Hashemi F, Asadi N, Beheshtipour N, Karimi M
Nursing and Midwifery College, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran Red Crescent Med J. 2011 Aug;13(8):550-5. Epub 2011 Aug 1.
The quality of life of children with leukemia is reduced by fear and anxiety of parents after diagnosis, lack of information about the disease, treatments, and care of the child. This study aims to evaluate the effect of educating parents of leukemic children on the patients' quality of life.
In this interventional study, sixty parents of ALL children who met inclusion criteria were selected using simple random sampling method, and assigned to the experimental and control groups. The study tool included a valid and reliable questionnaire (TNO-AZL), that was filled in through interview by parents before and two months after the intervention for both groups. The first part of the questionnaire included demographic items and the second part (7 dimensions, each with 8 sections) contained questions related to the quality of life. The scores could range between 56 and 280 and a higher score represented a better quality of life. The intervention included three one-hour classes composed of lecture and question-answer sessions which were held for groups of 4-6 participants, accompanied by a booklet.
Before the intervention, the quality of life score in the experimental and control groups was 180.83±14.43 and 174.28±20.72, respectively; after the intervention, these figures changed to 226.9±11.76 and 174.41±20.42 respectively. Paired samples T-test proved a significant increase in the quality of life in the experimental group.
Parent education successfully increased the quality of life of leukemic children; therefore, parental consultation sessions and educational programs are recommended.
白血病患儿的生活质量会因父母在诊断后的恐惧和焦虑、对疾病、治疗及患儿护理信息的缺乏而降低。本研究旨在评估对白血病患儿家长进行教育对患儿生活质量的影响。
在这项干预性研究中,采用简单随机抽样法选取了60名符合纳入标准的急性淋巴细胞白血病患儿的家长,并将其分为实验组和对照组。研究工具包括一份有效且可靠的问卷(TNO-AZL),两组家长在干预前及干预后两个月通过访谈填写该问卷。问卷第一部分包括人口统计学项目,第二部分(7个维度,每个维度8个部分)包含与生活质量相关的问题。得分范围在56至280分之间,得分越高表示生活质量越好。干预措施包括由讲座和问答环节组成的三个一小时课程,课程以4至6名参与者为一组进行,同时配有一本小册子。
干预前,实验组和对照组的生活质量得分分别为180.83±14.43和174.28±20.72;干预后,这些数字分别变为226.9±11.76和174.41±20.42。配对样本T检验证明实验组的生活质量有显著提高。
家长教育成功提高了白血病患儿的生活质量;因此,建议开展家长咨询会议和教育项目。