Parents' experiences on handling paediatric anticancer drugs at home after an educational intervention.

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Ranaa Akkawi El Edelbi, Staffan Eksborg, Ulrika Kreicbergs, Malin Lövgren, Jennie Ekman, Synnöve Lindemalm
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引用次数: 0

Abstract

Background: The shift of treatment of paediatric cancer patients to include more care at home puts a lot of pressure on health care professionals (HCPs) to prepare and train parents on safe and correct drug handling at home. Parents must take in and understand the information presented to them while coping with their own fear related to their child's cancer diagnosis. In Sweden, parents are expected to handle and manipulate oral anticancer drugs (OADs) in the home setting. There is however a lack of a standardized method to inform and educate parents on how to handle OADs in a correct way at home.

Aim: To describe parents' experiences of handling OADs at home after participating in an educational intervention.

Method: Educational intervention in the present study aimed to improve parents' knowledge in key concepts that is, handling OADs at home by using information presented in different forms. Fifteen parents to 12 children with cancer were recruited from a paediatric oncology ward in Sweden to participate in an interview. The interviews were transcribed verbatim and subjected to qualitative content analysis.

Results: Parents' experiences are presented in categories: Relieved stress, Awareness of own exposure, Facilitated my everyday life, Parents need continued support individually. The educational intervention resulted in both positive and negative feelings, increased awareness of drug exposure and correct drug handling at home. Practical training and information presented in different ways facilitated the process of drug handling. To handle the drug correctly at home parents requested to be trained and informed in the beginning of their child's oral drug treatment. In addition, parents requested to be individually approached by HCP to get answers to questions and concerns.

Conclusions: This educational intervention study shows promising results for the method used by HCPs to inform and educate parents on complicated topics such as handling OADs at home.

教育干预后家长在家处理儿科抗癌药物的经验。
背景:儿科癌症病人的治疗方式转变为更多地在家中进行护理,这给医护专业人员(HCPs)带来了很大的压力,他们必须为家长做好准备,并培训他们如何在家中安全、正确地处理药物。家长必须接受并理解向他们提供的信息,同时还要应对自己因孩子被诊断出患有癌症而产生的恐惧。在瑞典,家长应在家中处理和操作口服抗癌药物(OADs)。目的:描述家长在参加教育干预后在家处理口服抗癌药物的经验:本研究中的教育干预旨在通过以不同形式呈现的信息,提高家长对关键概念的认识,即在家中如何处理 OAD。我们从瑞典的一家儿科肿瘤病房招募了 12 名癌症患儿的 15 位家长参加访谈。访谈内容被逐字记录并进行了定性内容分析:结果:家长的经历分为以下几类缓解压力、认识到自己所面临的问题、为我的日常生活提供便利、家长需要持续的个别支持。教育干预措施产生了积极和消极的感受,提高了对接触毒品和在家中正确处理毒品的认识。以不同方式提供的实用培训和信息促进了处理毒品的过程。为了在家中正确处理药物,家长要求在孩子接受口服药物治疗之初就接受培训并了解相关信息。此外,家长还要求保健医生单独与他们接触,以解答他们的问题和疑虑:这项教育干预研究表明,保健医生向家长宣传和教育复杂问题(如在家中处理口服反式用药)的方法具有良好的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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