Humanistic Continuing Care Via WeChat for Patients Undergoing Thermal Ablation of Papillary Thyroid Carcinoma

Обзор

The goal of this clinical trial is to test whether human-centered nursing care lowers emotional distress and improves quality of life for people who are awake during thyroid thermal ablation. The procedure uses local anesthesia, so participants remain awake and may feel tense. Human-centered care focuses on emotional support, clear communication, comfort, and follow-up, and it may improve the experience and recovery for patients. The main questions are: Does human-centered nursing care reduce emotional distress levels in patients undergoing thyroid thermal ablation? Does human-centered nursing care improve patient quality of life after thyroid thermal ablation? If there is a comparison group: Researchers will compare human-centered nursing care to usual nursing care to see if human-centered care leads to lower emotional distress and higher quality of life. Participants will: Receive either human-centered nursing care or usual nursing care. Complete questionnaires before, during, and after the procedure to measure emotional distress, quality of life, pain, and satisfaction with care. Have their vital signs and quality of life tracked during and after the procedure. Have their adherence to care plans and any complications monitored. The main outcomes are emotional distress levels and quality of life. Other outcomes include pain and vital signs during the procedure, satisfaction with care, and complication rates. Results may guide better care for people undergoing small, minimally invasive treatments while awake.

Вмешательства

• Поведенческое Humanistic Continuing Care via WeChat
  Description: Structured, humanistic peri-operative nursing program delivered through WeChat in addition to routine care. Components: pre-procedure needs assessment and expectation setting; brief coping skills coaching (e.g., paced breathing); intra-procedure step-by-step explanations, reassurance, and comfort measures; post-procedure education, recovery guidance, and psychosocial support; symptom monitoring with red-flag escalation; medication/wound-care and appointment reminders; on-demand mess
• Процедура Usual Care (No Structured WeChat Program)
  Participants receive standard peri-operative nursing and institutional discharge materials, including routine pre-procedure counseling, standard intra-procedure monitoring, printed/posted instructions for home care, and follow-up per usual practice (e.g., clinic visit or routine phone call). They may contact the clinic using standard channels as needed, but there is no scheduled, structured WeChat outreach or humanistic continuing-care protocol.

Первичные конечные точки

• Change in emotion distress from baseline to post-procedure (HADS) [Срок оценки: From enrollment to the end of treatment at 3 months]
• Change in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 scores from baseline to 3 months [Срок оценки: From enrollment to the end of treatment at 3 months]
• Change in Thyroid Cancer-Specific Quality of Life Questionnaire scores from baseline to 3 months [Срок оценки: From enrollment to 3 months after end of treatment]

Вторичные конечные точки (2)

• Intraoperative pain intensity (Visual Analog Scale) [Срок оценки: Intraoperative period (during the procedure)]
• Patient satisfaction with nursing care (Newcastle Satisfaction with Nursing Scale, NSNS) [Срок оценки: Postoperative Day 1]

Критерии участия

Критерии включения

• Age 16-60 years; scheduled for thyroid thermal ablation
• Papillary thyroid carcinoma (PTC)
• Number of target lesions <= 3
• Largest lesion diameter <= 2 cm; clinical stage T1N0M0 by imaging
• Awake and able to cooperate under local anesthesia

Owns a smartphone and can use WeChat

Критерии исключения

• Serious medical comorbidities or cognitive impairment that precludes participation
• Prior thyroid surgery or thermal ablation
• Unwilling or unable to join the WeChat group or complete postoperative follow-up

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

Поддерживающая терапия

Центры проведения

Китай · 1 центр

• China-Japan Friendship Hospital — Пекин

Идентификаторы

NCT: NCT07302672 · 2509008

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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