Education and Ethics In Nursing ISSN: 2322-5300

Investigating the Impact of Self-management program based on the 5A model on Self-Care and Quality of Life in Caregivers of Cancer Patients: clinical traial guidefor a randomized controlled trial

https://doi.org/10.22034/ethic.2024.2034261.1073
Volume 13, 3-4
July 2024
Pages 98-108
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Original Article

Authors

Saeedeh Eskandari 1
Mahdi Karimyar Jahromi 2
Mohsen Hojat 2

1 MSc Student of Medical Surgical Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran

2 Assistant Professor of Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran

Abstract
Introduction: Cancer is the second leading cause of death due to non-communicable diseases and is one of the biggest challenges facing the global healthcare system. Patients with cancer often require long-term care due to their multiple symptoms, and informal caregivers play a crucial role in supporting these patients. However, this responsibility can have a negative impact on the physical and mental health of the caregivers themselves. The present study outlines a protocol for a randomized controlled clinical trial aimed at "determining the impact of a self-management program based on the 5A model on self-care and quality of life of cancer patients' caregivers."
Method & Materials: The present study was a controlled clinical trial that included 66 informal caregivers of cancer patients. The participants were selected randomly, using the Random Number Generator V2 software, from the list of cancer patients who met the criteria for entering the research, and their caregivers were randomly assigned to two Intervention and control groups, using the same software. The intervention group received the 5A self-management program in 5 stages and during 10 weeks. The quality of life and self-care in both groups were measured before, immediately and 3 months after the intervention. The data was analyzed using SPSS 21 software.
Discussion: This study may provide evidence for the implementation of supportive programs for cancer caregivers and could also enhance the role of nurses in specialized oncology clinics, leading to improved care for both patients and their caregivers.

Keywords

Self-management
Self-care
Quality of life
Caregivers
Cancer

  1. 1.Park Y, Colditz GA. Diabetes and adiposity: a heavy load for cancer. The lancet Diabetes & endocrinology. 2018;6(2):82-3.

