소아암 환아 부모의 항암화학요법 및 부작용 관리에 관한 지식·태도·실천에 대한 연구
Knowledge, Attitude and Practice of Pediatric Cancer Patients' Parents on How to Manage Chemotherapy and side Effects
역학 및 보건정보학과
소아암 부모 항암화학요법 부작용;
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Objectives : In pediatric cancer patients, infection and hemorrhage by myelosuppresison in chemotherapy are major causes of death. Thus this study purposed to examine whether the parents of pediatric cancer patients were educated properly through investigating the parents' knowledge and attitude toward chemotherapy and their ability to cope with side effects, and to find out correlations among the knowledge, the attitude and the practice. Methods : The subjects of this study were 165 parents of pediatric cancer patients who had visited an university hospital located in Seoul. The author conducted a questionnaire survey on their general characteristics and their knowledge, attitude and practice on chemotherapy and side effects control. Collected data were analyzed through t-test, one-way ANOVA, multiple regression, Pearson's correlation and partial correlation analysis. Results : The score of the parents' knowledge on chemotherapy and side effects control was 12.98 points out of 15 on the average, and the lowest score was 3 and the highest was 15. Variables that showed significant difference were the age of the patient, diagnosis, the purpose of visiting, the lapse of time since the diagnosis, economic condition, occupation and education. The score of the caregivers' attitude toward chemotherapy and side effects was 4.15 points out of 5 on the average, and the lowest score was 2.93 and the highest was 5.00. Variables that showed significant difference were the order of birth, whether recurring or not, the purpose of visiting and the lapse of time since the diagnosis. The score of the caregivers' practice for chemotherapy and side effects was 4.24 points out of 5 on the average, and the lowest score was 2.93 and the highest was 5.00. A variable that showed significant difference of a boundary level was the parent's gender(P=0.070). According to the result of multiple regression analysis, variables affecting the parents' knowledge level were the lapse of time since the diagnosis, diagnosis, the purpose of visiting, education and economic condition, those affecting the parents' attitude level were knowledge level, the purpose of visiting and the order of birth, and those affecting the parents' practice level were attitude level and the age of the parent. Pearson's correlation analysis showed significant correlations among the parents' knowledge, attitude and practice, but in partial correlation analysis the parents' knowledge was not significantly correlated with their practice. Conclusions : According to the results presented above, the parents' knowledge was high but varied among the parents and around 76% of parents replied that they obtained knowledge from medical staffs' explanation in the hospital. The knowledge level was regarded as low considering that almost all parents of pediatric cancer patients were given education. Thus it is necessary to give differentiated clinical education according to the characteristics of the parent. Correlation analyses and multiple regression analysis showed correlation between knowledge and attitude and between attitude and practice but not between knowledge and attitude. This suggests that, in order to raise the practice level of parents who nurse their diseased child, it is important to help parents to have more positive and active attitude.