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IRCT20230129057271N5 IRCT 2025-12-12 Bagheiat-allah University of Medical Sciences Applying spiritual palliative care guidelines in patients with cancer Investigating the effectiveness of spiritual palliative care guidelines in patients with cancer 2025-12-22 anticipated 44 Complete https://irct.ir/trial/87129 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Allocation of patients in two groups will be done in random blocks so that; The block size is equal to 4. The randomization tool in this research will be the use of four envelopes containing two sheets A and two sheets B, each time by removing one of the sheets, the patient will be placed in the intervention or control group. The removed sheets will not be returned to the envelope until the 4 sheets are finished. After determining the assignment of the first 4 patients, the sheets are returned to the envelope and the next 4 patients will continue in this way until the sample size is completed. N/A Condition 1: Colon cancer. Condition 2: Breast cancer. Condition 3: Prostate cancer. Intervention 1: Intervention group: During this study, the intervention group included patients who would receive spiritual palliative care from a nurse. Spiritual palliative care instructions will be provided to them over 8 sessions (Titles: Introduction and exploration of meaning and values ​​- Connection with the higher self and the source of faith - Meditation through prayer and book therapy - Finding meaning in suffering and illness - Connection with others and a sense of belonging - Trust, hope, and patience in the face of limitations - Identity and its promotion and self-help practice - Conclusion and integration), and patients will be taught the relevant materials. These materials will be presented to patients in accordance with the titles mentioned and solely based on spiritual therapy and with the aim of spirituality in patients. In each session, the researcher will be present at the patient's bedside and in the inpatient ward for one hour and will teach or share relevant matters with the patient, and at the end of the session, the assignments related to the session will be handed over to the patient. During this study, each session will be held in a separate week. This guideline was developed by the researchers involved in the study, and its face and content validity was reviewed by university faculty members. Intervention 2: Control group: In this study, the control group includes patients who will only receive routine nursing care and will not receive spiritual palliative care. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is I haven't decided yet - the release schedule is still unknown.
public Seyed Morteza Hosseini
Baqiyatallah University of Medical Sciences, South Sheikh Bahai, Mulla Sadra Street, Vanak Square, Tehran
Tehran Iran (Islamic Republic of) ۱۴۳۵۹۱۶۴۷۱ +98 901 669 0780 sm_hosseini@yahoo.com Bagheiat-allah University of Medical Sciences scientific Seyed Morteza Hosseini
Baqiyatallah University of Medical Sciences, South Sheikh Bahai, Mulla Sadra Street, Vanak Square, Tehran
Tehran Iran (Islamic Republic of) ۱۴۳۵۹۱۶۴۷۱ +98 901 669 0780 sm_hosseini@yahoo.com Bagheiat-allah University of Medical Sciences Iran (Islamic Republic of) Age between 18 and 60 years old Having sufficient literacy skills to complete the survey Cancer diagnosis for at least 6 months Lack of known mental illness Willingness to voluntarily participate in the study Failure to participate in other related educational programs Lack of sensory impairments, such as vision or hearing problems, that affect learning Having colon, breast, or prostate cancer 18 years 60 years Both Use of addictive substances Having diseases other than cancer Occurrence of a specific incident before the study C18 C50 C61 Malignant neoplasm of colon Malignant neoplasm of breast Malignant neoplasm of prostate Other Other Intervention group: During this study, the intervention group included patients who would receive spiritual palliative care from a nurse. Spiritual palliative care instructions will be provided to them over 8 sessions (Titles: Introduction and exploration of meaning and values ​​- Connection with the higher self and the source of faith - Meditation through prayer and book therapy - Finding meaning in suffering and illness - Connection with others and a sense of belonging - Trust, hope, and patience in the face of limitations - Identity and its promotion and self-help practice - Conclusion and integration), and patients will be taught the relevant materials. These materials will be presented to patients in accordance with the titles mentioned and solely based on spiritual therapy and with the aim of spirituality in patients. In each session, the researcher will be present at the patient's bedside and in the inpatient ward for one hour and will teach or share relevant matters with the patient, and at the end of the session, the assignments related to the session will be handed over to the patient. During this study, each session will be held in a separate week. This guideline was developed by the researchers involved in the study, and its face and content validity was reviewed by university faculty members. Control group: In this study, the control group includes patients who will only receive routine nursing care and will not receive spiritual palliative care. Quality of life of patients. Timepoint: At the beginning of the study (before intervention) and after the last session of implementing spiritual palliative care guidelines. Method of measurement: Using the Missoula – VITAS quality of life index (MVQOLI). Patients' perceptions of the quality of palliative care. Timepoint: After the last session of implementing spiritual palliative care guidelines. Method of measurement: Using the patients' perspectives of the quality of palliative care questionnaire. Incidence of palliative care outcomes. Timepoint: After the last session of implementing spiritual palliative care guidelines. Method of measurement: Using the Palliative Care Outcome Scale (POS) questionnaire. Bagheiat-allah University of Medical Sciences Approved 2025-10-06 Research Ethics Committees of Baqiyatallah Hospital Baqiyatallah University of Medical Sciences, South Sheikh Bahai, Mulla Sadra Street, Vanak Square, Tehran Tehran Tehran Iran (Islamic Republic of)