Structured teaching programme enhances the knowledge of mothers to take care of children with leukaemia

Abstract

Background

We assumed that the parents of children who are undergoing treatment for leukaemia experience practical challenges in taking care of the side effects of chemotherapy. In this study, the effectiveness of a structured teaching programme on knowledge about home management of chemotherapy side effects among parents is determined. Furthermore, the study also aimed at finding an association between the pre-test knowledge score of parents and selected baseline information of subjects as well as children.

Methods

A quantitative, experimental research approach was used to assess the effectiveness of a structured teaching programme on enhancement of mothers’ knowledge about childcare for leukaemic children in the Cancer Research Institute, Sri Raghvendra Hospital, India. A teaching intervention was given, and in the post-test period the same structured knowledge questionnaire was used. Practise was assessed using the interview method by direct observation.

Results

Post-intervention, the education of the mother and sex of the child were significantly associated with the knowledge and practise of mothers regarding their care of children with leukaemia. Before the intervention, many more mothers had inadequate and moderate knowledge than had adequate knowledge. The study found that the total number of mothers with moderate and adequate knowledge increased significantly. Overall, the mean knowledge score increased significantly to 18.75 after the intervention.

Conclusion

From the study results, it can be concluded that a structured teaching programme on knowledge about home management of chemotherapy side effects was found to be effective in increasing the knowledge among parents of children who receive chemotherapy.

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References

  1. Al-Maliki SK, Al-Asadi J, Al-Waely A, Agha S (2016) Prevalence and levels of depression among parents of children with cancer in Basrah, Iraq. Sultan Qaboos Univ Med J 16:e329

    Article  PubMed  PubMed Central  Google Scholar 

  2. Al-Hadad SA, Al-Jadiry MF, Al-Darraji AF, Al-Saeed RM, Al-Badr SF, Ghali HH (2011) Reality of pediatric cancer in Iraq. J Pediatr Hematol Oncol 33:S154–S156

    Article  PubMed  Google Scholar 

  3. Al-kzayer Y, Thanh L, Uyen N, Al-jadiry MF, Al-hadad SA, Safaa A, Al-badri F, Ghali HH, Ameen NA, Liu T, Matsuda K (2014) Analysis of class I and II aberrations in Iraqi childhood acute myeloid leukemia using filter paper cards. Ann Hematol 93:949

    Article  CAS  PubMed  Google Scholar 

  4. Arulponni TR, Janaki MG, Nirmala S, Ramesh BS, Rishi KS, Kirthi K (2010) Carcinoma cervix treated with radiotherapy—our experience with emphasis on our concerns. J Obstet Gynecol India 60:61–65

    Article  Google Scholar 

  5. Behrman RE, Field MJ, editors. When children die: (2003) Improving palliative and end-of-life care for children and their families. National Academies Press 9

  6. Bryant R (2003) Managing side effects of childhood cancer treatment. J Pediatr Nurs 18:113–125

    Article  PubMed  Google Scholar 

  7. Cole MA, Kim PJ, Kalman BA, Spencer RL (2000) Dexamethasone suppression of corticosteroid secretion: evaluation of the site of action by receptor measures and functional studies. Psychoneuroendocrinology. 25:151–167

    Article  CAS  PubMed  Google Scholar 

  8. De Vries B, Dalla Lana R, Falck VT (1994) Parental bereavement over the life course: a theoretical intersection and empirical review. Omega J Death Dying 29:47–69

    Article  Google Scholar 

  9. De Martel C, Ferlay J, Franceschi S, Vignat J, Bray F, Forman D, Plummer M (2012) Global burden of cancers attributable to infections in 2008: a review and synthetic analysis. Lancet Oncol 13:607–615

    Article  PubMed  Google Scholar 

  10. El-Sawy MM, Ismail GM, Magdy H, El-Samman GA (2013) Knowledge and home practices of caregivers having children with leukemia attending National Cancer Institute Cairo University. Med J Cairo Univ 81:601–608

    Google Scholar 

  11. Gurney JG, Davis S, Severson RK, Fang JY, Ross JA, Robison LL (2013) Trends in cancer incidence among children in the US. Cancer Interdiscip Int J Am Cancer Soc 78:532–541

    Google Scholar 

  12. Hasan SS, Hussein KA, Hashim M (2011) Assessment of home care management for caregiver’s having leukemic adolescent patient in Erbil city. Nurs Sci 12:1–3

