The Clinical Effect Evaluation of Multidisciplinary Collaborative Team Combined With Palliative Care Model in Patients With Terminal Cancer: A Randomised Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Multidisciplinary Collaborative
- Sponsor
- Shijiazhuang People's Hospital
- Enrollment
- 84
- Locations
- 1
- Primary Endpoint
- Self-rating Depression Scale
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
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.
Investigators
Yujing Liu
head nurse
Shijiazhuang People's Hospital
Eligibility Criteria
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
Outcomes
Primary Outcomes
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
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
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
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