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