Effectiveness of Nurse-led Intervention to Improve Quality of life for Family Caregivers of Children with Leukemia: A Quasi-Experimental Study from Karachi Pakistan
DOI:
https://doi.org/10.47672/ajhmn.963Keywords:
Children with Leukemia, Family caregivers, Quality of life, Nurse-led education interventions.Abstract
Background: Acute lymphoblastic leukemia accounts for 25% of all cancers in children less than 15 years old. The treatment phase of leukemia is lengthy and takes 2-3 years. Due to prolonged treatment, family caregivers often become exhausted, highly distressed with low quality of life and unsatisfactory patient outcomes. Thus, caregivers need interventions such as adaptation strategies and access to support groups that enhance their wellbeing and improves their quality of life (QoL).
Objectives: To determine the effectiveness of nurse-led structured educational intervention for family caregivers having a child diagnosed with leukemia and to examine the association between socio-demographic variables and quality of life of leukemia child caregiver.
Methodology: A Quasi-Experimental pre-post-test design was applied at the tertiary care hospital of Karachi. A total of 74 family caregivers of leukemia children were recruited from outpatient and inpatient oncology departments using purposive sampling. The data was collected pre-intervention and post-intervention using QoL-FV. Intervention of educational session given in 30-45 minutes for 4 days and after 1month of intervention, posttest done by same questionnaire to estimate the effect of nurse-led education
Results: Study findings revealed that mean score of overall QoL improved after one-month of nurse-led educational intervention 95+ 23 and had a significant difference in post-test QOL (<0.001). The sub-dimensions of QoL such as physical wellbeing, psychological wellbeing, and social concern improved significantly in posttest interventions group (P< 0.01). Whereas the spiritual wellbeing was found insignificant after interventions (p>0.080).
Conclusion: The study suggests that Nurse-Led education program is helpful to improve family caregivers' quality of life during the treatment journey of their leukemia patient. it must be considered and acknowledged with prime importance and caregivers should be supported by health care professionals.
Recommendation: It should be an important aspect to include counseling sessions of families to improve their coping, problem solving and awareness.
Downloads
References
Gupta S, Howard SC, Hunger SP, Antillon FG, Metzger ML, Israels T, Harif M, Rodriguez-Galindo C. Treating childhood cancer in low-and middle-income countries. Cancer. Washington DC: The World Bank Group. 2015 Oct 29:121-46.
Mahmoud S, Elaziz NA. Effect of Psycho-Educational Training Program for Parent's Having Child with Leukemia on Their Experience and Psychological Wellbeing. Journal of education and practice. 2015;6(12):13-29.
Force LM, Abdollahpour I, Advani SM, Agius D, Ahmadian E, Alahdab F, Alam T, Alebel A, Alipour V, Allen CA, Almasi-Hashiani A. The global burden of childhood and adolescent cancer in 2017: an analysis of the Global Burden of Disease Study 2017. The Lancet Oncology. 2019 Sep 1;20(9):1211-25.
Khanjari S, Damghanifar M, Haqqani H. Investigating the relationship between the quality of life and religious coping in mothers of children with recurrence leukemia. Journal of family medicine and primary care. 2018 Jan;7(1):213.
Kumari R, Kohli A, Malhotra P, Grover S, Khadwal A. Burden of caregiving and its impact in the patients of acute lymphoblastic leukemia. Industrial Psychiatry Journal. 2018 Jul;27(2):249.
Ashrafian S, Feizollahzadeh H, Rahmani A, Davoodi A. The unmet needs of the family caregivers of patients with cancer visiting a referral hospital in Iran. Asia-Pacific journal of oncology nursing. 2018 Jul 1;5(3):342-52.
Chivukula U, Kota S, Nandinee D. Burden experience of caregivers of acute lymphoblastic leukemia: Impact of coping and spirituality. Indian journal of palliative care. 2018 Apr;24(2):189.
Hassan GA, Ibrahim HS. The effect of supportive nursing intervention on the burden and coping strategies of caregivers of children with cancer. Journal of Nursing Education and Practice. 2018;8(7):125.
