The effect of education training intervention on the caregiver burden among mothers of children with leukemia: a quasi-experimental study
Abstract
Introduction. Leukemia is a broad term that refers to a group of malignant diseases of the bone marrow and lymphatic system. Caregiver burden is one of the issues that are faced by primary caregivers, and this role is played by mothers in most cases. In addition to these problems, mothers experience frustration in performing tasks, isolation and failure due to inadequate education about the disease and inadequate information support. The aim of the present study was to determine the effect of education on the caregiver burden (CB) among mothers of children with leukemia.
Material and methods. The present quasi-experimental study was performed on mothers of children with leukemia in the Hematology Ward of Ali ibn Abi Talib Hospital of Zahedan in 2019. Convenience sampling was used to select eligible mothers. At the baseline, the control group was selected according to the inclusion criteria (this method was to prevent the effect of the intervention on the control group). Then, a questionnaire including demographic information, and caregiver burden inventory (CBI) were completed in two stages: pre-test and post-test. To this end, after completing the questionnaire, the first training session was held in the hematology department individually for 30 to 45 minutes with a specific content. Also, after completing three training sessions, phone follow-up was performed weekly for 4 weeks to ensure that the intervention was implemented. The questionnaires were redistributed and recompleted by intervention and control groups again four weeks after the intervention.
Results. The mean pre-intervention CB score in the intervention and control groups was 19.97 ± 5.25 and 18.97 ± 10.03, respectively. The mean post-intervention CB score was also 17.17 ± 4.78 and 19.18 ± 9.93, respectively. Intervention significantly reduced CB score in the intervention group (p < 0.001).
Conclusions. The findings showed that training was effective in reducing the CB score among mothers of children with leukemia. Therefore, it is recommended to use training as a non-pharmacological and appropriate method in reducing CB among mothers of children with leukemia.
Keywords: educational interventioncaregiver burdenleukemiamothers
References
- Thol F, Ganser A. Treatment of Relapsed Acute Myeloid Leukemia. Current Treatment Options in Oncology. 2020; 21(8).
- Midic D, Rinke J, Perner F, et al. Prevalence and dynamics of clonal hematopoiesis caused by leukemia-associated mutations in elderly individuals without hematologic disorders. Leukemia. 2020; 34(8): 2198–2205.
- Tabatabaei SA, Far MAJ, Asnafi AA, et al. P190 BCR-ABL1Transcript Prevalence in Iranian Children with Acute Lymphoblastic Leukemia. ; 2019.
- Kale HP, Carroll NV. Self-reported financial burden of cancer care and its effect on physical and mental health-related quality of life among US cancer survivors. Cancer. 2016; 122(8): 283–289.
- Große J, Treml J, Kersting A. Impact of caregiver burden on mental health in bereaved caregivers of cancer patients: A systematic review. Psychooncology. 2018; 27(3): 757–767.
- Xu S, Zhang H, Wang J. Caregiver Burden and Depression Among Chinese Family Caregivers: the Role of Self-compassion. Mindfulness. 2020; 11(7): 1647–1654.
- Kızmazoğlu D, Sarı S, Evim Sezgin M, et al. Assessment of Health-Related Quality of Life in Pediatric Acute Lymphoblastic Leukemia Survivors: Perceptions of Children, Siblings, and Parents. Turk J Haematol. 2019; 36(2): 112–116.
- Kusi G, Boamah Mensah AB, Boamah Mensah K, et al. The experiences of family caregivers living with breast cancer patients in low-and middle-income countries: a systematic review. Syst Rev. 2020; 9(1): 165.
- Pereira MG, Vilaça M, Pinheiro M, et al. Quality of life in caregivers of patients with multiple myeloma. Aging Ment Health. 2020; 24(9): 1402–1410.
- Khanjari S, Oskouie F. Eshaghian Dorche A, Haghani H. Quality of life in parent of children with leukemia and its related factors. Iran Journal of Nursing. 2013; 26(82): 1–10.
- Shieh SC, Tung HS, Liang SY. Social support as influencing primary family caregiver burden in Taiwanese patients with colorectal cancer. J Nurs Scholarsh. 2012; 44(3): 223–231.
- Caruso Brown AE. Family-centered care and evidence-based medicine in conflict: lessons for pediatricians. Hosp Pediatr. 2015; 5(1): 52–54.
- Rha SY, Park Y, Song SuK, et al. Caregiving burden and the quality of life of family caregivers of cancer patients: the relationship and correlates. Eur J Oncol Nurs. 2015; 19(4): 376–382.
- Rachmawati PD, Ranuh R, Arief Y. Mother's Behaviour in Meeting the Needs of Stimulation, Emotion and Physical Children with Leukemia. Jurnal Ners. ; 11(1): 63–72.
- Jalali R, Rezaei M, Paveh BK, et al. Sleep Disorder and its Correlates in Patients Undergoing Chemotherapy. Iran Journal of Nursing. 2016; 29(99): 76–85.
- SHAMELI R, HASANI F. The effectiveness of reality therapy on resilience in mothers with children afflicted by cance. ; 2017.
- Manzomeh S, Hosseinkhanzadeh A, Shakerinia I. The impact of stress management training on improving the quality of life of mothers of children with leukemia. Journal of Guilan University of Medical Sciences. 2016; 25(97): 79–88.
- Safaeian Z, Hejazi SS, Delavar E, et al. The Relationship between Caregiver Burden, and Depression, Anxiety and Stress in Family Caregivers of Cancer Patients Referred to Imam Reza Hospital in Bojnurd City. Iranina Journal of Psychiatric Nursing. 2017; 5(3): 7–14.
- Salmani N, Sheikhpour R, Hashemi A, et al. Burden of care evaluation in mothers of cancer children admitted to Shahid Sadoughi Hospital, Yazd, Iran. Iranian Journal of Pediatric Hematology and Oncology. 2017; 7(1): 16–24.
- Lee YH, Liao YC, Shun SC, et al. Trajectories of caregiver burden and related factors in family caregivers of patients with lung cancer. Psychooncology. 2018; 27(6): 1493–1500.
- Yildiz E, Karakaş SA, Güngörmüş Z, et al. Levels of Care Burden and Self-efficacy for Informal Caregiver of Patients With Cancer. Holist Nurs Pract. 2017; 31(1): 7–15.
- Hatami F, Hojjati H. Effect Of Roy’s Adaptation Model On The Care Burden Of Mothers Of Children Under Chemotherapy (A Quasi-Experimental Study). Medical-Surgical Nursing Journal. 2019; 8(1).