Reynaud Danielle, Decormeille Guillaume, Tisseaux Antoine, Bun René
Department of Nursing, Rehabilitation and Medical Techniques (South Site), University Hospital Center, Saint-Pierre, La Réunion, France.
National Institute of Health and Medical Research (INSERM) Clinical Investigation Center (CIC) 1410 Clinical Epidemiology, University Hospital Center, Saint Pierre, La Réunion, France.
Internet Interv. 2024 Jun 11;37:100752. doi: 10.1016/j.invent.2024.100752. eCollection 2024 Sep.
Family-based caregivers are increasingly important in the management of non-hospitalized lung cancer patients. However, lack of training can negatively impact care including diagnostic errors that can lead to delays in providing appropriate medical treatment. Acute respiratory failure (ARF) is common symptom of lung cancer and requires urgent intervention as well as adequate communication with healthcare professionals (HCPs) to enable appropriate decision-making and improve patient outcomes. Standardized tools such as the Situation, Background, Assessment, Recommendation (SBAR) tool and its French adaptation SAED, standing for , are designed to facilitate communication among (HCPs).Additionally, digital interventions, such as serious games, are increasingly used to train HCPs though its use for caregivers has not been studied. This pilot study aims to assess an innovative serious game training using the SAED tool combined with standard instructions on self-efficacy for family-based caregivers of lung cancer patients when facing a simulated situation of ARF. The study also aims to examine caregivers' emotional state, quality of life, satisfaction and knowledge about the SBAR tool.
A monocentric, randomized, controlled, open-label, superiority, parallel-arm trial will be conducted for 18 months with 3 mid-study assessments (NCT05839353). Family caregivers of lung cancer patients will be recruited at the University Hospital Center of Saint Pierre, Reunion Island, France. Participants will be randomized (1:1) into two groups: the experimental group receiving training using the SBAR/SAED tool and standard instructions for managing respiratory distress/dyspnea, and the control group, receiving standard instructions only. The primary outcome will be to determine perceived self-efficacy as measured by the Generalized Self-Efficacy Scale.
This study will present a preliminary assessment of training family caregivers in using the SBAR/SAED tool in simulated episodes of ARF in lung cancer patients. Our findings may provide valuable insights into effective training methods for caregivers in critical home care situations and could be widely used for lung cancer management.
在非住院肺癌患者的管理中，家庭护理人员的作用日益重要。然而，缺乏培训可能会对护理产生负面影响，包括诊断错误，这可能导致提供适当医疗治疗的延误。急性呼吸衰竭（ARF）是肺癌的常见症状，需要紧急干预以及与医护人员（HCPs）进行充分沟通，以做出适当决策并改善患者预后。诸如情况、背景、评估、建议（SBAR）工具及其法语改编版SAED（代表……）等标准化工具旨在促进医护人员之间的沟通。此外，数字干预措施，如严肃游戏，越来越多地用于培训医护人员，但其在护理人员中的应用尚未得到研究。这项试点研究旨在评估一种创新的严肃游戏培训，该培训使用SAED工具并结合针对肺癌患者家庭护理人员在面对ARF模拟情况时自我效能的标准指导。该研究还旨在检查护理人员的情绪状态、生活质量、满意度以及对SBAR工具的了解。
将进行一项为期18个月的单中心、随机、对照、开放标签、优效性、平行组试验，并进行3次中期研究评估（NCT05839353）。肺癌患者的家庭护理人员将在法国留尼汪岛圣皮埃尔大学医院中心招募。参与者将被随机（1:1）分为两组：实验组接受使用SBAR/SAED工具的培训以及管理呼吸窘迫/呼吸困难的标准指导，对照组仅接受标准指导。主要结局将是通过一般自我效能量表测量的感知自我效能。
本研究将对培训家庭护理人员在肺癌患者ARF模拟发作中使用SBAR/SAED工具进行初步评估。我们的研究结果可能为关键家庭护理情况下护理人员的有效培训方法提供有价值的见解，并可广泛用于肺癌管理。