Yu H, Li L, Liu C, Huang W, Zhou J, Fu W, Ma Y, Li S, Chang Y, Liu G, Wu Q. Factors associated with the quality of life of family caregivers for leukemia patients in China. Health and quality of life outcomes. 2017 Jan;15(1):1-1.
Ghodsbin F, Asadi N, Javanmardi Fard S, Kamali M. Effect of education on quality of life of family caregivers of children with leukemia referred to the Oncology Clinic at Kerman's Afzali-Poor Hospital (Iran), 2012. Investigación y Educación en Enfermería. 2014 Apr;32(1):41-8.
Pathirana TI, Goonawardena CS, Wijesiriwardane I. Quality of life of caregivers and impact on the nuclear family of children with leukaemia in the National Cancer Institute of Sri Lanka.
Noughabi, F.A., Iranpoor, D., Yousefi, H., Abrakht, H. and Dehkordi, F.G., 2016. Effect of instructing care program through group discussion on the quality of life of the parents of the children afflicted with leukemia. Global journal of health science, 8(5), p.197.
Nurhidayah I, Hendrawati S, Hasriyadhi DP. Quality of life of family caregivers of children with leukemia: A Descriptive Quantitative Study. Belitung Nursing Journal. 2020 Apr 28;6(2):52-8.
Pouraboli B, Poodineh Z, Jahani Y. The effect of relaxation techniques on anxiety, fatigue and sleep quality of parents of children with Leukemia under Chemotherapy in South East Iran. Asian Pacific journal of cancer prevention: APJCP. 2019;20(10):2903.
Ferrell B, Wittenberg E. A review of family caregiving intervention trials in oncology. CA: a cancer journal for clinicians. 2017 Jul 8;67(4):318-25.
Douki HE, Elyasi F, Hasanzadeh R. Effectiveness of positive thinking training on anxiety, depression and quality of life of mothers of children with leukemia. Journal of Nursing and Midwifery Sciences. 2019 Jan 1;6(1):21.
Pahlavanzade S, Khosravi N, Moeini M. The effect of a family need-based program on burden of caregivers of leukemia patients in Isfahan in 2013-2014. Iranian journal of nursing and midwifery research. 2014 Nov;19(6):629.
Zafarian Moghaddam E, Behnam Vashani H, Reihani T, Namazi Zadegan S. The Effect of Spiritual Support on Caregiver's Stress of Children Aged 8-12 with Leukemia Hospitalized in Doctor Sheikh Hospital in Mashhad. Future of Medical Education Journal. 2016;6(2):19-25.
Nurhidayah I, Hendrawati S, Hasriyadhi DP. Quality of life of family caregivers of children with leukemia: A Descriptive Quantitative Study. Belitung Nursing Journal. 2020 Apr 28;6(2):52-8.
Motlagh ME, Mirzaei-Alavijeh M, Hosseini SN. Information needs assessment among parents of children with cancer. Asian Pacific journal of cancer prevention: APJCP. 2019;20(6):1865.
Deniz H, Inci F. The burden of care and quality of life of caregivers of leukemia and lymphoma patients following peripheric stem cell transplantation. Journal of psychosocial oncology. 2015 May 4;33(3):250-62.
Hashemi M, Irajpour A, Taleghani F. Caregivers needing care: the unmet needs of the family caregivers of end-of-life cancer patients. Supportive Care in Cancer. 2018 Mar;26(3):759-66.
Pathirana TI, Goonawardena CS, Wijesiriwardane I. Quality of life of caregivers and impact on the nuclear family of children with leukaemia in the National Cancer Institute of Sri Lanka.
Mowla F, Khanjari S, Haghani S. Effect of the combination of Benson's relaxation technique and brief psychoeducational intervention on religious coping, sense of coherence, and quality of life of family caregivers. Journal of Education and Health Promotion. 2020;9:117.
WHO remains firmly committed to the principles set out in the preamble to the Constitution. (n.d.). World Health Organization. Retrieved January 5, 2021, from <https://www.who.int/about/who-we-are/constitution>
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Noor-e-Marfa Amin, Farhana Siddique, Dr. Yasmin Amarsi, Raja, Ambreen Aslam, Andaleeb Abbasi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work’s authorship and initial publication in this journal.
