A Feasibility Study Protocol for Implementing Consultation-based Palliative Care Services to Provide High-quality Palliative Care to Families of Critically Ill Patients in Intensive Care Units: A Single-arm Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Feasibility of Applying Consultation-Based High-Quality Palliative Care
研究概览
简要总结
Critically ill patients in intensive care units (ICUs) receive life-sustaining treatments aimed at restoring or maintaining organ function. ICU admission often involves substantial physical and existential pressures that can burden patients, their families, and surrogates. Multidisciplinary palliative care support can help alleviate potential causes of suffering. Twenty patients admitted to the ICUs at Seoul National University Hospital, diagnosed with sudden and severe acute brain injury or progressive organ failure, along with their surrogates, will be enrolled in the study. This study aims to assess the feasibility of applying consultation-based palliative care services to provide higher quality palliative care for critically ill patients with acute illnesses and their families facing poor prognoses upon ICU admission. Additionally, the study seeks to determine whether providing such palliative care services can help better respect the patient's values and goals, reduce communication conflicts, alleviate family caregivers' anxiety and depression, and enhance satisfaction with critical care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Feasibility of Applying Consultation-Based High-Quality Palliative Care
时间窗: 1 day (at discharge)
Proportion of eligible contacts who consented and participated in the study, palliative care family counseling rate, and study completion rate.
次要结局
- Change in Surrogates' Decisional Self-Efficacy before and after the Intervention(Pre-post comparison (baseline vs. within one week after consultation))
- Change in Surrogates' Emotional State before and after the Intervention(Pre-post comparison (baseline vs. within one week after consultation))
- Level of Patient- and Family-Centered Care Experienced by Surrogates after the Intervention(Follow-up (within one week after consultation and one month after consultation; up to three months after the final consultation for deceased patients))
- Surrogates' Satisfaction with the Intervention Services(Within one week after the final consultation)
- Length of Hospital Stay(1 day (at discharge))
- Survival to Discharge Rate(1 day (at discharge))
- Change in Surrogates' Decisional Conflict before and after the Intervention(Pre-post comparison (baseline vs. within one week after consultation))
- Surrogates' Decision Regret after the Intervention(Follow-up (within one week after consultation and one month after consultation; up to three months after the final consultation for deceased patients))
- Days of Symptom Relief Treatments received in the ICU(1 day (at discharge))
- Proportion of Patients receiving Symptom Relief Treatments During the ICU stay(1 day (at discharge))
- Data Collection Completion Rate(Within three months after the final consultation)
- Use of Symptom Relief Treatments within 48 Hours before Death(1 day (at discharge))
- Time Taken to Recruit Patients(Within the first year of study initiation)
- Use of Life-Sustaining Procedures within 48 Hours before Death(1 day (at discharge))
研究者
Shin Hye Yoo
Assistant Professor
Seoul National University Hospital