    1. 2. Eghtedar S, Almasi L, Jasemi M, Aparnak F, Habibzadeh H. FAMILY CAREGIVERS IN CANCER: EXPERIENCES, CAPACITIES, AND SOLUTIONS. Nursing And Midwifery Journal. 2023;21(3):195-205.
    2. 3. Huang WJ, Chen WW, Zhang X. Multiple sclerosis: Pathology, diagnosis and treatments. Experimental and therapeutic medicine. 2017;13(6):3163-6.
    3. 4. Motlagh A, Ehsani-Chimeh E, Yarmali M, Moshiri F, Roshandel G, Partovipour E, et al. Iran National Cancer Control Program (IrNCCP) in Practice. 2021.
    4. 5. González Guerra A, Fonseca Fernández M, Valladares González A, López Angulo L. Factores moduladores de resiliencia y sobrecarga en cuidadores principales de pacientes oncológicos avanzados. Revista Finlay. 2017;7(1):26-32.
    5. 6. Bilgin A, Ozdemir L. Interventions to Improve the Preparedness to Care for Family Caregivers of Cancer Patients: A Systematic Review and Meta-analysis. Cancer Nursing. 2022;45(3):E689-E70
    6. 7. Rico-Blázquez M, García-Sanz P, Martín-Martín M, López-Rodríguez JA, Morey-Montalvo M, Sanz-Cuesta T, et al. Effectiveness of a home-based nursing support and cognitive restructuring intervention on the quality of life of family caregivers in primary care: A pragmatic cluster-randomized controlled trial. International journal of nursing studies. 2021;120:103955.
    7. 8. Li Y, Li J, Zhang Y, Ding Y, Hu X. The effectiveness of e-Health interventions on caregiver burden, depression, and quality of life in informal caregivers of patients with cancer: A systematic review and meta-analysis of randomized controlled trials. International journal of nursing studies. 2022;127:104179.
    8. 9. Glasgow RE, Davis CL, Funnell MM, Beck A. Implementing practical interventions to support chronic illness self-management. The joint commission journal on quality and safety. 2003;29(11):563-74.
    9. 10. Asgharian F, Bakhshi M, Ranjba H, Aghebati N. The effect of self-management program based on 5A model on self-care and quality of life in hypertensive elderly patients: a randomized control trial. 2022.
    10. 11. Cai Y, Simons A, Toland S, Zhang J, Zheng K. Informal caregivers’ quality of life and management strategies following the transformation of their cancer caregiving role: A qualitative systematic review. International Journal of Nursing Sciences. 2021;8(2):227-36.
    11. 12. Guerra-Martín MD, Casado-Espinosa MDR, Gavira-López Y, Holgado-Castro C, López-Latorre I, Borrallo-Riego Á. Quality of life in caregivers of cancer patients: a literature review. International Journal of Environmental Research and Public Health. 2023;20(2):1570.
    12. 13. Lee CS, Westland H, Faulkner KM, Iovino P, Thompson JH, Sexton J, et al. The effectiveness of self-care interventions in chronic illness: A meta-analysis of randomized controlled trials. International journal of nursing studies. 2022;134:104322.
    13. 14. Shojaee D, Shahboulaghi FM, Fallahi-Khoshknab M, Vahedi M, Bakhtiari A, Zabolypour S. Effect of a 5A Model-based Self-management Program on Self-management Ability and Dyspnea Severity in the Elderly with Chronic Heart Failure: A Randomized Clinical Trial. Salmand: Iranian Journal of Ageing. 2024;18(4):488-501.
    14. 15. Azizi M, Zarei B, Rahimi H, Mousavi Mirzaei SM, Javan N, Vagharseyyedin SA. Comparison of the Effects of Peer-led and Nurse-led Self-management Programs on Self-management of Patients with Multiple Sclerosis. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2020;6(1):58-71.
    15. 16. Chong E, Crowe L, Mentor K, Pandanaboyana S, Sharp L. Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer. Supportive Care in Cancer. 2023;31(1):74.
    16. 17. Molassiotis A, Wang M. Understanding and supporting informal cancer caregivers. Current treatment options in oncology. 2022;23(4):494-513.
    17. 18. Keivan S, Shariati A, Miladinia M, Haghighizadeh MH. Role of self-management program based on 5A nursing model in quality of life among patients undergoing hemodialysis: a Randomized Clinical Trial. BMC nephrology. 2023;24(1):58.
    18. 19. Glasgow RE, Funnell MM, Bonomi AE, Davis C, Beckham V, Wagner EH. Self-management aspects of the improving chronic illness care breakthrough series: implementation with diabetes and heart failure teams. Annals of Behavioral Medicine. 2002;24(2):80-7.
    19. 20. Javanvash Z, Mojdekanloo M, Rastaghi S, Rad M. The effect model-based self-management program 5A on quality of life of elderly patients with acute coronary syndrome Bojnourd Year 1395. Journal of Sabzevar University of Medical Sciences. 2018;25(1):75-82.
    20. 21. Heydari M, Arsalani N, Dalvandi A, Noroozi M, Daneshvar R. The Effectiveness of Self-Management Program Based on 5A Model on patient care burden for stroke patients. Iranian Journal of Rehabilitation Research. 2020;6(4):1-9.
    21. 22. Heidari M, Fayazi S, Borsi H, Moradbeigi K, Akbari Nassaji N. Effect of a self-management program based on 5A model on dyspnea and fatigue severity among patients with chronic obstructive pulmonary disease: a randomized clinical trial. Hayat. 2015;20(4):89-99.
    22. 23. Shojaee D, Shahboulaghi FM, Fallahi-Khoshknab M, Vahedi M, Bakhtiari A, Zabolypour S. Effect of a 5A Model-based Self-management Program on Self-management Ability and Dyspnea Severity in the Elderly with Chronic Heart Failure: A Randomized Clinical Trial. Iranian Journal of Ageing. 2024;18(4):488-501.
    23. 24. Kalhor M, Fathi M, Ghaderi B, Roshani D, Ozairi S, Rashidi K. Effect of five a model self-management on quality of life in patients with breast cancer. Avicenna Journal of Nursing and Midwifery Care. 2019;27(4):269-80.
    24. 25. Weitzner MA, Jacobsen P, Wagner H, Friedland J, Cox C. The Caregiver Quality of Life Index–Cancer (CQOLC) scale: development and validation of an instrument to measure quality of life of the family caregiver of patients with cancer. Quality of life Research. 1999;8:55-63.
    25. 26. Khanjari S, Oskouie F, Langius‐Eklöf A. Psychometric testing of the Caregiver Quality of Life Index‐Cancer scale in an Iranian sample of family caregivers to newly diagnosed breast cancer women. Journal of Clinical Nursing. 2012;21(3‐4):573-84.
    26. 27. The leares’s Navigator June 2018, 12 [Available from: www.davidirvine.com.
    27. 28. Dream Catcher Consulting June 2018, 12 [Available from: http://dreamcatcher-consulting.com/assess[1].pdf.
    28. 29. Dabiran S, Sarhadi S, Khajenasiri F, Kheiltash A. Persian adaption of personal self-care assessment questionnaire. Acta Medica Iranica. 2018:716-

Home

Guide for Authors

Submit Manuscript

Contact Us