A Development of a Self-management Support model to Care Pediatric Acute Lymphoblastic Leukemia Patients with Chemotherapy at Prapokklao Hospital


  • รสสุคนธ์ เจริญสัตย์สิริ วิทยาลัยพยาบาลพระปกเกล้าจันทบุรี
  • Laknaa Saritphisarn Boromarajonani College of Nursing, Nakhonratchasima Province,Thailand
  • Pornruedee Nitirat Nitirat


self-management, pediatric acute lymphoblastic leukemia, chemotherapy



Background: Acute lymphoblastic leukemia has regularly been found among school-aged patients in Prapokklao Hospital. Chemotherapy is a common treatment. However, it causes some complications such as infection, nausea and vomiting, and mucositis. Therefore, family members have an essential role as caregivers of those children. In this case, the development of a family self-management model to care for pediatric patients with chemotherapy is needed.

Objective: The study aimed to develop and study the satisfaction level of a family self-management model to care for pediatric acute lymphoblastic leukemia patients with chemotherapy 

Material and Method: The study design was research and development. The samples were parents of twenty-three pediatric acute lymphoblastic leukemia patients in Prapokklao Hospital who received chemotherapy and had complications. The research process consisted of three phases: 1. a preparation phase, 2. a research and model development phase, and 3. a monitoring and evaluation phase. Data were analyzed using descriptive statistics, Paired t-test and content analysis.    

Result: The results revealed that after implementing the model among the samples, their overall average score of self-management behaviors in caring pediatric acute lymphoblastic leukemia patients with complications was statistically significantly higher than that before implementing the model (p<.001). Also, the satisfaction towards the model after a three-month implementation was significantly higher than that after a one-month implementation. (p<.001)

Conclusion: The findings showed that the developed model could increase self-management behaviors to care for pediatric acute lymphoblastic leukemia patients with disease complications and treatment complications.

Keywords: self-management, pediatric acute lymphoblastic leukemia, chemotherapy


choeyprasert W. Common childhood malignancies chaing mai pappim; 2017.

Mejía-Aranguré JM, McNally RJQ. Acute Leukemia in Children. BioMed Research International 2015;2015:1-2.

Linabery AM, Ross JA. Trends in childhood cancer incidence in the U.S. (1992- 2004). Cancer 2008;112:416-32.

English MW. Principles of chemotherapy. Paediatrics and Child Health 2010;20:123-8.

Siriboonphiphatna p. Nursing Volume 2. Nonthaburi: Yutharin Printing; 2011.

Gandhi K, Datta G, Ahuja S, Saxena T, G Datta A. Prevalence of Oral Complications occurring in a Population of Pediatric Cancer Patients receiving Chemotherapy. International journal of clinical pediatric dentistry 2017;10:166-71.

Suthisa Temtap, Sudsiri Hiruchunha, Kittikorn Nilmanat. Development of Self-care Promotion among Patients with Acute Myeloid Leukemia (AML) and Receiving Chemotherapy. The Southern College Network Journal of Nursing and Public Health 2015;2:21- 40.

Creer. Self-management of chronic illness. san Di ego: California Academic.; 2000.

chonnipapat Santasanachoke, Wattana c. The Effectiveness of a Home Visiting Development Model for People with Uncontrolled Hypertension at Klongpoon Health Promoting Hospital,

Klaeng District, Rayong Province. J ... Hosp Clin Med Educat Center 2017;34:110-23.

F K. Self–management method. Helping People change: A text book of method. 4 th ed ed. Newyork: Pergamon Press. 12.1988.

Ryan P, Sawin KJ. The Individual and Family Self-Management Theory: background and perspectives on context, process, and outcomes. Nursing outlook 2009;57:217-25.e6.

Siegel DA, Henley SJ, Li J, Pollack LA, Van Dyne EA, White A. Rates and Trends of Pediatric Acute Lymphoblastic Leukemia - United States, 2001-2014. MMWR Morbidity and mortality weekly report 2017;66:950-4.

Wacharasin C, Phaktoop M, Sananreangsak S. Examining the Usefulness of a Family Empowerment Program Guided by the Illness Beliefs Model for Families Caring for a Child With Thalassemia. Journal of Family Nursing 2015;21:295-321.

Sumalee Thajai, Suthisa Lanchang, Jutamas Chotibang. Parent Participation in Preventing Infection among Pediatric Patients with Cancer Receiving Chemotherapy and Related factors. Nursing Journal 2014;41:83-94.

Pichitra Lekdamrongkul, Kanaungnit Pongthavornkamol, Thanittha Chompoobubpa, Noppadol Siritanaratkul A. Relationships among Information Needs, Information

Received, Self-care Behaviors and Quality of Life in Hematologic Cancer Patients Receiving Chemotherapy Journal of Nursing Science (Supplement) 2012;30:64-73.

Chayabhorn Tiwaree, Seepan Kantawng, Tipaporn Wonghongkul, Lertwatthanawilat W. Predicting Factors of Uncertainty in Illness Among Children with Leukemia Undergoing Chemotherapy. Pacific Rim International Journal of Nursing Research 2016;20:33-44.

Bandura A. Social Learning Theory. New Jersy: Prentice-Hall; 1977.

Rood JA, Eeltink CM, van Zuuren FJ, Verdonck-de Leeuw IM, Huijgens PC. Perceived need for information of patients with haematological malignancies: a literature review. Journal of clinical nursing 2015;24:353-69.

Prutipinyo C, Maikeow K, Sirichotiratana N. Self-care behaviours of chemotherapy patients. Journal of the Medical Association of Thailand = Chotmaihet thangphaet 2012;95 Suppl 6:S30-7.

Temtap S, Nilmanat K. Symptom experience and management among people with acute myeloid leukaemia in Thailand. International journal of palliative nursing 2011;17:381-6.

Piamjariyakul U, Williams PD, Prapakorn S, et al. Cancer therapy-related symptoms and self-care in Thailand. European journal of oncology nursing : the official journal of European Oncology Nursing Society 2010;14:387-94.




How to Cite

เจริญสัตย์สิริ ร., Saritphisarn , L. ., & Nitirat, P. N. . (2020). A Development of a Self-management Support model to Care Pediatric Acute Lymphoblastic Leukemia Patients with Chemotherapy at Prapokklao Hospital. Hua Hin Medical Journal, 5(3), 16–28. Retrieved from https://he01.tci-thaijo.org/index.php/hhsk/article/view/243363



Original article