Humanistic Continuing Care Via WeChat for Patients Undergoing Thermal Ablation of Papillary Thyroid Carcinoma

NCT ID: NCT07302672

Last Updated: 2025-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-15

Study Completion Date

2026-12-31

Brief Summary

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The goal of this clinical trial is to test whether human-centered nursing care lowers emotional distress and improves quality of life for people who are awake during thyroid thermal ablation. The procedure uses local anesthesia, so participants remain awake and may feel tense. Human-centered care focuses on emotional support, clear communication, comfort, and follow-up, and it may improve the experience and recovery for patients.

The main questions are:

Does human-centered nursing care reduce emotional distress levels in patients undergoing thyroid thermal ablation?

Does human-centered nursing care improve patient quality of life after thyroid thermal ablation?

If there is a comparison group: Researchers will compare human-centered nursing care to usual nursing care to see if human-centered care leads to lower emotional distress and higher quality of life.

Participants will:

Receive either human-centered nursing care or usual nursing care.

Complete questionnaires before, during, and after the procedure to measure emotional distress, quality of life, pain, and satisfaction with care.

Have their vital signs and quality of life tracked during and after the procedure.

Have their adherence to care plans and any complications monitored.

The main outcomes are emotional distress levels and quality of life. Other outcomes include pain and vital signs during the procedure, satisfaction with care, and complication rates. Results may guide better care for people undergoing small, minimally invasive treatments while awake.

Detailed Description

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Conditions

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Papillary Thyroid Carcinoma

Keywords

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papillary thyroid carcinoma thermal ablation humanistic care continuity care Wechat anxiety quality of life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors
Personnel responsible for evaluating the primary or secondary outcome measures remain unaware of the participants' group assignments.

Study Groups

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Humanistic Continuing Care via WeChat

Group Type EXPERIMENTAL

Humanistic Continuing Care via WeChat

Intervention Type BEHAVIORAL

Description: Structured, humanistic peri-operative nursing program delivered through WeChat in addition to routine care. Components: pre-procedure needs assessment and expectation setting; brief coping skills coaching (e.g., paced breathing); intra-procedure step-by-step explanations, reassurance, and comfort measures; post-procedure education, recovery guidance, and psychosocial support; symptom monitoring with red-flag escalation; medication/wound-care and appointment reminders; on-demand messaging during service hours; optional caregiver engagement.

Delivery \& Schedule: Nurse-led. One pre-procedure session; intra-procedure support on the day of ablation; post-procedure WeChat check-ins at least weekly plus on-demand messaging for 12 weeks. Fidelity tracked via standardized checklists.

Arm(s): Experimental - Humanistic Continuing Care via WeChat.

Usual Care (No Structured WeChat Program)

Group Type ACTIVE_COMPARATOR

Usual Care (No Structured WeChat Program)

Intervention Type PROCEDURE

Participants receive standard peri-operative nursing and institutional discharge materials, including routine pre-procedure counseling, standard intra-procedure monitoring, printed/posted instructions for home care, and follow-up per usual practice (e.g., clinic visit or routine phone call). They may contact the clinic using standard channels as needed, but there is no scheduled, structured WeChat outreach or humanistic continuing-care protocol.

Interventions

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Humanistic Continuing Care via WeChat

Description: Structured, humanistic peri-operative nursing program delivered through WeChat in addition to routine care. Components: pre-procedure needs assessment and expectation setting; brief coping skills coaching (e.g., paced breathing); intra-procedure step-by-step explanations, reassurance, and comfort measures; post-procedure education, recovery guidance, and psychosocial support; symptom monitoring with red-flag escalation; medication/wound-care and appointment reminders; on-demand messaging during service hours; optional caregiver engagement.

Delivery \& Schedule: Nurse-led. One pre-procedure session; intra-procedure support on the day of ablation; post-procedure WeChat check-ins at least weekly plus on-demand messaging for 12 weeks. Fidelity tracked via standardized checklists.

Arm(s): Experimental - Humanistic Continuing Care via WeChat.

Intervention Type BEHAVIORAL

Usual Care (No Structured WeChat Program)

Participants receive standard peri-operative nursing and institutional discharge materials, including routine pre-procedure counseling, standard intra-procedure monitoring, printed/posted instructions for home care, and follow-up per usual practice (e.g., clinic visit or routine phone call). They may contact the clinic using standard channels as needed, but there is no scheduled, structured WeChat outreach or humanistic continuing-care protocol.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 16-60 years; scheduled for thyroid thermal ablation
* Papillary thyroid carcinoma (PTC)
* Number of target lesions \<= 3
* Largest lesion diameter \<= 2 cm; clinical stage T1N0M0 by imaging
* Awake and able to cooperate under local anesthesia

Owns a smartphone and can use WeChat

Exclusion Criteria

* Serious medical comorbidities or cognitive impairment that precludes participation
* Prior thyroid surgery or thermal ablation
* Unwilling or unable to join the WeChat group or complete postoperative follow-up
Minimum Eligible Age

16 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ming-an Yu

OTHER

Sponsor Role lead

Responsible Party

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Ming-an Yu

Head of department of intervention medicine

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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China-Japan Friendship Hospital

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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ming-an yu, MD

Role: CONTACT

Phone: 84205756

Email: [email protected]

Facility Contacts

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ming-an yu

Role: primary

yan li

Role: backup

Other Identifiers

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2509008

Identifier Type: -

Identifier Source: org_study_id