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基于社区的健康教育对本地治里农村地区老年人癌症护理相关误解的影响:一项干预前后研究。

Effect of Community-Based Health Education on Misconceptions Related to Caregiving for Cancer among Elderly in a Rural Area of Puducherry: A Pre-Post-Intervention Study.

作者信息

Thanigachalam Srinivasan, Sarkar Sonali, Sethuramachandran Adinarayanan, Karunanithi Gunaseelan

机构信息

Department of Preventive and Social Medicine, Regional Cancer Centre, JIPMER, Puducherry, India.

Department of Anesthesiology and Critical Care, Regional Cancer Centre, JIPMER, Puducherry, India.

出版信息

Indian J Community Med. 2023 Sep-Oct;48(5):755-761. doi: 10.4103/ijcm.ijcm_336_23. Epub 2023 Sep 7.

Abstract

BACKGROUND AND AIM

Families are crucial in providing comprehensive support to cancer patients, including physical, psychological, spiritual, and financial assistance. Unfortunately, cancer-related myths and stigma can have detrimental effects on those affected and their caregivers. This study aims to remove the misconceptions prevailing in a rural population of Puducherry regarding caregiving for cancer among elderly through a health education campaign.

MATERIALS AND METHODS

A pre- and post-intervention study was conducted among 217 adults above 18 years of age in a rural area of Puducherry. The intervention was delivered through pamphlet distribution, health talks, and discussion. Attitude, beliefs, and knowledge regarding the misconceptions about cancer were assessed in a five-point Likert scale and then the difference in the proportion of subjects with misconceptions about cancer before and after the intervention was tested using the McNemar test.

RESULTS

Among the respondents, 77% were females, 15% were illiterate, and 9.6% had a history of cancer in the family. About 23% felt cancer lends a bad name to the family and 24% considered palliative care as not necessary since end-stage cancer patients would die. Post-intervention, the perception that herbal items or diets may treat cancer declined from 45% to 18%, and that a cancer patient in the family lends bad name to the family declined from 23% to 3% ( < 0.001).

CONCLUSIONS

Community-based intervention can effectively reduce misconceptions related to caregiving for cancer among elderly in rural areas. These interventions can also improve the quality of care and support provided to cancer patients.

摘要

背景与目的

家庭在为癌症患者提供全面支持方面至关重要,包括身体、心理、精神和经济援助。不幸的是,与癌症相关的误解和污名可能会对患者及其照顾者产生不利影响。本研究旨在通过健康教育活动,消除本地治里农村地区老年人群中普遍存在的关于癌症护理的误解。

材料与方法

在本地治里农村地区对217名18岁以上的成年人进行了干预前后的研究。通过发放宣传册、举办健康讲座和进行讨论来实施干预。使用五点李克特量表评估对癌症误解的态度、信念和知识,然后使用麦克尼马尔检验来测试干预前后对癌症存在误解的受试者比例差异。

结果

在受访者中,77%为女性,15%为文盲,9.6%的家庭有癌症病史。约23%的人认为癌症会给家庭带来坏名声,24%的人认为姑息治疗没有必要,因为晚期癌症患者会死亡。干预后,认为草药或饮食可以治疗癌症的比例从45%降至18%,认为家庭中的癌症患者会给家庭带来坏名声的比例从23%降至3%(<0.001)。

结论

基于社区的干预可以有效减少农村地区老年人中与癌症护理相关的误解。这些干预措施还可以提高为癌症患者提供的护理和支持质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c40/10637609/16659f0fcb28/IJCM-48-755-g001.jpg

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