Abstract:
UNASSIGNED: 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 Situation, Antécédent, Évaluation et Demande, 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要:
■基于家庭的护理人员在非住院肺癌患者的管理中越来越重要。然而,缺乏培训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服务的延误。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疗保健专业人员(HCP)的充分沟通,以做出适当的决策并改善患者预后。情况等标准化工具,背景,评估,建议(SBAR)工具及其法国适应SAED,代表形势,Antécédent,价值评估和需求,旨在促进(HCP)之间的通信。此外,数字干预,比如严肃的游戏,越来越多地用于训练HCP,尽管尚未研究其对护理人员的使用。这项初步研究旨在评估使用SAED工具结合标准说明的创新严肃的游戏训练肺癌患者的家庭照顾者在面对ARF的模拟情况时的自我效能。该研究还旨在检查护理人员的情绪状态,生活质量,对SBAR工具的满意度和知识。
■单中心,随机化,控制,开放标签,优越性,平行组试验将进行18个月,并进行3项中期研究评估(NCT05839353).肺癌患者的家庭护理人员将在圣皮埃尔大学医院中心招募,留尼汪岛,法国。参与者将被随机(1:1)分为两组:实验组接受使用SBAR/SAED工具的培训和管理呼吸窘迫/呼吸困难的标准说明,和对照组,仅接收标准指令。主要结果将是确定通过广义自我效能量表衡量的感知自我效能感。
■本研究将对使用SBAR/SAED工具对肺癌患者ARF的模拟发作进行培训的家庭护理人员进行初步评估。我们的发现可能为关键家庭护理情况下的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。