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首页> 外文期刊>Majallah-i Danishkadah-i Parastari va Mamayi-i Mashhad= >Effect of Empowering Caregivers of Children with Cancer Undergoing Chemotherapy on Their Adherence to Preventive Health Recommendations for Oral Ulcer
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Effect of Empowering Caregivers of Children with Cancer Undergoing Chemotherapy on Their Adherence to Preventive Health Recommendations for Oral Ulcer

机译：赋予儿童接受化疗的照护者对其遵守口腔溃疡预防性健康建议的影响

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摘要

Inflammation of the oral mucosa is a common and debilitating complication of chemotherapy that is preventable and manageable following health advices. Empowering the primary caregiver can be helpful in management of this condition. Aim: To determine the effect of empowering the caregivers on preventing inflammation of oral mucosa in children with cancer undergoing chemotherapy. Methods: This non-randomized clinical trial was conducted in 60 children's caregivers aged between 3 and 18 years old undergoing chemotherapy in Sheikh Hospital of Mashhad in two groups of intervention and control. In the intervention group, training was based on clinical guide in 5 sessions and according to Gibson empowerment model in 4 steps. Data were gathered based on questionnaire of side effects of chemotherapy and adherence questionnaire of the prevention and treatment of mouth ulcers in three stages: the first, the sixth and the 12th week of intervention. For data analysis, SPSS version 18 and paired and independent t-tests, Spearman correlation coefficient and the Mann-Whitney tests were used. Results: 61.7% of the patients were men and 38.3 were women. The average ages of the children and caregivers were 5/6±3/2 and 32/1±8/1 years, respectively. The average adherence to prevention recommendations for oral ulcers in the empowerment group increased from 53/6±24/3 to 82/2±11/7 (p<0.001). The occurrence rate of mouth ulcers in the empowerment group in the first week of intervention was 1/8±1/1, in the sixth week 1/7±1/0, and in the twelfth week of treatment was 1/1±0/2 (p<0/001). Conclusion: The empowerment program can help the main caregiver to discover and use critical thinking skills, enhance their ability and increase adherence, which results in decrease of mouth ulcers in children undergoing chemotherapy.
机译：口腔粘膜发炎是化学疗法的常见且使人衰弱的并发症，根据健康建议可以预防和控制。向主要看护者赋权可以帮助管理这种情况。目的：确定授权看护者预防正在接受化疗的癌症儿童口腔粘膜炎症的作用。方法：这项非随机临床试验是在马什哈德谢赫医院接受化疗的60名3至18岁的儿童看护者中进行的，两组干预和对照组进行比较。在干预组中，培训以5堂临床指南为基础，并按照4步按照Gibson授权模型进行。根据化疗副作用问卷和口腔溃疡预防和治疗的依从性问卷在三个阶段（干预的第一周，第六周和第十二周）收集数据。对于数据分析，使用SPSS 18版以及配对和独立的t检验，Spearman相关系数和Mann-Whitney检验。结果：61.7％的患者为男性，而38.3为女性。儿童和照顾者的平均年龄分别为5/6±3/2和32/1±8/1岁。赋权组中口腔溃疡的预防建议平均遵守率从53/6±24/3增加到82/2±11/7（p <0.001）。在赋能组中，干预组第一周口腔溃疡的发生率为1/8±1/1，第六周为1/7±1/0，在治疗的第十二周为1/1±0 / 2（p <0/001）。结论：赋权计划可以帮助主要护理人员发现和使用批判性思维技能，增强其能力并增加依从性，从而减少接受化疗的儿童的口腔溃疡。

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