口腔癌患者“家庭照护模式”对照护者家庭照护能力的影响

Mahesh Kumar Bawliya, R. Sylvia, P. Mahala, Suman Kumar Choudhary
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摘要

背景:癌症可能发生在每个人身上,不分性别、年龄、文化、社会经济地位和地理区域。不同年龄、不同种族、不同性别的人罹患各种形式的癌症,其严重程度和发生频率各不相同。目的:本研究的目的是:(1)建立和实施家庭护理模式对照顾者家庭护理能力的影响;(2)评估家庭护理模式对照顾者家庭护理能力的影响效果。材料与方法:本研究采用定量研究的方法,开发并实施了一个关于照顾者家庭护理能力(知识与实践)的家庭护理模型。本研究采用准实验的单组前测和后测设计。这项研究是在北阿坎德邦德拉敦一家选定的医院进行的。采用连续抽样方法选择研究对象。采用结构化知识问卷、结构化自我报告营养实践检查表和结构化观察性伤口护理检查表对40名口腔癌患者护理人员进行数据收集。结果:学生测验后实践得分和知识得分的平均值(18.75、12.82、7.55)高于测验前实践得分和知识得分的平均值(11.95、8.85、4.23),差异有统计学意义(P < 0.05)。测试前营养管理知识的平均百分比为51%,伤口护理管理知识的平均百分比为55%,测试后两者均有所改善(81%)。除职业外,知识与实践无显著相关。测试后知识与测试后实践得分之间存在较小的相关性。结论:家庭护理能力规划能有效提高口腔癌患者护理人员的知识和实践水平。
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Effectiveness of a “home care model” for oral cancer patients on the home care competency of their caregivers
Background: Cancer can occur to everyone regardless of sex, age, culture, socioeconomic status, and geographical area. Various forms of cancer strike at different age, ethnic, gender groups with severity, and varying frequency. Objective: The study objectives were as follows: (1) To develop and implement a home care model on home care competency of caregivers and (2) to evaluate the effectiveness of home care model on home care competency of caregivers. Materials and Methods: For this study, a quantitative research approach was used to develop and implement a home care model on home care competency (knowledge and practice) of caregivers. A quasi-experimental one-group pre-test and post-test design was used in the study. The study was conducted in a selected hospital, Dehradun, Uttarakhand. Consecutive sampling technique was used to select the study subject. Data were collected from 40 caregivers of oral cancer patients using a structured knowledge questionnaire, structured self-report nutritional practice checklist, and structured observational wound care checklist. Results: The mean post-test practice scores and knowledge scores (18.75, 12.82, and 7.55) were higher than mean pre-test practice scores and knowledge scores (11.95, 8.85, and 4.23) which were found statistically significant at P < 0.05. The mean percentage area-wise distribution of knowledge regarding nutritional management at pre-test was 51% and wound care management was 55%, which was improved for both (81%) at post-test. No significant association was found between knowledge and practice except occupation. Minor correlation was found between post-test knowledge and post-test practice scores. Conclusion: It is concluded that home care competency program was found effective to improve the knowledge and practice of caregivers of oral cancer patients.
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