Promoting infection prevention behaviors in family caregivers of preschoolers with acute lymphoblastic leukemia: the application of self-care deficit theory 10.55131/jphd/2022/200114

Main Article Content

Su-ari Lamtrakul
Jintana Yunibhand
Waraporn Chaiyawat

Abstract

The infection prevention behaviors of family caregivers are critical for the survival of preschoolers with acute lymphoblastic leukemia. As a result, nurses must devise an effective strategy for encouraging family caregivers to engage in these behaviors. The purpose of this quasi-experimental, pretest-posttest design was to compare infection prevention behaviors between family caregivers of preschoolers with acute lymphoblastic leukemia who received the infection prevention behavior program (PPIPB) and those who received conventional nursing care. Forty-five family caregivers of preschoolers with acute lymphoblastic leukemia were selected, of which 23 were assigned in an experimental group who received conventional nursing care and 22 in a control group who received the PPIPB. The intervention, which was based on the Self-Care Deficit Theory, aimed to enable the potential of the dependent-care agency regarding infection prevention behaviors of family caregivers. On the first and twelfth days of the study, all family caregivers were assessed for infection prevention behaviors using the Infection Prevention Behaviors Questionnaires (IPBQ). At the statistical level of .05, the experimental group's mean difference scores for infection prevention behaviors (Mean=4.78, SD=3.93) were significantly higher than those in the control group (Mean=0.64, SD=0.73). The efficacy of the nursing intervention based on Self-care Deficit Theory was demonstrated in this study. The theory was used to successfully improve family caregivers' infection prevention behaviors for preschoolers with acute lymphoblastic leukemia.

Article Details

How to Cite
1.
Lamtrakul S- ari, Yunibhand J, Chaiyawat W. Promoting infection prevention behaviors in family caregivers of preschoolers with acute lymphoblastic leukemia: the application of self-care deficit theory: 10.55131/jphd/2022/200114. J Public Hlth Dev [Internet]. 2022 Jan. 31 [cited 2024 Nov. 21];20(1):175-87. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/254514
Section
Original Articles
Author Biographies

Su-ari Lamtrakul, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand

Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand

Jintana Yunibhand, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand

Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand

Waraporn Chaiyawat, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand

Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand

References

Lighter-Fisher J, Stanley K, Phillips M, Pham V, Klejmont LM. Preventing infections in children with cancer. Pediatr Rev. 2016;37(6):247–58.

Biggs A. Orem’s self-care deficit nursing theory: update on the state of the art and science. Nurs Sci Q. 2008;21(3):200–6.

Drachtman RA, Masterson M, Shenkerman A, Vijayanathan V, Cole PD. Long-term outcomes for children with acute lymphoblastic leukemia (ALL) treated on The Cancer Institute of New Jersey ALL trial (CINJALL). Leuk Lymphoma. 2016;57(10):2275–80.

A report from the United Kingdom Childhood Cancer Study (UKCCS). Eur. J. Cancer. 2007;43(16):2396-2403.

Barton CD, Waugh LK, Nielsen MJ, Paulus S. Febrile neutropenia in children treated for malignancy. J Infect. 2015;71 Suppl 1:S27-35.

Howlader N, Noone AM, Krapcho M, Miller D, Brest A, Yu M, Ruhl J, Tatalovich Z, Mariotto A Lewis DR, Chen HS, Feuer EJ and Cronin KA (eds). SEER Cancer Statistics Review 1975-2018, National Cancer Institute. 2020.

Schlesinger A, Paul M, Gafter-Gvili A Rubinovitch, B and Leibovici L. Infection-control interventions for cancer patients after chemotherapy: a systematic review and meta-analysis. Lancet Infect Dis. 2009, 9(2):97-107

Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7–30.

Lustosa de Sousa DW, de Almeida Ferreira FV, Cavalcante Félix FH, de Oliveira Lopes MV. Acute lymphoblastic leukemia in children and adolescents: prognostic factors and analysis of survival. Rev Bras Hematol Hemoter. 2015;37(4):223–9.

Bunyatisai W, Jia-Mahasap B, Chitapanarux I. Treatment Outcomes of Acute Lymphoblastic Leukemia in both children and adults using the Thai Pediatric Oncology Group-based protocol at Chiang Mai University hospital. J Thai Assn of Radiat Oncol [Internet]. 2019 [cited 2019 Jun. 28];25(1):12-8. Available from: https://he01.tcithaijo.org/index.php/jtaro/article/view/203011

Reinecke J, Lowas S, Snowden J, Neemann K. Blood stream infections and antibiotic utilization in pediatric leukemia patients with febrile neutropenia. J Pediatr Hematol Oncol. 2019;41(4):251–5.

Viale PH. The American cancer society’s facts & figures: 2020 edition. J Adv Pract Oncol. 2020;11(2):135–6

Yooyen P, Sanasuttipun W, Srichantaranit A. The Effect of a Teaching Program on Knowledge and Behavior of Caregivers to Prevent Infection in Preschool-aged Children with Leukemia. Nurs Sci J Thai. 2019; 37(4):79-92.

