Orem's Self-Care Deficit Theory Based Nursing Interventions for Immunotherapy Treated Cancer Patients

Not Applicable

Completed

• Conditions: Treatment Side Effects; Quality of Life; Cancer; Nurse's Role
• Interventions: Other: Orem's Self-Care Deficit Theory Based Nursing Interventions for Immunotherapy Treated Cancer Patients

• Registration Number: NCT05652764
• Lead Sponsor: Akdeniz University

Brief Summary

Objective: The aim of this study was to determine the effects of nursing interventions based on Orem Self-Care Deficiency Theory on symptom management, care needs and quality of life in cancer patients who underwent immunotherapy.

Method: The research was planned as a randomized controlled trial. The research is planned to be carried out in the Medical Oncology unit of the Health Sciences University Antalya Training and Research Hospital. It is planned to be done with 58 patients, 29 experimental and 29 control groups. Based on Orem Self-Care Deficit Theory; face-to-face patient education, giving patient education booklet, preparation of symptom management card, face-to-face and telephone counseling initiatives were planned. Patient Description Form, Supportive Care Needs Scale-Short Form, Memorial Symptom Assessment Scale, European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Scale and Self-Care Strength Scale will be used to collect data.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-12-03
• Study First Submitted QC: 2022-12-14
• Study First Posted: 2022-12-15
• Study Start: 2023-01-01
• Primary Completion: 2023-08-30
• Study Completion: 2023-12-30
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-07
• Last Update Posted: 2024-06-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 58

Inclusion Criteria

• Coming to Antalya Training and Research Hospital Medical Oncology unit for treatment,
• First time taking one of the immune checkpoint inhibitors (Ipilimumab CTLA-4, Pembrolizumab PD-1, Nivolumab PD-1, Atezolizumab PDL-1),
• Speaking and understanding Turkish,
• Being literate,
• 18 Years and older
• With solid tumor,
• No communication barrier
• Being able to communicate by phone
• Individuals who agree to participate in the research.

Exclusion Criteria

• Patients receiving other cancer treatments in combination with immunotherapy,
• Patients with Eastern Cooperative Oncology Group Performance Scale 4.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Immuno-SelfCare	Orem's Self-Care Deficit Theory Based Nursing Interventions for Immunotherapy Treated Cancer Patients	-

Primary Outcome Measures

Name	Time	Method
Change from Baseline in Symptom on the Memorial Symptom Assessment Scale at week 12	Baseline and 12th week	Memorial Symptom Assessment Scale (MSAS): The Memorial Symptom Assessment Scale is a multidimensional self-report questionnaire that evaluates 32 physical and psychological symptoms according to their frequency, severity and distress/bother to the person in the past week.The total score is the average of the responses to the distress scale items and and ranges from 0 to 4 with higher values indicating greater distress experienced from symptoms.
Change from Baseline in Adverse Events on the Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 for 12 weeks	Baseline,for 12 weeks	NCI-Common Terminology Criteria for Adverse Events Version 5.0: These algorithms provide support for prescribing the necessary treatment for grade 1 and grade 2 adverse events and for creating special care plans for grade 3 and 4 adverse events.
Change from Baseline in Quality of Life Level on the EORTC QLQ-C30 Quality of Life Scale(European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire) at week 12	Baseline and 12th week	EORTC QLQ-C30 Quality of Life Scale(European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire): This Scale was developed to measure the quality of life of patients with cancer. It includes 30 questions and three sub-dimensions: General Well-Being, Functional Difficulties, and Symptom Control. The maximum score on the scale is 100, and the minimum is 0. High scores on the functional sub-dimension indicate good/healthy functional status, high scores on the symptom sub-dimension indicate high levels of symptoms and/or problems, and high scores on the global health status/quality of life sub-dimension indicate good quality of life.
Change from Baseline in Supportive Care Needs on the Supportive Care Needs Scale-Short Form at week 12	Baseline and 12th week	Supportive Care Needs Scale-Short Form: The 31-item instrument measures supportive care needs in five domains: health system and information, psychological needs, physical and daily living, patient care and support, and sexual-related. Responses are given on a scale from 1 to 5 where 1 = no help is needed and 5 = high need for help. Total scores range from 31 to 155 and higher scores indicate greater need for help.
Change from Baseline in Self-Care Strength on the Self-Care Strength Scale at week 12	Baseline and 12th week	Self-Care Strength Scale: A maximum score of 140 is taken from the scale. The high score obtained from the scale indicates the high level of self-care or self-care ability and power of the individual.

Trial Locations

Locations (1)

Akdeniz University; 🇹🇷 Antalya, Turkey