Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trial
Objectives To evaluate the effectiveness of nurse-led coaching in self-care (SC) interventions for elderly patients undergoing total laryngectomy (TL) using multidimensional parameters.Design This was a double-arm randomised, single-centre trial that met the requirements of the CONSORT statement.Set...
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/12/e078948.full |
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| author | Yan Liu Lai Wei Xue Li Jian Chen Huifen Wang Liyuan Zheng Shu'e Liu Danxia Peng Sanxia Ye Yuchen Lu Zhidan Mei Chun Xu |
| author_facet | Yan Liu Lai Wei Xue Li Jian Chen Huifen Wang Liyuan Zheng Shu'e Liu Danxia Peng Sanxia Ye Yuchen Lu Zhidan Mei Chun Xu |
| author_sort | Yan Liu |
| collection | DOAJ |
| description | Objectives To evaluate the effectiveness of nurse-led coaching in self-care (SC) interventions for elderly patients undergoing total laryngectomy (TL) using multidimensional parameters.Design This was a double-arm randomised, single-centre trial that met the requirements of the CONSORT statement.Setting Head and neck department in a tertiary A-level hospital.Intervention Elderly patients scheduled for TL were randomly allocated to either the control group (n=24) or the intervention group (n=23). Patients in the control group received routine nursing care during hospitalisation and, subsequently, at home after discharge, received conventional family care without the regular supervision of nurses. Patients in the intervention group received a series of SC interventions led by nurses during hospitalisation and discharge and implemented SC practice using the home SC manual (SC knowledge and SC diary), nurses regularly supervised and evaluated the SC effect. The primary outcome was the SC ability. Secondary outcomes were self- efficacy, quality of life (QoL) and nutritional status.Results The SC intervention improved the SC ability, self-efficacy, QoL and nutritional status scores of patients in the intervention group compared with that of patients in the control group (p<0.01). The outcomes showed that the intervention had a significant effect on SC ability, self-efficacy and QoL scores, with both the main effects of time and intervention, as well as their interaction being significant (p<0.05). Nutritional status, as assessed using the PG-SGA, was better in the intervention group than in the control group (p<0.001). No adverse events (AEs) were observed in either group.Conclusion Nurse-led SC intervention for elderly patients with TL is an effective strategy that can bring multidimensional benefits, including higher self-efficacy, stronger SC ability to actively solve health problems, better QoL and nutritional status, as well as shorter hospital stays.Trial registration number ChiCTR2100043731. |
| format | Article |
| id | doaj-art-c352ef196ebf47e1ae15cc5ea6b984e6 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-c352ef196ebf47e1ae15cc5ea6b984e62025-01-14T10:30:15ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2023-078948Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trialYan Liu0Lai Wei1Xue Li2Jian Chen3Huifen Wang4Liyuan Zheng5Shu'e Liu6Danxia Peng7Sanxia Ye8Yuchen Lu9Zhidan Mei10Chun Xu111 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China3 Department of Radiotherapy, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China2 Department of Nursing, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China1 Department of Head and Neck Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaObjectives To evaluate the effectiveness of nurse-led coaching in self-care (SC) interventions for elderly patients undergoing total laryngectomy (TL) using multidimensional parameters.Design This was a double-arm randomised, single-centre trial that met the requirements of the CONSORT statement.Setting Head and neck department in a tertiary A-level hospital.Intervention Elderly patients scheduled for TL were randomly allocated to either the control group (n=24) or the intervention group (n=23). Patients in the control group received routine nursing care during hospitalisation and, subsequently, at home after discharge, received conventional family care without the regular supervision of nurses. Patients in the intervention group received a series of SC interventions led by nurses during hospitalisation and discharge and implemented SC practice using the home SC manual (SC knowledge and SC diary), nurses regularly supervised and evaluated the SC effect. The primary outcome was the SC ability. Secondary outcomes were self- efficacy, quality of life (QoL) and nutritional status.Results The SC intervention improved the SC ability, self-efficacy, QoL and nutritional status scores of patients in the intervention group compared with that of patients in the control group (p<0.01). The outcomes showed that the intervention had a significant effect on SC ability, self-efficacy and QoL scores, with both the main effects of time and intervention, as well as their interaction being significant (p<0.05). Nutritional status, as assessed using the PG-SGA, was better in the intervention group than in the control group (p<0.001). No adverse events (AEs) were observed in either group.Conclusion Nurse-led SC intervention for elderly patients with TL is an effective strategy that can bring multidimensional benefits, including higher self-efficacy, stronger SC ability to actively solve health problems, better QoL and nutritional status, as well as shorter hospital stays.Trial registration number ChiCTR2100043731.https://bmjopen.bmj.com/content/14/12/e078948.full |
| spellingShingle | Yan Liu Lai Wei Xue Li Jian Chen Huifen Wang Liyuan Zheng Shu'e Liu Danxia Peng Sanxia Ye Yuchen Lu Zhidan Mei Chun Xu Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trial BMJ Open |
| title | Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trial |
| title_full | Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trial |
| title_fullStr | Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trial |
| title_full_unstemmed | Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trial |
| title_short | Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trial |
| title_sort | effectiveness of a nurse led coaching in self care intervention for elderly undergoing total laryngectomy a randomised controlled trial |
| url | https://bmjopen.bmj.com/content/14/12/e078948.full |
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