Oncology nursing
Conditions
Interventions
The interventions applied in the clinical trial will be:
Infographic: didactic material containing textual information about: how the patient should prepare for his cancer surgery
which exams and personal effects to take to the hospital on the day of your surgery
useful bibliographic information and links for obtaining and deepening information about surgical cancer treatment
purpose of surgery
surgical team members
preparation for eventual surprises
the operating room and the recovery room
and follow-up of the therapeutic plan.
Explanatory video: the explanatory video contains images and text that describe the patients entire journey from arrival at the operating room to the post-anesth
DDCS057899
D019514
D013664
D001296
Sponsors
Universidade de Brasília
Universidade de Brasília
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients aged 18 years or over of both sexes who are in the postoperative period, undergoing elective surgery removed from one or multiple organs; with the diagnosis of cancer undergoing cancer treatment by the referenced hospital, and who are in full mental, cognitive and intellectual conditions to answer the questions and receive the interventions and who voluntarily agreed to sign the Free and Informed Consent Form.
Exclusion criteria
Exclusion criteria: Patients who are in the immediate postoperative period, do not undergo the proposed surgery and do not sign the free and informed consent form and do not voluntarily accept participation in the research will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease in uncertainty. The instrument adapted from the theorist Merle Mishel, Scale of Uncertainty in Disease (MUIS), will be used to determine the level of uncertainty by the patient in the context of organ harvesting. Through this instrument, the person issues his own opinion according to a series of questions that involve his physical / psychological health and measures the level of uncertainty generated from the situations of illness. The levels of uncertainty will be measured by means of the answers inserted in the instrument, the answer options for each item are given on a Likert scale in values ??ranging from 1 to the maximum value of 5 points, containing thirty items, the higher the the patient's score, the greater the degree of uncertainty in the disease, ranging from 30 to 150 points. A randomized controlled clinical trial revealed that patients who received nursing interventions such as symptom management, monitoring, emotional support, health education, provision of resources, referrals and direct nursing care, obtained as a result, an important reduction in uncertainties compared to group that did not receive the interventions (MCCORKLE et al., 2009). MCCORKLE, R.; DOWD, M.; ERCOLANO, E.; GREEN, D. S.; WILLIAMS, A. L.; SIEFERT, M. L. et al. Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological cancers. Psycho-Oncology. v. 18, p. 62–70, 2009. | — |
Secondary
| Measure | Time frame |
|---|---|
| Decreased anxiety. The State-Trait Anxiety Inventory (STAI) will be used. This instrument consists of a self-administered questionnaire composed of two distinct sub-scales used to assess the state and trait of anxiety. The Anxiety-State subscale assesses how the individual feels at a particular moment in time and the Anxiety-Trait subscale reveals how the individual generally feels. The two subscales are scored separately, with a minimum and maximum score of 20 and 80 for each one. Each part consists of 20 descriptive statements of personal feelings, which the subjects rank in relation to the intensity with which they are occurring at that moment (part I) or in relation to the frequency with which they usually occur (part II), through a scale that varies from 1 to 4 points. IDATE was translated and validated for us by Biaggio & Natalício in 1979 and, since then, it has been revalidated in other studies. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the statetrait anxiety inventory (“self-evaluatin questionaire”). California: Consulting-Psychologists; 1970. Biaggio AMB, Natalício L. Manual for the TraçoEstado Anxiety Inventory (STAI). Rio de Janeiro: CEPA; 1979.;Increased quality of life. The European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) 30-item questionnaire was created specifically to assess the quality of life of lung cancer patients and is the most used instrument worldwide in clinical studies . This instrument will be used to measure patients' quality of life. This questionnaire has adequate psychometric properties, with reproducibility and validity already demonstrated in several languages. The general questionnaire (EORTC QLQ-C30) includes 30 questions related to five functional scales (physical, functional, emotional, social and cognitive), a scale on the global health status, three symptom scales (fatigue, pain and nausea / vomiting ) and six additional symptom items (dyspnea, insomni | — |
Countries
Brazil
Contacts
Public ContactThaís Oliveira
Universidade de Brasília
Outcome results
None listed