PT - JOURNAL ARTICLE AU - Liyuan Zheng AU - Zhen Luo AU - Huifen Wang AU - Shu'e Liu AU - Xue Li AU - Danxia Peng AU - Yan Liu AU - Sanxia Ye AU - Yuchen Lu AU - Jian Chen AU - Zhidan Mei AU - Lai Wei AU - Yu Qian AU - Xi Lin AU - Chun Xu TI - Effectiveness of a nurse-led coaching of self-care agency intervention for elderly patients with total laryngectomy: study protocol for a randomised controlled trial AID - 10.1136/bmjopen-2022-061238 DP - 2022 Aug 01 TA - BMJ Open PG - e061238 VI - 12 IP - 8 4099 - http://bmjopen.bmj.com/content/12/8/e061238.short 4100 - http://bmjopen.bmj.com/content/12/8/e061238.full SO - BMJ Open2022 Aug 01; 12 AB - Introduction Due to functional defects and structural destruction after total laryngectomy, patients experienced the poor quality of life, especially for elderly. The barriers to accessing self-care in elderly patients were considered to result from complex and multifaceted interactions of biologic and social factors. Therefore, specific efforts to improve elderly patients’ quality of life are needed. The purpose of our study is to verify nurse-led coaching of elderly patient self-care approaches, which can reduce logistic burden of patients and obtain the successful functional rehabilitation ultimately.Methods and analysis Elderly patients (n=60) scheduled for total laryngectomy will be randomly divided into the intervention group and the control group. Patients in the control group received routinely nursing during hospitalisation and thereby at home after discharge received conventional family care without regular supervision of nurses. Patients in the intervention group will receive a series of self-care intervention based on the transtheoretical model during hospitalisation. During home after discharge, nurses will additionally evaluate and supervise the self-care effect of patients. The two groups of patients’ self-care agency, self-efficacy, quality of life and nutritional status will be recorded separately at different time points. Primary outcome is the improvement of patients’ self-care agency, and secondary outcome is the improvements of patients’ self-efficacy, quality of life, nutritional states and 3-month unplanned readmission rate.Ethics and dissemination The Ethics Committee of Hubei Cancer Hospital has approved this protocol (KYLLBA2020006). The findings of the trial will be disseminated through peer-reviewed journals, national or international conferences.Trial registration number ChiCTR2100043731.