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:: Volume 28, Issue 3 (Scientific Journal of Kurdistan University of Medical Sciences 2023) ::
SJKU 2023, 28(3): 87-100 Back to browse issues page
The Effect of Educational Support Program on the Amount of Caregiver Burden on the Parents of Children with Cancer Admitted to the Oncology Ward of Besat Hospital in Sanandaj, 2021
Fazel Dehvan1 , Parvin Naderi2 , Jamal Seidi 3
1- Instructor of Nursing, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Associate Professor, Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran , jamal.seidi@yahoo.com
Abstract:   (742 Views)
Background and Aim: Caring for children with cancer can impose a heavy care burden on their parents. The aim of this study was to determine the effect of educational support program on the care burden of the parents of children with cancer admitted to the oncology department of Besat Hospital in Sanandaj in 2021.
Materials and Methods:This semi-experimental study was conducted in the oncology department of Besat Hospital in Sanandaj in 2021. 31 participants were randomly selected. Data were collected using Zarit care burden questionnaire before, immediately after and one month after the intervention. After the educational needs assessment, based on the educational needs of the caregivers, training courses were held for the parents. Then, in a period of one month, parents' communication with the researcher, parents' education and meeting their needs were supported. Using SPSS­ version 24 software, data were analyzed by descriptive and inferential statistics.
Results: A decrease of 12.29 ± 9.33 units in the total care burden score before the intervention compared to that immediately after the intervention and a decrease of 6.54 ± 5.012 units in the total care burden score immediately after the intervention compared to that one month after were observed which were significant. Therefore, the burden of care decreased significantly after the intervention (P=0.001).
Conclusion: The results of this study showed that use of educational support program could reduce the care burden of caregivers.
Keywords: Educational support program, Care burden, Parents, Children, Cancer
Full-Text [PDF 876 kb]   (227 Downloads)    
Type of Study: Applicable | Subject: Nursing
Received: 2021/08/11 | Accepted: 2022/04/28 | Published: 2023/07/31
References
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2. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49. [DOI:10.3322/caac.21660] [PMID]
3. Miller KD, Fidler-Benaoudia M, Keegan TH, Hipp HS, Jemal A, Siegel RL. Cancer statistics for adolescents and young adults, 2020. CA Cancer J Clin. 2020;70(6):443-59. [DOI:10.3322/caac.21637] [PMID]
4. Parkin DM, Stefan C. Editorial: Childhood Cancer in sub-Saharan Africa. Ecancermedicalscience. 2017;11:ed69-ed75. [DOI:10.3332/ecancer.2017.ed69] [PMID] []
5. Khazaeli K, Khazaeli Z, Jalili N, Gharebaghy S. Effect of Maternal Depression on the Participation of Children With Leukemia in Life Activities. Arch Rehabil. 2021; 22(2):182-95. [DOI:10.32598/RJ.22.2.3240.1]
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10. Aliakbarian M, Karimi Monaghi H, Emadzade A, Behnam Vashani H. The effect of group training on burden of caregivers of children with cancer. MJMS. 2019; 62(5):1692-99. [In Persian]
11. Rezaei H, Niksima SH, R GG. Burden of Care in Caregivers of Iranian patients with chronic disorders: a systematic review and meta-analysis. Health Qual Life Outcomes. 2020; 18(1):261-69. [DOI:10.1186/s12955-020-01503-z] [PMID] []
