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通过药学健康教育提高儿科肿瘤学知识。

Improving Pediatric Oncology Knowledge Through Pharmaceutical Health Education.

作者信息

Gonçalves Thuane Sales, Fontes Lídia Freitas, Nascimento Flávia Borelli Gomes, do Nascimento Mariana Martins Gonzaga, de Lima Santos Paulo Caleb Júnior

机构信息

Laboratory of Clinical Pharmacology and Translational Research, Department of Pharmacology, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), 03 de Maio St., 100, São Paulo, Vila Clementino, 04044-020 SP, Brazil.

Faculdade de Farmácia (Fafar), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.

出版信息

J Cancer Educ. 2025 Feb 21. doi: 10.1007/s13187-025-02584-4.

Abstract

Pediatric oncology patients present unique challenges for healthcare professionals and caregivers. Strategies to enhance pharmaceutical knowledge among patients and their families are crucial for improving treatment adherence, safety, and outcomes. The objective was to investigate the impact of pharmaceutical health education on caregivers' ability to understand and administer medications to pediatric patients with cancer. Using a quasi-experimental design, the study implemented Medication Therapy Management services, with pharmacists providing comprehensive education through booklets and personalized consultations on chemotherapy administration, side effect management, and home medication use. The study included 29 patients, with a mean age of 5.7 years and 51.7% female. Initially, 10.3% of caregivers reported significant difficulties in medication administration. After the intervention, no caregivers reported extreme difficulty, while significant improvements in medication administration ease (W = 06.0; p = 0.047) and caregiver knowledge (W = 0.00; p < 0.001). Caregivers also better understood the importance of medication for their children's treatment (W = 0.0; p = 0.053). The present study highlights the critical role of tailored health education in empowering caregivers in pediatric oncology care. Despite some limitations, this study demonstrated that individualized pharmacist-led interventions can significantly improve outcomes in complex pediatric oncology scenarios.

摘要

儿科肿瘤患者给医护人员和护理人员带来了独特的挑战。提高患者及其家属药学知识的策略对于提高治疗依从性、安全性和治疗效果至关重要。本研究的目的是调查药学健康教育对癌症患儿护理人员理解和给患儿用药能力的影响。该研究采用准实验设计,实施了药物治疗管理服务,药剂师通过手册以及关于化疗给药、副作用管理和家庭用药的个性化咨询提供全面教育。该研究纳入了29名患者,平均年龄5.7岁,女性占51.7%。最初,10.3%的护理人员报告在给药方面存在重大困难。干预后,没有护理人员报告有极端困难,同时给药便利性(W = 6.0;p = 0.047)和护理人员知识(W = 0.00;p < 0.001)有显著改善。护理人员也更好地理解了药物对孩子治疗的重要性(W = 0.0;p = 0.053)。本研究强调了量身定制的健康教育在增强儿科肿瘤护理中护理人员能力方面的关键作用。尽管存在一些局限性,但本研究表明,由药剂师主导的个体化干预可以显著改善复杂儿科肿瘤情况下的治疗效果。

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