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在塞得港开展的针对癌症化疗患者照护者的姑息治疗教育项目的效果:一项前后准实验研究。

Effectiveness of a palliative care education program for caregivers of cancer patients receiving chemotherapy in Port Said City: A pre-post quasi-experimental study.

机构信息

College of Nursing, Prince Sattam bin Abdulaziz University, Al-Kharj, Kingdom of Saudi Arabia.

Family and Community Health Nursing Department, Faculty of Nursing, Port Said University, Port Said, Egypt.

出版信息

Palliat Support Care. 2024 Jun;22(3):546-562. doi: 10.1017/S1478951523002067.

Abstract

BACKGROUND

Emphasizing the pivotal role of caregivers in the cancer care continuum, a program designed to educate caregivers of cancer patients undergoing chemotherapy underscores their significance. The palliative care education initiative strives to cultivate a compassionate and effective care environment, benefiting both patients and caregivers. By imparting education, fostering positive attitudes, offering support, encouraging appropriate behaviors, and providing essential resources, the program aims to enhance the overall caregiving experience and contribute to the well-being of those navigating the challenges of cancer treatment.

OBJECTIVES

To evaluate the effectiveness of a palliative care education program for caregivers of cancer patients receiving chemotherapy.

METHODS

The research employed a purposive sample comprising 155 caregivers who were actively present with their cancer patients throughout the pre- and post-test phases within a quasi-experimental research design. The study took place at the outpatient oncology center of Al-Shifa Medical Complex in Port Said City, Egypt. To gather comprehensive data, 4 instruments were utilized: a demographic questionnaire, a nurse knowledge questionnaire, a scale measuring attitudes toward palliative care, and an assessment of reported practices in palliative care. This methodological approach allowed for a thorough exploration of caregiver perspectives, knowledge, attitudes, and practices within the context of a palliative care education program.

RESULTS

Before the palliative care education program, only 1.3% of caregivers had a good overall level of knowledge about cancer and palliative care; this increased to 40.6% after the program. Similarly, before the palliative care education program, 32.9% of caregivers had a positive overall attitude, which increased to 72.3% after the program. Similarly, 27.1% of caregivers had an overall appropriate palliative care practice during the pre-test phase, which increased to 93.5% after the palliative care education program.

SIGNIFICANCE OF THE RESULTS

The palliative care education program significantly improved caregivers' knowledge, attitudes, and practice scores. It is strongly recommended that caregivers of cancer patients receive continuing education in palliative care. In addition, it is crucial to conduct further research with a larger sample size in different situations in Egypt.

摘要

背景

强调照顾者在癌症护理连续体中的关键作用,一个旨在教育癌症患者化疗期间照顾者的项目突出了他们的重要性。姑息治疗教育计划努力营造一个富有同情心和有效的护理环境,使患者和照顾者都受益。通过提供教育、培养积极的态度、提供支持、鼓励适当的行为和提供必要的资源,该计划旨在增强整体护理体验,促进那些应对癌症治疗挑战的人的福祉。

目的

评估针对癌症患者化疗期间照顾者的姑息治疗教育计划的效果。

方法

该研究采用目的抽样法,共纳入 155 名照顾者,他们在埃及塞得港 Al-Shifa 医疗综合体的门诊肿瘤中心,在准实验研究设计的预测试和后测试阶段全程陪伴其癌症患者。为了收集全面的数据,使用了 4 种工具:人口统计学问卷、护士知识问卷、测量对姑息治疗态度的量表和姑息治疗实践评估。这种方法学方法允许全面探索姑息治疗教育计划背景下照顾者的观点、知识、态度和实践。

结果

在姑息治疗教育计划之前,只有 1.3%的照顾者对癌症和姑息治疗有很好的总体知识水平;在姑息治疗教育计划之后,这一比例增加到 40.6%。同样,在姑息治疗教育计划之前,只有 32.9%的照顾者对姑息治疗有积极的总体态度,在姑息治疗教育计划之后,这一比例增加到 72.3%。同样,在预测试阶段,只有 27.1%的照顾者在姑息治疗方面有总体上适当的做法,在姑息治疗教育计划之后,这一比例增加到 93.5%。

结果的意义

姑息治疗教育计划显著提高了照顾者的知识、态度和实践得分。强烈建议癌症患者的照顾者接受姑息治疗的继续教育。此外,在埃及不同情况下,用更大的样本量进行进一步研究至关重要。

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