Effect of Education and Telephone Counseling on Caregiver Strain and Unmet Needs in Family Caregivers and Self-care Behaviors in Patients with Cancer: A Randomized Clinical Trial

Q3 Medicine

Evidence Based Care Journal Pub Date : 2020-04-01 DOI:10.22038/EBCJ.2020.45647.2244

F. Ghorbani, M. Zare, F. Nabavi, H. Vashani, A. Bari

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引用次数: 9

Abstract

Background: Cancer treatment has been increasingly fulfilled on an outpatient basis by family caregivers. The variety and severity of caregivers' responsibilities expose them to physical and mental risks. Investigating the effect of education and telephone counseling on patient and family outcomes requires performing further studies. Aim: This study aimed to determine the effect of education and telephone counseling on caregiver strain and unmet needs in family caregivers and self-care behaviors in cancer patients. Method: The present randomized controlled trial was conducted on 60 caregivers-cancer patients referred to urban health education clinics in northeastern Iran within 2018-2019. A 20-minute face-to-face training session was held for the caregivers of cancer patients, and seven training pamphlets were given to the caregivers. Moreover, the intervention group received four telephone counseling sessions during three courses of chemotherapy. The strain and unmet needs of caregivers were measured by the Zarit Burden Interview and Supportive Care Needs Survey-Partners and Caregivers questionnaires, respectively. The patient self-care was assessed by the Nail Self-care Diary questionnaire. The data were analyzed by SPSS software (version 16) using an independent t-test and paired t-test. Results: The mean values of caregivers’ age were 38.9±12.7 and 37.7±8.6 years in the intervention and control groups, respectively. The results of the independent t-test showed no statistically significant difference between the two groups (P=0.42). The results also revealed that the mean scores of caregiver strain and unmet needs decreased following the intervention, and the mean scores of self-care behaviors increased in the intervention group after the intervention (P=0.001). Implications for Practice: Education and telephone counseling can simultaneously help to follow up problems, improve self-care behaviors in cancer patients, alleviate the caregiver strain, and meet the needs of family caregivers.

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教育和电话咨询对癌症患者照顾者压力、未满足的家庭照顾者需求和自我照顾行为的影响:一项随机临床试验

背景:癌症治疗越来越多地在门诊基础上由家庭护理人员完成。照顾者责任的多样性和严重性使他们面临身体和精神上的风险。调查教育和电话咨询对病人和家庭结果的影响需要进行进一步的研究。目的:探讨教育和电话咨询对癌症患者家庭照顾者压力、未满足需求和自我照顾行为的影响。方法:本随机对照试验对2018-2019年在伊朗东北部城市健康教育诊所转诊的60例护理人员癌症患者进行研究。对癌症患者的护理人员进行了20分钟的面对面培训，并向护理人员分发了7份培训小册子。此外，干预组在三个疗程的化疗期间接受了四次电话咨询。护理人员的压力和未满足的需求分别通过Zarit负担访谈和支持性护理需求调查-合作伙伴和护理人员问卷进行测量。采用指甲自我护理日记问卷对患者的自我护理进行评估。数据分析采用SPSS软件(version 16)，采用独立t检验和配对t检验。结果:干预组和对照组照顾者的平均年龄分别为38.9±12.7岁和37.7±8.6岁。独立t检验结果显示，两组间差异无统计学意义(P=0.42)。干预后，照顾者压力和未满足需求的平均得分下降，自我照顾行为的平均得分上升(P=0.001)。对实践的启示:教育和电话咨询可以同时帮助癌症患者跟进问题，改善自我护理行为，减轻照顾者压力，满足家庭照顾者的需求。

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

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.