12. Ahmadi M, Rassouli M, Karami M, Abasszadeh A, Poormansouri S. Care burden and its Related Factors in Parents of Children with Cancer. IJN. 2018; 31(111): 40-51 [DOI:10.29252/ijn.31.111.40]
13. Yildiz E, Karakaş S, Güngörmüş Z, Cengiz M. Levels of Care Burden and Self-efficacy for Informal Caregiver of Patients With Cancer. Holist Nurs Pract. 2017; 31(1):7-15. [DOI:10.1097/HNP.0000000000000185] [PMID]
14. Wang J, Howell D, Shen N, Geng Z, Wu F, Shen M, et al. mHealth Supportive Care Intervention for Parents of Children With Acute Lymphoblastic Leukemia: Quasi-Experimental Pre- and Postdesign Study. JMIR mHealth and uHealth. 2018; 6(11): e195-e202. [DOI:10.2196/mhealth.9981] [PMID] []
15. Haugen M, Zupanec S, Landier W. Improving Care Through Patient and Family Education in Pediatric Oncology. Part of the Pediatric Oncology book series In: Hinds, P., Linder, L. (eds) Pediatric Oncology Nursing. Pediatric Oncology. Springer, Cham. 2020: 95-106. [DOI:10.1007/978-3-030-25804-7_6]
16. Tenniglo LJA, Loeffen EAH, Kremer LCM, Font-Gonzalez A, Mulder RL, Postma A. Patients' and parents' views regarding supportive care in childhood cancer. Supportive care in cancer : MASCC. 2017; 25(10):3151-60. [DOI:10.1007/s00520-017-3723-7] [PMID] []
17. Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW. Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin. 2010; 60(5):317-39. [DOI:10.3322/caac.20081] [PMID] []
18. Setiawan A, Keliat B, Rustina Y, Prasetyo S. The Effectiveness of Educative, Supportive, and Administrative Cycle (ESA-C) Clinical Supervision Model in Improving the Performance of Public Hospital Nurses. KnE Life Sciences. 2019;4(15): 41-56. [DOI:10.18502/kls.v4i15.5734]
19. khorami markani A, saheli S, sakhaei SH, khalkhali H. Assessment the effect of family centered care educational programon home care knowedege among care givers of patients with chronic renal failure under hemodialysis. Nursing and Midwifery Journal. 2015;13(5): 386-94. [In Persian]
20. Ghane G, Ashghali Farahani M, Seyedfatemi N, Haghani H. Effectiveness of supportive educative program on the burden in family caregivers of hemodialysis patients. Nursing and Midwifery Journal. 2017; 14(10): 885-95. [In Persian]
21. Hu X, Dolansky, MA, Su Y, Hu X, Qu M, et al. Effect of a multidisciplinary supportive program for family caregivers of patients with heart failure on caregiver burden, quality of life, and depression: A randomized controlled study. Int J Nurs Stud. 2016; 62(11):11-21. [DOI:10.1016/j.ijnurstu.2016.07.006] [PMID]
22. Silbermann M, Pitsillides B, Al-Alfi N, Omran S, Al-Jabri K, Elshamy K, et al. Multidisciplinary care team for cancer patients and its implementation in several Middle Eastern countries. Ann Oncol. 2013; 24 (7) : vii41-7. [DOI:10.1093/annonc/mdt265] [PMID] []
23. Wiener L, Kazak AE, Noll RB, Patenaude AF, Kupst MJ. Standards for the Psychosocial Care of Children With Cancer and Their Families: An Introduction to the Special Issue. Pediatr Blood Cancer. 2015; 62 (S5): S419-24. [DOI:10.1002/pbc.25675] [PMID] []
24. Li P, Guo Y, Tang Q, Yang L. Effectiveness of nursing intervention for increasing hope in patients with cancer: a meta-analysis. Rev Latino-Am Enfermagem. 2018; 26: e2937. Available from: scielo.br/ doi: [DOI:10.1590/1518-8345.1920.2937]
26. Navidian A, Pahlavanzadeh S, Yazdani M. The Effectiveness of Family Training on Family Caregivers of Inpatients with Mental Disorders. IJPCP. 2010;16(2): 99-106. [In Persian]
27. Abbasi A, Shamsizadeh M, Asayesh H, Rahmani H, Hoseini SA, Talebi M. The relationship between caregiver burden with coping strategies in Family caregivers of cancer patients. J. Nurs. Educ. 2013;1(3):62-71.
28. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist. 1980; 20(6): 649-55. [DOI:10.1093/geront/20.6.649] [PMID]
29. Sotoudeh R, Pahlavanzadeh S, Alavi M. The Effect of a Family-Based Training Program on the Care Burden of Family Caregivers of Patients Undergoing Hemodialysis. Iran J Nurs Midwifery Res. 2019; 24(2):144-50. [DOI:10.4103/ijnmr.IJNMR_93_18] [PMID] []
30. Khalifezadeh A, Gheisarian Z, Bigdelian H. The Effect of Care program on Care giving Burden of Mothers of Children undergoing Congenital Heart Disease Surgery. Iran J Pediatr. 2018; 4(3): 41-6. [In Persian]
31. Rahgoi A, Sojoodi T, Fallahi Khoshknab M, Rahgozar M, Shahshahani S. Effects of empowerment program on the burden of care in mothers of children with phenylketonuria. Iran J Child Neurol. 2019;13(2): 53-60.
32. Salehi Nejad S, Azami M, Motamedi F, Bahaadinbeigy K, Sedighi B, Shahesmaili A. The Effect of Web-based Information Intervention in Caregiving Burden in Caregivers of Patients with Dementia. J Biomed Health Inform. 2017; 4(3):181-91.
33. Cotelo NV, Rodriguez NF, Perez JA, Iglesias JC, Lago MR. Burden and associated pathologies in family caregivers of Alzheimer's disease patients in Spain. Pharm Pract. 2015;13(2):521-28. [DOI:10.18549/PharmPract.2015.02.521] [PMID] []
34. Heidari M, Etemadi far S, Masoudi R, Kheyri S, Jivad N. The effect of family-centered care on the family caregivers' burden of patients with epilepsy. J Clin Nurs Midwifery. 2018;7(2):146-57. [In Persian]
35. Gabriel IO, Mayers PM. Effects of a psychosocial intervention on the quality of life of primary caregivers of women with breast cancer. Eur J Oncol Nurs. 2019;38: 85-91. [DOI:10.1016/j.ejon.2018.12.003] [PMID]
36. Dastyar N, Mashayekhi F, Rafati F. Caregiving burden in hemodialysis patients' caregivers in Kerman Province: A descriptive-analytical study. JJUMS. 2020;7(1):323-31. [In Persian]
37. Mollaei F, Borhani F, Abbaszadeh A, Khabazkhoob M. Correlation between spiritual well-being and burden of care in family caregivers of cancer patients. Hayat. 2019; 24(4): 296-309. [In Persian]
38. Lam CG, Howard SC, Bouffet E, Pritchard-Jones K. Science and health for all children with cancer. Science (New York, NY). 2019; 363(6432):1182-6. [DOI:10.1126/science.aaw4892] [PMID]
39. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-49. [DOI:10.3322/caac.21660] [PMID]
40. Miller KD, Fidler-Benaoudia M, Keegan TH, Hipp HS, Jemal A, Siegel RL. Cancer statistics for adolescents and young adults, 2020. CA Cancer J Clin. 2020;70(6):443-59. [DOI:10.3322/caac.21637] [PMID]
41. Parkin DM, Stefan C. Editorial: Childhood Cancer in sub-Saharan Africa. Ecancermedicalscience. 2017;11:ed69-ed75. [DOI:10.3332/ecancer.2017.ed69] [PMID] []
42. Khazaeli K, Khazaeli Z, Jalili N, Gharebaghy S. Effect of Maternal Depression on the Participation of Children With Leukemia in Life Activities. Arch Rehabil. 2021; 22(2):182-95. [DOI:10.32598/RJ.22.2.3240.1]
43. Mousavi S, Pourfeizi A, Dastgiri S. Childhood cancer in Iran. J Pediatr Hematol Oncol. 2010; 32(5):376-82. [DOI:10.1097/MPH.0b013e3181e003f7] [PMID]
44. Woźniak K, Iżycki D. Cancer: a family at risk. Prz Menopauzalny. 2014;13(4):253-61. [DOI:10.5114/pm.2014.45002] [PMID] []
45. Nikfarid L, Rassouli M, Borimnejad L, Alavimajd H. Chronic Sorrow in Mothers of Children With Cancer. Journal of pediatric oncology nursing. 2015;32(5):314-19. [DOI:10.1177/1043454214563407] [PMID]
46. Valizadeh L, Joonbakhsh F, Pashaee S. Determinants of care giving burden in parents of child with cancer at Tabriz children medical and training center. J Clin Nurs Midwifery. 2014;3(2):13-20. [In Persian]
47. Aliakbarian M, Karimi Monaghi H, Emadzade A, Behnam Vashani H. The effect of group training on burden of caregivers of children with cancer. MJMS. 2019; 62(5):1692-99. [In Persian]