Akiko K, Kiewkarnka B, Sillabutra J. Factors related to drowning preventive behavior among caregivers with children aged one to four in rural areas of Thailand. J. Public Health Dev. 2013; 11(2):31-48

Siripoon P and Tangvoraphonkcha J. Effects of a supportive education program on care behavior of beginning to end-stage leukemia school-age children’s dependent-care agents. NURS SCI J THAIL, 2014, 37(2): 48-56

Jansong W and Chiyawat W. The effect of the nursing intervention based on Pender’s health promotion model on infection prevention behaviors in mothers of 1-5-year-old children with cancer undergoing chemotherapy. NURS SCI J THAIL.2016; 37

Heiser Rosenberg CE, Terhaar MF, Ascenzi JA, Walbert A, Kokoszka KM, Perretta JS, et al. Becoming parent and nurse: High-fidelity simulation in teaching ambulatory central line infection prevention to parents of children with cancer. Jt Comm J Qual Patient Saf. 2017;43(5):251–8.

Fuengfoo, A., Leelathanaporn, S., Mekrungcharas, T., Sakulnoom, K., Owjinda, S., Noipong, P., Srinuan, S., Kumjaroen, S. and Phonok, N., 2019. Effectiveness of the Hospital Learning Center (Queen Sirikit National Institute of Child Health): Satisfaction with service and parents’ attitudes towards children’s illness. F1000Research, 8, p.1616.

Boonchuay N, Sanasuttipun W, Chintanadilok N, Sanpakit K. The Effect of the Educational Program on Knowledge and Care Behaviors of Caregivers of Children with Thalassemia. NURS SCI J THAIL 2016;34(3).

Ghanbari A and Pouy S. Designing Nursing Care Program Based on Johnson Behavioral Model in Children with Acute Lymphoblastic Leukemia: A Case Study. Int. J. Caring Sci. 2018; 11(1): 631-638

Burley Moore J, Beckwitt AE. Children with cancer and their parents: Self-care and dependent-care practices. Issues Compr Pediatr Nurs. 2004;27(1):1–17.

Kuennen Y J. Critical Reflection: A Transformative Learning Process Integrating Theory and Evidence-Based Practice. Worldviews on Evidence-Based Nursing. 2015;12(5):306-308.

Shoghi M, Shahbazi B, and Seyedfatemi N, The Effect of the Family-Centered Empowerment Model (FCEM) on the Care Burden of the Parents of Children Diagnosed with Cancer. Asian Pac J Cancer Prev. 2019 1;20(6):1757-1764. doi: 10.31557/APJCP.2019.20.6.1757. PMID: 31244297; PMCID: PMC7021596.

Shah M, Abdullah A, and Khan H. Compare and contrast of grand theories: Orem’s and Roy's adaptation model. J Sci Res. 2013

Orem D, Taylor S, Renpenning K. Nursing. St. Louis: Mosby. 2001.

Ohns MJ, Oliver-McNeil S, Nantais-Smith LM, George NM. Nonurgent use of the emergency department by pediatric patients: A Theory-guided approach for primary and acute care pediatric nurse practitioners. J Pediatr Health Care. 2016;30(4):339–46.

Gwin L. Fragmentation of health care in the lives of transitional cerebral palsy patients: a preliminary case analysis of the relationship between functional social support and self-care agency. Self Care Depend Care Nurs. 2008; 16: 8-13.

Sonkongdang W, Kantawang, S, Niyomkar S. Factors Influencing Caregivers’ Behaviors Regarding Nutritional Care for Preventing Infection in Leukemic Children with Chemotherapy induced Neutropenia. Nursing Journal. 2015; 42(Suppl 2), 94-106.

Wilson F, Baker L, Nordstrom C, Legwand C. Using the Teach-Back and Orem's Self-Care Deficit Nursing Theory to Increase Childhood Immunization Communication Among Low-Income Mothers. Issues in Comprehensive Pediatric Nursing. 2008;31(1):7-22.

Gligor L, Domnariu C. Patient Care Approach Using Nursing Theories - Comparative Analysis of Orem’s Self-Care Deficit Theory and Henderson’s Model. Acta Medica Transilvanica. 2020;25(2):11-14.

Maia R, Wunsch Filho V. Infection and childhood leukemia: review of evidence. Revista de Saúde Pública. 2013;47(6):1172-1185

Sen-Ngam K, Pratepchaiku L , Phuwathananon K. Maternal knowledge and practice development in caring for children with leukemia. Songklanagarind Med J. 2005; 23, 261-268

Yip J. Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem's Self-Care Deficit Nursing Theory. SAGE Open Nursing. 2021;7:237796082110119.

Khalil H. Evidence-based quality improvement. Int J Evid Based Healthc. 2017;15(3):81.

Polit D, Beck C. Nursing Research: Generating and Assessing Evidence for Nursing Practice. Lippincott:Williams & Wilkins. 2008