The Effect of a Tidal Model-Based Approach Applied During Home Visits on Mental Health Parameters and Hospital Admission Frequency in COPD Patients

Официальное название

The Effect of a Tidal Model-Based Approach Applied During Home Visits on Mental Health Parameters and Hospital Admission Frequency in COPD Patients: a Randomized Controlled Trial

Обзор

Despite the recent increased interest in identifying the needs of COPD patients and improving disease management, monitoring the psychosocial well-being of these individuals remains insufficient. Nursing care that incorporates psychosocial approaches plays a critical role in halting disease progression and controlling symptoms in COPD management. The Tidal Model emerges as a vital tool in enhancing patient independence throughout this process. This recovery-oriented model provides a robust framework for individualized care by thoroughly analyzing patients' needs. It likens life to an ocean voyage and emphasizes learning how to cope with challenges encountered during this journey. The difficulties experienced by individuals with chronic illness and respiratory limitations are aligned with the Tidal Model's concepts of chaos and tides. Current studies indicate that psychological interventions for COPD patients have limited effectiveness in reducing psychological morbidity. Additionally, while interventions such as mindfulness-based and digital approaches show promise, their effects have not consistently proven significant across studies. This underscores the ongoing challenge of effectively addressing the psychological aspects of COPD and highlights the need for further research to identify more robust interventions. In this context, guided by the philosophy of the Tidal Model that emphasizes "helping individuals with problems in living," it has been hypothesized that the model would be suitable for use with individuals with COPD. The current study aims to evaluate its effectiveness.

Вмешательства

• Поведенческое Tidal Model Intervention
  The model emphasizes long-term developmental care, extending support from hospital to home after discharge. This approach equips individuals with skills to understand and address challenges, emphasizing therapeutic interventions and sustained support through professionals or community groups. By focusing on the "chaos" and "tide" concepts of the Tidal Model, psychosocial interventions aim to enhance independence, manage symptoms, and improve quality of life. In this arm, Tidal Model-based appro

Первичные конечные точки

• Mental Well-being Score [Срок оценки: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]
• Quality of Life Score [Срок оценки: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]
• General Self-Efficacy Score [Срок оценки: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]
• Self-Esteem Score [Срок оценки: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]
• Visual Analog Scale for Anxiety [Срок оценки: Assessments will be conducted at three time points: baseline, post-intervention (after 7 weeks), and at the 19-week follow-up.]

Критерии участия

Критерии включения

• Age 18 years or older
• Clinical diagnosis of COPD for at least one year
• No cognitive or sensory disabilities
• No prior participation in any psychosocial support training
• GOLD stage 'E' COPD
• Availability of a private or suitable room for interviews
• Residence within the city center

Критерии исключения

• Age under 18 years
• Declined participation in the study
• Cognitive or sensory disabilities
• Prior participation in any psychosocial support training
• GOLD stage 'A' or 'B' COPD
• Unsuitable environment for conducting interviews
• Security concerns for the researcher
• Residence outside the city center or in rural areas

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Организация здравоохранения

Центры проведения

Turkey (Türkiye) · 1 центр

• Kilis 7 Aralık Üniversitesi — Kilis

Идентификаторы

NCT: NCT06760325 · 2024-OEM.1231 · 2024-E.58302

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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