Health Literacy of Gynecological Cancer Patients Experiencing Numbness in Hands and Feet Due to Receiving Paclitaxel Chemotherapy

Abstract

This descriptive study aimed to examine the health literacy regarding self-care practices for managing experiencing of numbness in the hands and feet due to receiving Paclitaxel chemotherapy at LopBuri Cancer Hospital. The study sample consisted of 81 female gynecologic cancer patients aged 18 and above, who were receiving Paclitaxel chemotherapy and experienced symptoms of numbness in the hands and feet. Data were collected using a questionnaire developed by the researcher, based on a review of relevant literature and theories, as well as the Health Literacy Assessment Tool, which consisted of six steps from the Health Education Division, Department of Health Service Support, Ministry of Public Health. The instrument demonstrated high content validity (IOC = 0.98) and reliability (Cronbach’s Alpha Coefficient = 0.94). The data collection period was from May to August 2024. Descriptive statistics and the Spearman’s rank correlation coefficient were used for data analysis. The study results indicated that there was no significant relationship between the participants' health literacy regarding access to information and health services, understanding information and services, verifying information, communication and social support, and self-management in alleviating the severity of numbness in the hands and feet due to Paclitaxel chemotherapy (r=-0.089, P=0.429) This study provides foundational information for designing strategies to improve health literacy among gynecologic cancer patients undergoing Paclitaxel chemotherapy. The findings highlight the need for guidance and support to enhance patients' awareness and management of numbness in hands and feet, helping to prevent complications, and ensure patients can manage their symptoms effectively. The results also serve as a basis for healthcare providers to promote appropriate health literacy and increase access to quality health services for patients.