The Impact of Interventions Based on Mishel’s Uncertainty in Illness Theory on Caregivers of Children Diagnosed with Cancer: Randomized Controlled Trial
Öz
Aim: To investigate the effects of nursing interventions based on Mishel’s Uncertainty in Illness Theory (MUIT) on uncertainty, hopelessness, coping and adaptation for care givers of children diagnosed with cancer.
Materials and Methods: The study was randomized controlled experimental design study, which had repeated measures (pretest-posttest-follow up) and parallel group (intervention-control), it included measures of uncertainty (PPUS), hopelessness (BHS), coping and adaptation (CAPS). The study was conducted in January-July 2019 with the caregivers of 46 children diagnosed with cancer who followed in paediatric oncology-haematology clinics. Intervention Group (IG) was given 6 modules education and consultancy according to protocol that was developed based on theory. The CONSORT guideline was performed in the study.
Results: PPUS post-test mean score of IG was lower than CG (p<0.05), and perceptions of uncertainty decreased significantly over time depending on the caregivers being in the IG and CG (p<0.05). It was determined that BHS post-test and follow-up mean scores of IG was lower (less hopelessness perception) than the CG (p<0.05). CAPS’ post-test and the follow-up mean scores were similar in IG and CG. Also, Group*time effect on hopelessness, coping and adaptation perception was statistically similar, too.
Conclusion: Nursing interventions based on MUIT can positively support caregivers' uncertainty, hopelessness and coping adaptations.
Anahtar Kelimeler
Cancer, Caregiver, Child, Mishel’s Uncertainty in Illness Theory, Nursing intervention
Destekleyen Kurum
Faculty Member Training Program (OYP) at Selçuk University
Proje Numarası
Project number: 2015-ÖYP-018
Teşekkür
This study would not have been possible without the support from the Pediatric Oncology and Hematology Clinics and outpatient clinics of hospitals, and caregivers of children diagnosed with cancer in the chosen hospitals. We particularly thank the participants.
Kaynakça
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