ผลของการให้คำแนะนำผ่านโมบายแอปพลิเคชั่นต่อพฤติกรรมการดูแลตนเองเพื่อป้องกันการติดเชื้อของผู้ป่วยเด็กโรคมะเร็งที่ได้รับยาเคมีบำบัด

Main Article Content

พรรณทิพา ขำโพธิ์
สิริลักษณ์ คุณกมลกาญจน์
ชุลีพร แสงบุญเรืองกุล
รัชดาภรณ์ เอื้อใจ

บทคัดย่อ

Abstract


This quasi - experimental research aimed to examine effects of an education program via mobile application on self-care behaviors to prevent infection among children with cancer receiving chemotherapy. The sample were pediatric cancer patients aged 7-12 years, who received first chemotherapy treatment. A sample of 12 participants in the control and the experimental groups were selected using purposive sampling according to specified qualification.  The research instrument consisted of an education program via mobile application, having a content validity index of 0.92 and a Cronbach's alpha coefficient of 0.95. The procedures were as follows: Day 1 of the treatment, both of the experimental and the control group completed a self-care behavior assessment. The control group received usual care, whereas the experimental group received an education program via mobile application. Day 2 of the treatment included a preparation before receiving chemotherapy and recording self-care behavior. Day 3 - 20 of the treatment were a follow-up of recording self-care behavior of the patients in both groups.  Day 21 of the treatment, the patients in both groups completed a self-care behavior assessment. Data were analyzed using percentage, mean, standard deviation, Chi square, and repeated measures ANOVA.


                        The results revealed that the self-care behavior to prevent infection among pediatric cancer patients receiving chemotherapy of the experimental group had a statistically significant higher average self-care behavior score than the control group (F 10.24, p < .05).

Article Details

บท
บทความการศึกษาวิจัย

References

References

Kock AK, Kaya RS, Müller C, Andersen B, Langer T, Ingenerf J. Design, implementation, and evaluation of a mobile application for patient empowerment and management of long-term follow-up after childhood cancer. Klin Padiatr. 2015 May;227(3):166-70. doi: 10.1055/s-0035-1548840. Epub 2015 May 18. PMID: 25985450.

Coughlan M, Healy C. Nursing care, education and support for patients with neutropenia. Nurs Stand. 2008 Jul 23-29;22(46):35-41. doi: 10.7748/ns2008.07.22.46.35.c6598. PMID: 18712243.

Maharat Nakhon Ratchasima Hospital. Number of patients with children cancer 2019 - 2020. 2022. Thai.

Cancer care. Understanding and Managing Chemotherapy Side Effects. [Internet]. 2018 [cited 2023 Nov 27]; Available from https://media.cancercare.org/publications/original/24-ccc_chemo_ side_effects.pdf

Skalla KA, Bakitas M, Furstenberg CT, Ahles T, Henderson JV. Patients' need for information about cancer therapy. Oncol Nurs Forum. 2004 Mar-Apr;31(2):313-9. doi: 10.1188/04.ONF.313-319. PMID: 15017447.

Orem DE. Nursing concept of practice. 6th ed. St. Louis: Mosby; 2001.

Grove S, Burns N, Gray J. The Practice of Nursing Research. Appraisal, Synthesis, and Generation (7ed). Missouri: Elesevier Saunders.; 2013.

Touchamas Thailek, Wantanee Wiroonpanich, Busakorn Punthmatharith. Effects of Mobile Application for Enhancing Oral Care Self-Efficacy on Preventive Behavior and Occurrence of Oral Mucositis in School-aged Children with Cancer Receiving Chemotherapy. JRN-MHS [Internet]. 2021 Mar. 11 [cited 2023 Nov. 2];41(1):37-53. Available from: https://he02.tci-thaijo.org/index.php/ nur-psu/article/view/247167. Thai.

Wassamon Paprom. Effects of the supportive program and application towards care behavior of caregivers of newborns with neonatal hyperbilirubinemia undergoing phototherapy. JRN-MHS [Internet]. 2018 Sep. 30 [cited 2023 Nov. 2];38(3):167-78. Available from: https://he02.tci-thaijo.org/index.php/nur-psu/article/view/148290. Thai.

Penporn Yooyen, Wanida Sanasuttipun, Arunrat Srichantaranit. The Effect of a Teaching Program on Knowledge and Behavior of Caregivers to Prevent Infection in Preschool-aged Children with Leukemia. NURS SCI J THAIL [Internet]. 2019 Dec. 30 [cited 2023 Nov. 2];37(4):79-92. Available from: https://he02.tci-thaijo.org/index.php/ns/article/view/224778. Thai.

Wannita Sonkongdang, Seepan Kantawang, Srimana Niyomkar, Factors Influencing Caregivers’ Behaviors Regarding Nutritional Care for Preventing Infection in Leukemic Children with Chemotherapy Induced Neutropenia. Nursing Journal. THAIL [Internet]. 2015 Dec. 30 [cited 2023 Nov. 2];42 :94-106. Available from: https://he02.tci-thaijo.org/index.php/cmunursing/article/view/ 57304/47518. Thai.