Balakrishnan Banuvidhya, Ethiraj Theranirajan, Rajendran Shankar Shanmugam, Rajendran Aruna, Kasinathan Kannan, Chinnadurai Johnson, Manavalan Anitha
Department of Child Health Nursing, College of Nursing, Madras Medical College, Chennai, The TN Dr MGR Medical University, Chennai, Tamil Nadu, India.
Dean, Madras Medical College, The TN Dr MGR Medical University, Chennai, Tamil Nadu, India.
J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S649-S651. doi: 10.4103/jpbs.jpbs_1624_24. Epub 2025 Feb 3.
Special treatment units in particular, for age groups from birth to 14 years, or up to 18 years in some cases, provide highly advantageous treatments for pediatric cancers. BMT has become important in the treatment of several childhood diseases, such as leukemia and immunodeficiency, but with its own challenges of immune suppression, infection risks, and irregular posttransplant care.
This study investigated the healthcare experiences of mothers and the impact of the empowerment sessions conducted by nurses in the care of children post-BMT.
A mixed-method approach was used with a phenomenological design to be utilized for qualitative analysis on five mothers and a quasi-experimental pre-post design for quantitative analysis on 30 mothers. Data collection was through interviews and pre- and post-intervention assessments on nutrition, infection prevention, and follow-up care.
Support, discomfit, and emotional involvement were among the themes that described the stay at the hospital. Nurse-led classes greatly contributed to improvement in maternal literacy: a marked reduction was observed from inadequate to 0%; moderate improvement from 6% to 60%, whereas adequate from 36 to 40%. The score on PG-SGA shows that 76.66% of the mothers showed severe malnutrition.
Empowerment sessions provided by the nurses greatly empowered the mother emotionally and added to an increase in the mother's literacy skill, much contributing to an improvement in posttransplant management along with enhancing the quality of family life.
特殊治疗单位,尤其是针对从出生到14岁年龄组,某些情况下到18岁的儿童,为小儿癌症提供了非常有利的治疗。骨髓移植在治疗几种儿童疾病,如白血病和免疫缺陷方面变得很重要,但它自身也面临免疫抑制、感染风险和移植后护理不规范等挑战。
本研究调查了母亲们的医疗保健经历以及护士开展的赋权课程对骨髓移植后儿童护理的影响。
采用混合方法,定性分析采用现象学设计,对5位母亲进行分析;定量分析采用准实验前后设计,对30位母亲进行分析。通过访谈以及干预前后对营养、感染预防和后续护理的评估来收集数据。
支持、不适和情感投入是描述住院情况的主题。护士主导的课程对提高母亲的知识水平有很大帮助:观察到从不充分的比例显著下降到0%;中等程度的改善从6%提高到60%,而充分的比例从36%提高到40%。患者主观全面评定量表(PG-SGA)的得分显示,76.66%的母亲存在严重营养不良。
护士提供的赋权课程极大地增强了母亲的情感力量,提高了母亲的知识技能,对移植后管理的改善以及家庭生活质量的提高有很大帮助。