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临床试验/NCT04642417
NCT04642417已完成不适用

Effectiveness of Experiential Learning on Dietary Fiber Literacy and Bowel Symptom Management After Surgery for Colorectal Cancer

National Taiwan University Hospital1 个研究点 分布在 1 个国家目标入组 66 人开始时间: 2020年10月29日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
66
试验地点
1
主要终点
Bowel Symptom

研究概览

简要总结

Acute symptom onset is the most common problem in colorectal cancer surgery, and it is also the source of the most painful impact on patients' lives. The second is the fear of cancer recurrence and complications, and psychological problems such as fear or depression are prone to occur. Studies have found that colorectal cancer is gradually suffering from complications and symptoms for six months, and even uncontrollable gas, leakage and incontinence, causing frequent occurrence of underwear. , The body and mind are severely impacted, and affect daily activities and quality of life. The problem of initial symptom management after colorectal cancer surgery is highly complex, and patients even have to self-manage diseases and symptoms in the face of physical and psychological adjustment. The provision and consultation of knowledge and information from nursing staff can prepare patients for discharge and meet their needs for knowledge and information, and can help patients achieve effective self-management capabilities.The foundation of health awareness emphasizes health knowledge. Health awareness is a more advanced knowledge achievement; it is the ability to make judgments and decisions in daily life related to health care, disease prevention and health promotion, and is the basic element of achieving self-management of health. Dietary knowledge is also a higher-level knowledge, which reflects dietary knowledge in behavior, food choices and criticism, and reflects on food choices and health decisions. Insufficient dietary knowledge will affect food choices, judgments and decisions, resulting in insufficient diet-related knowledge.Studies have confirmed that the health-related knowledge of cancer patients is significantly related to disease self-management. Only when patients understand their own diseases can they actively participate in self-health management. Nursing staff play a pivotal role in the care of patients with colorectal cancer. Through the knowledge transfer of nursing staff and guiding patients to take care of themselves, they can help improve postoperative dietary intake behaviors, thereby enhancing dietary awareness. Literature review of chronic disease self-management, nursing staff provide patients with sufficient relevant knowledge education, which can enhance patients' self-efficacy and enhance disease self-management ability.

详细描述

Through the re-giving and encouragement of knowledge information, personal behavior control and reframing can be achieved, which can be effective To promote personal health. Nursing staff's consultation and face-to-face interviews can significantly improve patients' health-related knowledge, effective education strategies and assist patients in self-management of disease-related problems.

Experiential learning interaction can deepen the patient's impression and memory, improve the patient's knowledge and skills about the disease, increase patient participation in self-decision-making, improve self-efficacy, present better health-related knowledge, and achieve self-management capabilities. Past studies have also found that telephone tracking and consultation, emails, and giving diet manuals can help patients with colorectal cancer make significant changes in their healthy diet choices.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
Double (Care Provider, Outcomes Assessor)

盲法说明

Using a randomization design, investigators randomly placed the number into the envelope. This procedure was concealed from the provider or patients.

入排标准

年龄范围
20 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •You can read the newspaper yourself.
  • •Emotions and cognitive functions can be answered without barriers
  • •After clinical diagnosis of colorectal cancer (stage I-III), the doctor has recommended and arranged for colorectal cancer Surgery.
  • •Age between 20 to 85 years old.
  • •Willing to use a computer tablet to conduct a questionnaire survey.

排除标准

  • •Those who are currently receiving chemical drugs or radiation therapy.
  • •Clinical diagnosis of colorectal cancer stage IV (stage IV); recurrence, metastasis or other cancers
  • •Diagnosis of mental illness patients.
  • •Cannot read the newspaper on their own

研究组 & 干预措施

Experimental

Experimental

intervention give experience dietary fiber literacy

干预措施: dietary fiber literacy (Other)

Experimental

Experimental

intervention give experience dietary fiber literacy

干预措施: routine care (Other)

No Intervention

No Intervention

give standard education

结局指标

主要结局

Bowel Symptom

时间窗: 20 minutes

LARS; minimum to maximum scores by 5-42, higher is mean severe bowel symptoms

次要结局

  • food frequency(20 minutes)
  • Dietary Fiber food Literacy(50 minutes)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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