    Google Scholar 

  13. Hyodo I, Amano N, Eguchi K, Narabayashi M, Imanishi J, Hirai M, Nakano T, Takashima S (2005) Nationwide survey on complementary and alternative medicine in cancer patients in Japan. J Clin Oncol 23:2645–2654

    Article  PubMed  Google Scholar 

  14. Hann I, Viscoli C, Paesmans M, Gaya H, Glauser M, International Antimicrobial Therapy Cooperative Group (IATCG) of the European Organization for Research and Treatment of Cancer (EORTC) (1997) A comparison of outcome from febrile neutropenic episodes in children compared with adults: results from four EORTC studies. Br J Haematol 99:580–588

    Article  CAS  PubMed  Google Scholar 

  15. Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ (2007) Cancer statistics. CA Cancer J Clin 57:43–66

    Article  PubMed  Google Scholar 

  16. Jabs DA, Rosenbaum JT, Foster CS, Holland GN, Jaffe GJ, Louie JS, Nussenblatt RB, Stiehm ER, Tessler H, Van Gelder RN, Whitcup SM (2000) Guidelines for the use of immunosuppressive drugs in patients with ocular inflammatory disorders: recommendations of an expert panel. Am J Ophthalmol 130:492–513

    Article  CAS  Google Scholar 

  17. Lakshmi KN, Saraswathi KN (2012) Effectiveness of structured teaching programme on knowledge regarding home care management of children with cerebral palsy among mothers in selected special schools at Bangalore. Asian J Nurs Educ Res 2:2

    Google Scholar 

  18. Landoni F, Maneo A, Colombo A, Placa F, Milani R, Perego P, Favini G, Ferri L, Mangioni C (1997) Randomised study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer. Lancet 350:535–540

    Article  CAS  Google Scholar 

  19. Mostert S (2009) Compliance with childhood leukemia treatment in Indonesia: Influence of socio-economic status on treatment refusal or abandonment

  20. Pai AL, Greenley RN, Lewandowski A, Drotar D, Youngstrom E, Peterson CC (2007) A meta-analytic review of the influence of pediatric cancer on parent and family functioning. J Fam Psychol 21:407

    Article  Google Scholar 

  21. Russell KM, Hudson M, Long A, Phipps S (2006) Assessment of health-related quality of life in children with cancer: consistency and agreement between parent and child reports. Cancer. 106:2267–2274

    Article  PubMed  Google Scholar 

  22. Schultz KA, Ness KK, Whitton J, Recklitis C, Zebrack B, Robison LL, Zeltzer L, Mertens AC (2007) Behavioral and social outcomes in adolescent survivors of childhood cancer: a report from the childhood cancer survivor study. J Clin Oncol 25:3649–3656

    Article  Google Scholar 

  23. Siegel R, Ward E, Brawley O, Jemal A (2011) Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA Cancer J Clin 61:212–236

    Article  Google Scholar 

  24. Siegel R, Ma J, Zou Z, Jemal A (2014) Cancer statistics, 2014. CA Cancer J Clin 64:9–29

    Article  Google Scholar 

  25. Singh H, Kaur K, Banipal RP, Singh S, Bala R (2014) Quality of life in cancer patients undergoing chemotherapy in a tertiary care center in Malwa region of Punjab. Indian J Palliat Care 20:116

    Article  PubMed  PubMed Central  Google Scholar 

  26. Stiller CA, Allen MB, Eatock EM (1995) Childhood cancer in Britain: the national registry of childhood tumours and incidence rates 1978–1987. Eur J Cancer 31:2028–2034

    Article  Google Scholar 

  27. Young B, Dixon-Woods M, Findlay M, Heney D (2002) Parenting in a crisis: conceptualising mothers of children with cancer. Soc Sci Med 55:1835–1847

    Article  PubMed  Google Scholar 

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Correspondence to Nitavid A.

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Tha authors do not have anything to disclose and declare no conflict of interest.

Ethical considerations

The study was approved by the institutional ethics review board (NSP/2018/June/316), and the purpose of the study was explained to the participants before their written consent was obtained. Confidentiality of responses was assured and maintained throughout the study.

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Saeed, N.A.A.A.H., Hamzah, I.H. & Nitavid A Structured teaching programme enhances the knowledge of mothers to take care of children with leukaemia. J Public Health (Berl.) (2019). https://doi.org/10.1007/s10389-019-01107-y

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Keywords

  • Childcare
  • Chemotherapy
  • Mother’s knowledge and practise