Anhui Provincial Hospital
Hefei, Anhui, China
NCT Number: NCT07749443
To clarify the irrational cognition of family caregivers of lung cancer patients at various perioperative stages under the background of protective medical treatment, construct an indirect intervention model for lung cancer patients, and evaluate its clinical efficacy.
To develop popularizable cognitive intervention tools and formulate practical cognitive intervention strategies, so as to relieve perioperative stress responses among lung cancer patients and their family caregivers.
To provide reliable evidence and research directions for carrying out comprehensive and systematic interventions on perioperative stress responses in lung cancer patients and their family caregivers in clinical practice in the future.
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Notify Me18 year–80 year
All sexes
Interventional
Not applicable
Hefei, Anhui, China
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
(2)Family Caregivers
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Exclusion criteria
(2)Family Caregivers:
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Caregivers receive standardized cognitive intervention based on printed handbook. The handbook includes disease knowledge, symptom management strategies and psychological coping skills. One-on-one guidance is provided during hospitalization, followed by regular follow-up.
Nurses adopt graded information disclosure strategies, combine health handbook to carry out individualized guidance about postoperative cough, sleep regulation and emotional adaptation.
Patients receive routine perioperative health education following hospital standard nursing procedures . No targeted graded information communication and spec
Caregivers receive routine health education according to standard hospital nursing procedures, without additional cognitive intervention handbook and targeted guidance.
Time frame: 1 day before operation, 1 day after operation, and 1 month after discharge
Patient decisional conflict level is assessed using the validated 16-item Decisional Conflict Scale (DCS). Each item adopts a 5-point Likert rating with partial reverse scoring (1=strongly agree, 2=agree, 3=uncertain, 4=disagree, 5=strongly disagree). The mean raw score (1-5) of all items is linearly converted to a standardized total score of 0-100 via formula: (mean score-1)×25. Higher total scores indicate greater decisional conflict.
Time frame: 1 day before operation, 1 day after operation, and 1 month after discharge
Patient functional status and cancer-specific quality of life are measured by the Functional Assessment of Cancer Therapy-Lung (FACT-L), containing 27 items across 4 general domains plus 9 lung-cancer-specific items. Each item is scored 0-4 points, domain scores are summed separately, and the overall total score ranges 0-144. Higher total scores represent better postoperative functional status and quality of life.
Time frame: 1 day before operation, 1 day after operation, and 1 month after discharge
Anxiety and depressive symptoms are evaluated with the Hospital Anxiety and Depression Scale (HADS), consisting of 7 anxiety items and 7 depression items. Each single item is scored 0-3 points; the anxiety subscale and depression subscale are calculated independently, with each subscale total ranging 0-21. Higher subscale scores correspond to more severe anxiety or depressive symptoms.
Time frame: 1 day before operation, 1 day after operation, and 1 month after discharge
Time frame: 1 day before operation, 1 day after operation, and 1 month after discharge
Psychological resilience is assessed using the validated 25-item Connor-Davidson Resilience Scale (CD-RISC). Each item is rated on a 5-point Likert scale (0=not true at all, 1=rarely true, 2=sometimes true, 3=often true, 4=true nearly all the time). All item scores are summed directly for the aggregate total score (range 0-100). A higher total score reflects better psychological resilience.
Time frame: 1 day before operation, 1 day after operation, and 1 month after discharge
Time frame: 1 day before operation, 1 day after operation, and 1 month after discharge
Lymphocyte count is tested by routine peripheral venous blood analysis, unit: ×10⁹/L.
Anhui Medical University
Other
Acronym: FST
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