48. Rezaei H, Niksima SH, R GG. Burden of Care in Caregivers of Iranian patients with chronic disorders: a systematic review and meta-analysis. Health Qual Life Outcomes. 2020; 18(1):261-69. [DOI:10.1186/s12955-020-01503-z] [PMID] []
49. Ahmadi M, Rassouli M, Karami M, Abasszadeh A, Poormansouri S. Care burden and its Related Factors in Parents of Children with Cancer. IJN. 2018; 31(111): 40-51 [DOI:10.29252/ijn.31.111.40]
50. Yildiz E, Karakaş S, Güngörmüş Z, Cengiz M. Levels of Care Burden and Self-efficacy for Informal Caregiver of Patients With Cancer. Holist Nurs Pract. 2017; 31(1):7-15. [DOI:10.1097/HNP.0000000000000185] [PMID]
51. Wang J, Howell D, Shen N, Geng Z, Wu F, Shen M, et al. mHealth Supportive Care Intervention for Parents of Children With Acute Lymphoblastic Leukemia: Quasi-Experimental Pre- and Postdesign Study. JMIR mHealth and uHealth. 2018; 6(11): e195-e202. [DOI:10.2196/mhealth.9981] [PMID] []
52. Haugen M, Zupanec S, Landier W. Improving Care Through Patient and Family Education in Pediatric Oncology. Part of the Pediatric Oncology book series In: Hinds, P., Linder, L. (eds) Pediatric Oncology Nursing. Pediatric Oncology. Springer, Cham. 2020: 95-106. [DOI:10.1007/978-3-030-25804-7_6]
53. Tenniglo LJA, Loeffen EAH, Kremer LCM, Font-Gonzalez A, Mulder RL, Postma A. Patients' and parents' views regarding supportive care in childhood cancer. Supportive care in cancer : MASCC. 2017; 25(10):3151-60. [DOI:10.1007/s00520-017-3723-7] [PMID] []
54. Northouse LL, Katapodi MC, Song L, Zhang L, Mood DW. Interventions with family caregivers of cancer patients: meta-analysis of randomized trials. CA Cancer J Clin. 2010; 60(5):317-39. [DOI:10.3322/caac.20081] [PMID] []
55. Setiawan A, Keliat B, Rustina Y, Prasetyo S. The Effectiveness of Educative, Supportive, and Administrative Cycle (ESA-C) Clinical Supervision Model in Improving the Performance of Public Hospital Nurses. KnE Life Sciences. 2019;4(15): 41-56. [DOI:10.18502/kls.v4i15.5734]
56. khorami markani A, saheli S, sakhaei SH, khalkhali H. Assessment the effect of family centered care educational programon home care knowedege among care givers of patients with chronic renal failure under hemodialysis. Nursing and Midwifery Journal. 2015;13(5): 386-94. [In Persian]
57. Ghane G, Ashghali Farahani M, Seyedfatemi N, Haghani H. Effectiveness of supportive educative program on the burden in family caregivers of hemodialysis patients. Nursing and Midwifery Journal. 2017; 14(10): 885-95. [In Persian]
58. Hu X, Dolansky, MA, Su Y, Hu X, Qu M, et al. Effect of a multidisciplinary supportive program for family caregivers of patients with heart failure on caregiver burden, quality of life, and depression: A randomized controlled study. Int J Nurs Stud. 2016; 62(11):11-21. [DOI:10.1016/j.ijnurstu.2016.07.006] [PMID]
59. Silbermann M, Pitsillides B, Al-Alfi N, Omran S, Al-Jabri K, Elshamy K, et al. Multidisciplinary care team for cancer patients and its implementation in several Middle Eastern countries. Ann Oncol. 2013; 24 (7) : vii41-7. [DOI:10.1093/annonc/mdt265] [PMID] []
60. Wiener L, Kazak AE, Noll RB, Patenaude AF, Kupst MJ. Standards for the Psychosocial Care of Children With Cancer and Their Families: An Introduction to the Special Issue. Pediatr Blood Cancer. 2015; 62 (S5): S419-24. [DOI:10.1002/pbc.25675] [PMID] []
61. Li P, Guo Y, Tang Q, Yang L. Effectiveness of nursing intervention for increasing hope in patients with cancer: a meta-analysis. Rev Latino-Am Enfermagem. 2018; 26: e2937. Available from: scielo.br/ doi: https://doi.org/10.1590/1518-8345.1920.2937 [DOI:10.1590/1518-8345.1920.2937.]
