Improve Mental Health and Emotional Labor Among Nurses Who Care the End-of-life Patients

Not Applicable

Recruiting

• Conditions: Depression, Anxiety; End-of-life
• Interventions: Behavioral: mindfulness-based therapy; Behavioral: cognitive behavioural therapy

• Registration Number: NCT05541523
• Lead Sponsor: Huichao Zhang

Brief Summary

CBT: cognitive behavioural therapy MBT: mindfulness-based therapy

Detailed Description

Nurses caring for terminally ill patients suffer from negative emotions and emotional labor, which may lead to a decline in the quality of end-of-life care. CBT and MBT are currently two commonly used psychological methods. They can be effective in improving bad mood. However, to the best of our knowledge, no investigators have used CBT and MBT among nurses caring for terminally ill patients. Could CBT and MBT be effective in alleviating the psychological distress of these nurses? Which psychological method is more effective?

Study Timeline

• Study Start: 2022-05-01
• Status Verified: 2022-09
• Study First Submitted: 2022-09-12
• Study First Submitted QC: 2022-09-13
• Last Update Submitted: 2022-09-13
• Study First Posted: 2022-09-15
• Last Update Posted: 2022-09-15
• Primary Completion: 2022-12-30
• Study Completion: 2023-01-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• (1) Eligible participants were the nurses who nursing patients with stage IV cancer or other incurable diseases;
• (2) agree to participate in this research;
• (3) no history of mental illness.

Exclusion Criteria

• None

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
cognitive behavioural therapy	mindfulness-based therapy	-
mindfulness-based therapy	cognitive behavioural therapy	-

Primary Outcome Measures

Name	Time	Method
Anxiety	up to 8 weeks	The Hamilton Anxiety Rating Scale (HAM-A), developed by Hamilton in 1959,26 was used in this study to assess the anxiety level of the patients. The HAM-A contains 14 items, each scored on a 5-point scale (0, asymptomatic; 1, mild symptoms; 2, moderate symptoms; 3, severe symptoms; 4, extremely severe symptoms). The total sum score, ranging from 0 to 56, can be classified into four levels: 0, no anxiety symptoms; 1-17, mild anxiety; 18-24, moderate anxiety; 25-56, severe anxiety.
Emotional labor	up to 8 weeks	Chinese version scale of emotional labor(C-ELS). Permission to use the Chinese version of the instruments was obtained. To the best of our knowledge, this is the first time these questionnaires are used in palliative care programs in China, using a five-point Likert type scale ("1" = "strongly disagree," "7" = "strongly agree"). The scale divided emotional labor into four part surface acting, deep acting, expression of naturally felt emotions and emotion termination. The Cronbach's α of surface acting, deep acting, expression of naturally felt emotions and emotion termination were 0.714, 0.743, 0.846, 0.758, respectively.
Self-Efficacy	up to 8 weeks	Occupational Coping Self-Efficacy Scale for Nurses ( OCSE-N, Occupational Coping Self-Efficacy Scale for Nurses ), a total of 9 items, using Likert 5-level scoring method, 1 means ' can not easily deal with ' to 5 means ' can easily deal with ', the total score range of 9 to 45 points, the higher the score, the higher the occupational coping self-efficacy of nurses.

Trial Locations

Locations (2)

the First Affiliated Hospital of Nanjing Medical University; 🇨🇳 Nanjing, Jiangsu, China

Wu Ye; 🇨🇳 Nanjing, Jiangsu, China