failure: : A Randomized Controlled Trial
Palliative care is of great importance because of poor quality of life and high mortality risk in advanced heart failure.
This study was planned as a randomized controlled trial to determine the effect of palliative care training on symptom management, rehospitalization, and quality of life among patients with heart failure.
Studieoversikt
Status
Fullført
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Patients were informed about the research and written informed consent was obtained.
Data were collected by face-to-face interviews within two days before discharge.
Patient information form and scales were applied to Patients in the intervention and control groups.
Patients in the intervention group were received education after filling the forms.
The training was given one by one at the hospital.
One or two relatives of patients were included in the training.
The patient was comfortably seated, and the room door was closed, face to face interaction was conducted.
The patient and his/her relatives were allowed to ask questions during the training.
The patient in the intervention group received at least 45 minutes of data collection from a case because of detailed training.
It took about 15 minutes to collect data from a patient in the control group.
In some patients, the training program was divided to be clearer.
The patients were traced by telephone at the first, third, and sixth months after discharge.
The investigator's phone number was presented to the patients and they were told that they could call at any time.
Continuous communication was ensured by giving the educator's phone number to the patients.
The training was repeated by contacting the phone.
The intervention group was retrained about symptoms they experienced during their telephone interview.
The training was given to the experimental group as planned.
No modifications/changes were made to the intervention during the study.
Special notes were taken for each patient.
The effect of the education given on the quality of life and symptom management was evaluated with questionnaires.
The intervention was adhered to as planned.
Studietype
Intervensjonell
Registrering (Faktiske)
84
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Istanbul, Tyrkia
- Marmara University
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Istanbul, Tyrkia
- Marmara U.
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år til 86 år (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- 18-year-old or over,
- Class III and IV heart failure patients according to New York Heart Association (NYHA) classification,
- Patients without any communication problem to prevent participation in the research [loss of hearing, visual impairment, lack of understanding/speaking in Turkish], can be contacted by telephone, are literate.
- The patients who were diagnosed with heart failure at least six months ago accepted to participate voluntarily were also included in the study.
Exclusion Criteria:
- Patients who wish to quit their study voluntarily during the study period and patients who died or worsened during the study period.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: palliative care education
The patients in the intervention group were presented palliative care training in addition to their usual care.
The training period lasts at least 45 minutes.
After the training, patients were given the book 'Palliative Care in Heart Failure'.
In this training, patients were informed about heart failure and pharmacological and non-pharmacological methods for symptoms such as dyspnea, pain, constipation, depression, edema, tiredness, nausea.
The patients were followed up by telephone at the first, third, and sixth months after discharge.
The patient's symptoms and quality of life were re-evaluated in telephone follow-up.
During the follow-up period, the patient's training related to symptoms was repeated.
The patients were referred to the physician for the symptoms and problems which they experienced in the house.
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The patients in the intervention group were presented palliative care training in addition to their usual care
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Ingen inngripen: usual care
Firstly, the usual care provided to patients was described.
It was determined that patients were not given regular and comprehensive training on heart failure, and no training was given on palliative care.
Written educational material was not given to the patients.
Patients were not followed up after discharge.
Palliative care was not discussed with patients and their relatives.
Also, they were not asked about their preferences.
In usual care, Heart failure patients received medical treatment for their symptoms during hospitalization.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Edmonton symptom assessment scale
Tidsramme: six months
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ESAS consists of 10 symptoms as tiredness, pain, feeling of well-being, nausea, depression, anxiety, lack of appetite, drowsiness, shortness of breath, and others.
Each symptom is scored between 0 and 10.
While Zero points indicate no symptoms, 10 points are severe of symptoms.
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six months
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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LVD-36-left ventricular dysfunction questionnaire
Tidsramme: six months
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The questionnaire consists of 36 questions and the questions are answered as true or false.
The correct answers are collected and indicated as the total percentage.
The score is 0-100.
High scores indicate poor quality of life.
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six months
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Gülşah Çamcı, PhD, Marmara University
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
1. januar 2017
Primær fullføring (Faktiske)
31. desember 2017
Studiet fullført (Faktiske)
10. november 2018
Datoer for studieregistrering
Først innsendt
4. mars 2022
Først innsendt som oppfylte QC-kriteriene
14. mars 2022
Først lagt ut (Faktiske)
17. mars 2022
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
17. mars 2022
Siste oppdatering sendt inn som oppfylte QC-kriteriene
14. mars 2022
Sist bekreftet
1. mars 2022
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- MU-SBF-IHH-GC-01
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
Nei
IPD-planbeskrivelse
After the article is published, the results of the study will be shared.
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
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