Effectiveness of a Brief Psychosocial Intervention on Quality of Life of Primary Caregivers of Iranian Children With Cancer: A Randomized Controlled Trial

被引:16
|
作者
Safarabadi-Farahani, Atefeh [1 ]
Maarefvand, Masoomeh [1 ,2 ]
Biglarian, Akbar [3 ]
Khubchandani, Jagdish [4 ]
机构
[1] Univ Social Welf & Rehabil Sci, Dept Social Work, Tehran, Iran
[2] Univ Social Welf & Rehabil Sci, Subst Abuse & Dependence Res Ctr, Dept Social Work, Tehran, Iran
[3] Univ Social Welf & Rehabil Sci, Dept Biostat, Tehran, Iran
[4] Ball State Univ, Dept Physiol & Hlth Sci, Muncie, IN 47306 USA
关键词
Primary caregiver; Children; Cancer; Quality of life; Intervention; CHILDHOOD-CANCER; FAMILY CAREGIVERS; SYMPTOMS; STRESS; IMPACT; SURVIVORS; PARENTS; HEALTH; SCALE;
D O I
10.1016/j.pedn.2016.01.002
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Cancer in children has a great impact on primary caregiver quality of life (QOL). Objective: This study examined the effectiveness of a brief psychosocial intervention (BPI) on QOL of Primary Caregivers of Children with Cancer (PCCCs). Methods: Sixty-five PCCCs participated in a randomized controlled trial in Mahak Hospital and Rehabilitation Complex in Tehran, Iran. A 5-week long BPI (which comprised of counseling sessions and telephone follow-up) was delivered to the intervention group in addition to usual service, while the control group was provided with usual service. Data were collected using the Caregiver Quality of Life Index-Cancer-Persian version (CQOLC-P) prior to intervention, post-intervention, and at follow-up (i.e. 30 days after the intervention). Repeated measures analysis of variance analysis (ANOVA) was used to evaluate outcomes. Results: Majority of the participants were mothers (95%), between ages of 24-47 years (95%) with children between ages of 2-12 years. Most child cancer diagnoses were for brain tumors (n = 31) and blood cancers (n = 17). Significant improvement was found within the intervention group on QOL (p < 0.001) including improvements on subscale measures of mental/emotional burden (p < 0.001), disruption (p < 0.001), and positive adaptation (p < 0.001), compared with the control group over time. There was no difference between the intervention and control groups on the financial subscale measure after intervention (p > 0.05). Conclusion: BPI was an effective strategy to improve the quality of life of PCCCs. Similar interventions can be planned by practitioners to reduce the burden of childhood cancer on PCCCs. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:E262 / E270
页数:9
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