Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05407272 |
| Other study ID # |
WSPan |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
September 14, 2021 |
| Est. completion date |
May 30, 2022 |
Study information
| Verified date |
June 2022 |
| Source |
National Taipei University of Nursing and Health Sciences |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Since September 1st, 2009, Taiwan has begun to pay attention to the care of patients with
organ failure, dementia and the elderly, and brought eight of non-cancer terminal patients
into health insurance subsidies to implement the goal of universal palliative care and local
aging. Taiwan has entered the aged society since March 2018, become the heavy burden of
expenditure in Taiwan because of the health care needs and costs associated with the rapid
aging of the population. With advanced medical technology, when facing inevitable death
situation, should not use too much medical treatment on terminally ill patients. The waste of
medical resources and bring both patients and family members so much pain. In Taiwan, people
have misconception about tranquil palliative care. The low rate of home palliative care for
non-terminal cancer patients. The purpose of this study is investigating the eight non-cancer
terminal caregivers' knowledge, attitudes and service intentions of palliative care, and
getting the result by research intervention.
In this study, a randomized experimental research design was applied by two-group pre-and
post-test. The targets are the eight non-cancer terminal caregivers in a home care
institution of a regional teaching hospital located in Yilan. Targets' ID end with odd
numbers are in experimental group received shared mode intervention, and even numbers are in
control group received home routine care. The experimental group was implementing measures of
weekly shared mode intervention in 20 to 60 minutes for six weeks; the control group started
to implement measures of home care medical instructions booklet in the third week. The
content of the outcome measurement questionnaire includes: basic information of the eight
non-cancer terminal caregivers, the palliative care knowledge scale, the palliative care
attitude scale, and palliative care service initiation intention scale. Data were analyzed by
statistical methods such as descriptive analysis, independent sample t-test, paired-samples
t-test, Pearson correlation analysis and one-way ANOVA.
Description:
The valid sample of this study consisted of 60 individuals, 31 females and 29 males, with a
mean age of 56.3 years, and one attrition (death), with an attrition rate of 1.67%. The
results showed that (1) there was a significant difference between the experimental group and
the control group in the mean pre-test and post-test of hospice and palliative care knowledge
(t=-4.973, p=0.00) and palliative attitude (t=-2.424, p=0.02). (2) There were significant
differences in the pre-test and post-tests of hospice and palliative care knowledge
(p=0.000), hospice and palliative care attitude (p=0.008), and hospice and palliative care
intention (p=0.009) in the experimental group; there were significant differences in the
pre-test and post-tests of hospice and palliative care knowledge in the control group
(p=0.002). (3) There were significant differences in hospice knowledge, attitude, intention
and hospice initiation between subjects in the experimental group with and without a signed
DNR or ACP, indicating that those with a signed DNR or ACP had higher scores in hospice
knowledge, attitude, intention and hospice initiation, which was a significant factor in the
results of this study; there were significant differences in hospice knowledge and intention
between the control group in terms of education level. This means that higher education
level, higher score of hospice knowledge and intention. (4) After the shared model study
intervention, 24 (72.7%) signed the DNR or ACP consent form and 16 (48.5%) initiated hospice
services; after the home care routine care, 3 (11.1%) signed the DNR or ACP consent form and
0 (0%) initiated hospice services.
