Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Nursing, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
BMJ Open. 2022 Aug 25;12(8):e061238. doi: 10.1136/bmjopen-2022-061238.
Due to functional defects and structural destruction after total laryngectomy, patients experienced the poor quality of life, especially for elderly. The barriers to accessing self-care in elderly patients were considered to result from complex and multifaceted interactions of biologic and social factors. Therefore, specific efforts to improve elderly patients' quality of life are needed. The purpose of our study is to verify nurse-led coaching of elderly patient self-care approaches, which can reduce logistic burden of patients and obtain the successful functional rehabilitation ultimately.
Elderly patients (n=60) scheduled for total laryngectomy will be randomly divided into the intervention group and the control group. Patients in the control group received routinely nursing during hospitalisation and thereby at home after discharge received conventional family care without regular supervision of nurses. Patients in the intervention group will receive a series of self-care intervention based on the transtheoretical model during hospitalisation. During home after discharge, nurses will additionally evaluate and supervise the self-care effect of patients. The two groups of patients' self-care agency, self-efficacy, quality of life and nutritional status will be recorded separately at different time points. Primary outcome is the improvement of patients' self-care agency, and secondary outcome is the improvements of patients' self-efficacy, quality of life, nutritional states and 3-month unplanned readmission rate.
The Ethics Committee of Hubei Cancer Hospital has approved this protocol (KYLLBA2020006). The findings of the trial will be disseminated through peer-reviewed journals, national or international conferences.
ChiCTR2100043731.
由于全喉切除术后的功能缺陷和结构破坏，患者的生活质量较差，尤其是老年人。老年人自我护理障碍被认为是生物和社会因素复杂和多方面相互作用的结果。因此，需要有针对性地努力提高老年患者的生活质量。我们的研究目的是验证护士主导的老年患者自我护理方法的指导，这可以减轻患者的后勤负担，并最终获得成功的功能康复。
计划接受全喉切除术的老年患者（n=60）将被随机分为干预组和对照组。对照组患者在住院期间接受常规护理，出院后在家中接受常规家庭护理，没有护士的定期监督。干预组患者将在住院期间根据跨理论模型接受一系列自我护理干预。出院后，护士将额外评估和监督患者的自我护理效果。两组患者的自我护理能力、自我效能、生活质量和营养状况将分别在不同时间点记录。主要结果是患者自我护理能力的提高，次要结果是患者自我效能、生活质量、营养状况和 3 个月非计划性再入院率的提高。
湖北省肿瘤医院伦理委员会已批准该方案（KYLLBA2020006）。试验结果将通过同行评议期刊、国家或国际会议进行传播。
ChiCTR2100043731。
