Nurse-Led Caregiver Support for Older Adults With Advanced Lung Cancer

Summary

This two-phase study aims to examine the current status of older adults with newly diagnosed locally advanced or advanced non-small cell lung cancer and their primary family caregivers, and to evaluate the effects of the Integrating Nurse-Led and Resource Utilization-Based Caregiver Support Model (ICSM). Phase I is a cross-sectional correlational study assessing distress, unmet care needs, resource awareness and utilization, social support, and health promotion practice. Phase II is a two-group randomized controlled trial comparing ICSM plus oncology case manager care with oncology case manager care and usual hospital care. The intervention includes nurse-led education and counseling, symptom management, emotional coping, problem-solving, social resource use, caregiving activity arrangement, and use of a web-based or LINE-based integrated resource system.

Eligibility

Inclusion Criteria:

Patient inclusion criteria:

* Older adults with newly diagnosed locally advanced or advanced non-small cell lung cancer.
* Stage III or stage IV non-small cell lung cancer.
* Aware of their cancer diagnosis.
* Preparing to receive anti-cancer medical treatment.
* Able to communicate verbally and complete study assessments.
* Willing to participate in the study and provide written informed consent.

Caregiver inclusion criteria:

* Adult aged 18 years or older.
* Identified by the eligible patient as the fixed primary family caregiver.
* Able to participate in the study together with the patient as a patient-caregiver dyad.
* Willing to participate in the study and provide written informed consent.

Exclusion Criteria:

Patient exclusion criteria:

\- Severe cognitive impairment that prevents completion of study questionnaires or assessments.

Caregiver exclusion criteria:

* Unable to communicate sufficiently to complete study assessments.
* Unable or unwilling to provide written informed consent.

Conditions6

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