Effects of the Heart to Heart Card Game for Patients with Advanced Cancer Receiving Home-Based Palliative Care: A Clinical Randomized Controlled Trial

Jiayi Du, Ling Fu, Jiaxin Cui, Zifen An, Pei Fang, Lanhui Tan, Xianmei Meng and Liping Yu
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Jiayi Du: School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan 430071, China
Ling Fu: Zhongnan Hospital of Wuhan University, No. 169 Donghu Road, Wuhan 430071, China
Jiaxin Cui: School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan 430071, China
Zifen An: School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan 430071, China
Pei Fang: School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan 430071, China
Lanhui Tan: School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan 430071, China
Xianmei Meng: School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan 430071, China
Liping Yu: School of Nursing, Wuhan University, No. 115 Donghu Road, Wuhan 430071, China

IJERPH, 2022, vol. 19, issue 10, 1-13

Abstract: The Heart to Heart Card Game improves psychological health outcomes in hospitalized patients with advanced cancer, but effectiveness studies for patients at home are rare. This randomized controlled study was conducted to determine the effectiveness of the Heart to Heart Card Game on patients with advanced cancer receiving home-based palliative care. Sixty-six participants were randomly assigned to the intervention group ( n = 34) and control group ( n = 32). The quality of life, dignity, and psychological distress were considered as outcomes, which were assessed pre-intervention and six weeks after the intervention. There was a statistical difference in the quality of life (global health statues) between the intervention group and the control group after intervention ( z = 2.017, p < 0.05). A significant difference was found in the quality of life (emotional, social function), dignity (symptom distress dimension), and psychological distress in the intervention group through intragroup comparison before and after the intervention. This randomized trial showed that the Heart to Heart Card Game likely alleviates barriers to end-of-life conversations and helps patients with advanced cancer maintain a more stable mental state. This trial has been registered at the Chinese Clinical Trial Registry (registration number: ChiCTR2100049933).

Keywords: cancer; Heart to Heart Card Game; palliative care; home care; quality of life; randomized controlled trial (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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