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基于同伴支持的在线教育、白血病患者家庭照顾者的护理负担和生活质量:非随机临床试验

Peer support-based online education, burden of care and quality of life among family caregivers of patients with leukaemia: non-randomised clinical trial.

作者信息

Keramatikerman Mehrnaz, Varaei Shokoh, Vaezi Mohammad, Sayadi Leila

机构信息

School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Department of Internal Medicine, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMJ Support Palliat Care. 2024 Dec 19;14(e3):e2827-e2835. doi: 10.1136/spcare-2023-004610.

Abstract

OBJECTIVE

The responsibility of caring for patients with leukaemia places a heavy burden on family caregivers (FCs) and negatively impacts their quality of life (QoL). This study aimed to investigate the effects of peer support (PS)-based online education programme on the burden of care (BoC) and QoL of FCs of patients with leukaemia.

METHODS

This before-after study involved a total of 80 eligible FCs of patients with leukaemia (40 individuals per group). The participants received the necessary information from a researcher and peers through online sessions and WhatsApp group. To collect data, the Zarit Burden Interview and the Caregiver Quality of Life Index-Cancer (CQOLC) had been been completed once before the intervention and once 1 month after the intervention.

RESULTS

There was no significant difference between the two groups regarding baseline variables except the mean BoC that was significantly higher in the intervention group (IG) (p<0.001). However, after controlling for the effects of confounding variables, the mean BoC score of participants in IG was significantly lower than that of the control group (p<0.001). Additionally, there was no significant difference between the two groups in terms of CQOLC before (p=0.178) and after (p=0.538) the intervention.

CONCLUSION

The PS-based online education programme had a positive impact on reducing the care burden of FCs of patients with leukaemia. This programme can effectively reduce costs, particularly during emergencies and crises such as pandemics, as it eliminates the need for FCs and peers to physically visit hospitals.

REGISTRATION

The study was registered at the Iranian Registry of Clinical Trials on 18 July 2021 (IRCT registration number: IRCT20210507051209N1).

摘要

目的

照顾白血病患者的责任给家庭照顾者(FCs)带来了沉重负担,并对他们的生活质量(QoL)产生负面影响。本研究旨在调查基于同伴支持(PS)的在线教育项目对白血病患者家庭照顾者的护理负担(BoC)和生活质量的影响。

方法

这项前后对照研究共纳入了80名符合条件的白血病患者家庭照顾者(每组40人)。参与者通过在线会议和WhatsApp群组从研究人员和同伴那里获得必要信息。为收集数据,在干预前和干预后1个月分别完成一次 Zarit 负担访谈和照顾者生活质量指数-癌症版(CQOLC)。

结果

除干预组(IG)的平均护理负担显著更高(p<0.001)外,两组在基线变量方面无显著差异。然而,在控制混杂变量的影响后,IG组参与者的平均护理负担得分显著低于对照组(p<0.001)。此外,两组在干预前(p=0.178)和干预后(p=0.538)的CQOLC方面均无显著差异。

结论

基于PS的在线教育项目对减轻白血病患者家庭照顾者的护理负担有积极影响。该项目可以有效降低成本,尤其是在大流行等紧急情况和危机期间,因为它消除了家庭照顾者和同伴亲自前往医院的需要。

注册情况

该研究于2021年7月18日在伊朗临床试验注册中心注册(IRCT注册号:IRCT20210507051209N1)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dad/11671940/d87bcbdb122a/spcare-14-e3-g001.jpg

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