62. Navidian A, Pahlavanzadeh S, Yazdani M. The Effectiveness of Family Training on Family Caregivers of Inpatients with Mental Disorders. IJPCP. 2010;16(2): 99-106. [In Persian]
63. Abbasi A, Shamsizadeh M, Asayesh H, Rahmani H, Hoseini SA, Talebi M. The relationship between caregiver burden with coping strategies in Family caregivers of cancer patients. J. Nurs. Educ. 2013;1(3):62-71.
64. Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist. 1980; 20(6): 649-55. [DOI:10.1093/geront/20.6.649] [PMID]
65. Sotoudeh R, Pahlavanzadeh S, Alavi M. The Effect of a Family-Based Training Program on the Care Burden of Family Caregivers of Patients Undergoing Hemodialysis. Iran J Nurs Midwifery Res. 2019; 24(2):144-50. [DOI:10.4103/ijnmr.IJNMR_93_18] [PMID] []
66. Khalifezadeh A, Gheisarian Z, Bigdelian H. The Effect of Care program on Care giving Burden of Mothers of Children undergoing Congenital Heart Disease Surgery. Iran J Pediatr. 2018; 4(3): 41-6. [In Persian]
67. Rahgoi A, Sojoodi T, Fallahi Khoshknab M, Rahgozar M, Shahshahani S. Effects of empowerment program on the burden of care in mothers of children with phenylketonuria. Iran J Child Neurol. 2019;13(2): 53-60.
68. Salehi Nejad S, Azami M, Motamedi F, Bahaadinbeigy K, Sedighi B, Shahesmaili A. The Effect of Web-based Information Intervention in Caregiving Burden in Caregivers of Patients with Dementia. J Biomed Health Inform. 2017; 4(3):181-91.
69. Cotelo NV, Rodriguez NF, Perez JA, Iglesias JC, Lago MR. Burden and associated pathologies in family caregivers of Alzheimer's disease patients in Spain. Pharm Pract. 2015;13(2):521-28. [DOI:10.18549/PharmPract.2015.02.521] [PMID] []
70. Heidari M, Etemadi far S, Masoudi R, Kheyri S, Jivad N. The effect of family-centered care on the family caregivers' burden of patients with epilepsy. J Clin Nurs Midwifery. 2018;7(2):146-57. [In Persian]
71. Gabriel IO, Mayers PM. Effects of a psychosocial intervention on the quality of life of primary caregivers of women with breast cancer. Eur J Oncol Nurs. 2019;38: 85-91. [DOI:10.1016/j.ejon.2018.12.003] [PMID]
72. Dastyar N, Mashayekhi F, Rafati F. Caregiving burden in hemodialysis patients' caregivers in Kerman Province: A descriptive-analytical study. JJUMS. 2020;7(1):323-31. [In Persian]
73. Mollaei F, Borhani F, Abbaszadeh A, Khabazkhoob M. Correlation between spiritual well-being and burden of care in family caregivers of cancer patients. Hayat. 2019; 24(4): 296-309. [In Persian]
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dehvan F, naderi P, seidi J. The Effect of Educational Support Program on the Amount of Caregiver Burden on the Parents of Children with Cancer Admitted to the Oncology Ward of Besat Hospital in Sanandaj, 2021. SJKU 2023; 28 (3) :87-100
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Volume 28, Issue 3 (Scientific Journal of Kurdistan University of Medical Sciences 2023) Back to browse issues page
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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