{"title":"Effectiveness of using an online instructional video for preventing infections among Thai patients with cancer: A quasi-experimental study.","authors":"Nongkran Viseskul, Nongyao Kasatpibal, Natthawan Suwan, Yuwalee Chaywong, Narumon Pholdee","doi":"10.33546/bnj.3681","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Patients with cancer are more likely to develop infections from several factors, and an infectious complication is the leading cause of death in this population. Therefore, nurses should provide educational media to these patients for infection prevention.</p><p><strong>Objective: </strong>This study aimed to examine the effectiveness of using an online instructional video to prevent infections among patients with cancer in Thailand.</p><p><strong>Methods: </strong>A quasi-experimental design was conducted from May 2020 to March 2021 at a cancer hospital in northeast Thailand. The participants consisted of 54 patients with cancer (27 each in the experimental and control group). The experimental group participants received four weeks of online video instruction at home, while the control group received the usual education from nurses. The data collection instruments included a demographic data questionnaire, a knowledge test, an infection prevention practice questionnaire, and a video media satisfaction questionnaire. Statistical analyses included descriptive statistics, chi-square test, Fisher's exact test, paired <i>t</i> -test, and independent <i>t</i> -test.</p><p><strong>Results: </strong>After receiving the online instruction video, the experimental group had a significantly higher score for infection prevention knowledge, increasing from 17.52 to 20.93 (<i>t</i> = -6.575, <i>p</i> <0.001), and infection prevention practice, rising from 52.07 to 61.33 (<i>t</i> = -3.954, <i>p</i> = 0.001). The control group had no significant increase in the knowledge score (17.04 to 18.04) (<i>t</i> = -1.328, <i>p</i> = 0.100) or practice score (53.41 to 54.44) (<i>t</i> = -0.797, <i>p</i> = 0.217). The experimental group showed a significantly higher mean knowledge score (<i>t</i> = 4.473, <i>p</i> <0.001, large effect size with a Cohen's <i>d</i> of 1.22) and practice score (<i>t</i> = 3.121, <i>p</i> = 0.002, large effect size with a Cohen's <i>d</i> of 0.85) during post-intervention than the control group.</p><p><strong>Conclusion: </strong>The findings support the use of online video as instructional media to enhance knowledge and practices regarding infection prevention among patients with cancer. This online video should be implemented for nurses and healthcare providers to promote knowledge and practices in the prevention of infections among patients with cancer in other hospitals.</p><p><strong>Trial registry number: </strong>Thai Clinical Trials Registry (TCTR20241030009).</p>","PeriodicalId":42002,"journal":{"name":"Belitung Nursing Journal","volume":"11 2","pages":"215-223"},"PeriodicalIF":1.1000,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006813/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Belitung Nursing Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33546/bnj.3681","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Patients with cancer are more likely to develop infections from several factors, and an infectious complication is the leading cause of death in this population. Therefore, nurses should provide educational media to these patients for infection prevention.
Objective: This study aimed to examine the effectiveness of using an online instructional video to prevent infections among patients with cancer in Thailand.
Methods: A quasi-experimental design was conducted from May 2020 to March 2021 at a cancer hospital in northeast Thailand. The participants consisted of 54 patients with cancer (27 each in the experimental and control group). The experimental group participants received four weeks of online video instruction at home, while the control group received the usual education from nurses. The data collection instruments included a demographic data questionnaire, a knowledge test, an infection prevention practice questionnaire, and a video media satisfaction questionnaire. Statistical analyses included descriptive statistics, chi-square test, Fisher's exact test, paired t -test, and independent t -test.
Results: After receiving the online instruction video, the experimental group had a significantly higher score for infection prevention knowledge, increasing from 17.52 to 20.93 (t = -6.575, p <0.001), and infection prevention practice, rising from 52.07 to 61.33 (t = -3.954, p = 0.001). The control group had no significant increase in the knowledge score (17.04 to 18.04) (t = -1.328, p = 0.100) or practice score (53.41 to 54.44) (t = -0.797, p = 0.217). The experimental group showed a significantly higher mean knowledge score (t = 4.473, p <0.001, large effect size with a Cohen's d of 1.22) and practice score (t = 3.121, p = 0.002, large effect size with a Cohen's d of 0.85) during post-intervention than the control group.
Conclusion: The findings support the use of online video as instructional media to enhance knowledge and practices regarding infection prevention among patients with cancer. This online video should be implemented for nurses and healthcare providers to promote knowledge and practices in the prevention of infections among patients with cancer in other hospitals.
背景：癌症患者更容易因多种因素而发生感染，感染并发症是这一人群死亡的主要原因。因此，护士应该为这些患者提供预防感染的教育媒介。目的：本研究旨在检验泰国使用在线教学视频预防癌症患者感染的有效性。方法：2020年5月至2021年3月在泰国东北部的一家癌症医院进行准实验设计。参与者包括54名癌症患者（实验组和对照组各27名）。实验组参与者在家中接受为期四周的在线视频教学，而对照组参与者则接受护士的常规教育。数据收集工具包括人口统计数据问卷、知识测试、感染预防实践问卷和视频媒体满意度问卷。统计分析包括描述性统计、卡方检验、Fisher确切检验、配对t检验和独立t检验。结果：实验组接受网络教学视频后，感染预防知识得分由17.52分提高至20.93分（t = -6.575, p t = -3.954, p = 0.001）。对照组的知识得分（17.04 ~ 18.04）（t = -1.328, p = 0.100）和实践得分（53.41 ~ 54.44）（t = -0.797, p = 0.217）均无显著升高。实验组干预后平均知识得分（t = 4.473, p d = 1.22）和实践得分（t = 3.121, p = 0.002，效应量大，Cohen’s d = 0.85）显著高于对照组。结论：研究结果支持使用在线视频作为教学媒体来提高癌症患者预防感染的知识和实践。这段在线视频应用于护士和医疗保健提供者，以促进其他医院癌症患者预防感染的知识和做法。试验注册号：泰国临床试验注册中心（TCTR20241030009）。
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