Department of Nursing, Botucatu Medical School, UNESP - Univ Estadual Paulista, Av. Prof. Montenegro, s/n, Rubião Júnior, Botucatu, Brazil.
Department of Neurology, Psychology and Psychiatry, UNESP - Univ Estadual Paulista, Av. Prof. Montenegro, s/n, Rubião Júnior, Botucatu, Brazil.
Childs Nerv Syst. 2021 Jan;37(1):81-89. doi: 10.1007/s00381-020-04682-8. Epub 2020 Jun 6.
Modern pediatric neurosurgery succeeded in reducing ventricle-peritoneal shunt malfunctions and shunt revisions. However, some children may be submitted to many surgeries, posing burden to their caregivers. And most of caregiver assume responsibility for care without emotional preparation. It is up to health professionals to carry out the educational process. The aim of this study was to evaluate the knowledge, attitude, and practice of informal caregivers of children with hydrocephalus before and after intervention with previously developed educational material.
This is a quasi-experimental, before-and-after study conducted with 32 informal caregivers of children with hydrocephalus. Data collection occurred in three stages: pre-test, educational intervention through educational material, and post-test. The knowledge, attitude, and practice survey was used as a pre-test and post-test assessment tool.
The mean score in the three domains (knowledge, attitude, and practice) was lower in the pre-test compared to the post-test. After caregivers read the educational material, the correct answer rate increased by 17% in the knowledge domain and 21.4% in the practice domain, with p values of < 0.01. In the attitude domain, there was a non-significant increase of 0.06 (2.0%, p = 0.161) points in the mean score between the pre-test and the post-test.
The educational material enables the acquisition of knowledge of informal caregivers of children with hydrocephalus. This can be used by health professionals to strengthen the bond between professional care staff and family, and to facilitate the educational process.
现代小儿神经外科学成功地减少了脑室-腹腔分流管功能障碍和分流管修订的次数。然而,有些孩子可能需要多次手术,这给他们的照顾者带来了负担。而且,大多数照顾者在没有情感准备的情况下承担起照顾的责任。这就需要卫生专业人员来开展教育过程。本研究的目的是评估脑积水患儿的非正式照顾者在接受预先制定的教育材料干预前后的知识、态度和实践情况。
这是一项准实验性的、前后对照研究,共纳入 32 名脑积水患儿的非正式照顾者。数据收集分三个阶段进行:预测试、通过教育材料进行教育干预和后测试。知识、态度和实践调查被用作预测试和后测试的评估工具。
在三个领域(知识、态度和实践)中,预测试的平均得分均低于后测试。在照顾者阅读教育材料后,知识领域的正确答案率增加了 17%,实践领域增加了 21.4%,p 值均小于 0.01。在态度领域,平均得分的非显著性增加了 0.06(2.0%,p = 0.161)。
教育材料使脑积水患儿的非正式照顾者获得了知识。卫生专业人员可以利用这一点加强专业护理人员与家庭之间的联系,并促进教育过程。