Évaluation d’un programme d’éducation à l’intention des soignants des personnes diagnostiquées d’un gliome malin

Rosemary Cashman, Lori J. Bernstein, Denise Bilodeau, Geoff Bovett, Barbara Jackson, Masoud Yousefi, Anca Prica, James Perry

Abstract


Contexte : S’occuper d’un être cher atteint d’un gliome malin peut être une énorme responsabilité. Le pronostic réservé, les effets secondaires des traitements et les changements dans le fonctionnement cérébral, la personnalité et le comportement constituent des défis de taille dans la prestation de soins par des membres de la famille. Les établissements de santé offrant des programmes d’éducation à l’intention des soignants naturels de personnes atteintes d’un gliome malin sont rares.

Objectif : Évaluer l’incidence d’un programme d’éducation offert aux soignants naturels de patients diagnostiqués d’un gliome malin. 

Méthodes : Nous avons mis au point un programme d’éducation structuré à l’intention des soignants naturels de patients atteints d’une tumeur cérébrale. Le programme était basé sur les opinions de spécialistes des domaines concernés et sur les commentaires de soignants naturels. Vingt-quatre soignants naturels ont participé au programme. Nous avons évalué leur niveau de connaissances à trois reprises : avant le programme, immédiatement après et de quatre à six semaines plus tard. Nous avons utilisé des questions ouvertes pour explorer les expériences des soignants naturels ainsi que d’autres avantages découlant du programme.

Résultats : Les scores d’évaluation des connaissances affichaient une hausse statistiquement significative immédiatement après le programme (2e test) et de quatre à six semaines plus tard (3e test) par comparaison avec les scores de référence (1er test), avec un certain recul entre le 2e et le 3e test. Ces résultats démontrent l’existence d’un transfert efficace de connaissances (rappel de l’information) immédiatement après le programme d’éducation et de quatre à six semaines plus tard. Des données qualitatives et quantitatives particulières servent de base pour comprendre les besoins et les expériences des soignants.


Full Text:

PDF

References


Adams, M. (1991). Information and education across the phases of

cancer care. Seminars in Oncology Nursing, 7(2), 105-11.

Archbold, P.G., Stewart, B.J., Greenlick, M.R., & Harvath, T. (1990).

Mutuality and preparedness as predictors of caregiver role strain.

Research in Nursing and Health, 13(6), 375-384.

Barg, F.K., Pasacreta, J.V., Nuamah, I., Robinson, K.D., Angeletti, K.,

Yasko, J., et al. (1998). A description of a psychoeducational

intervention for the family caregivers of patients with cancer.

Journal of Family Nursing, 4, 394-413.

Blanchard, C.G., Ruckdeschel, J.C., & Albrecht, T.L. (1997). The

crisis of cancer: Psychological impact on family caregivers.

Oncology, 11(2), 189-94.

Borneman, T., Chu, D.Z.J., Wagman, L., Ferrell, B., Juarez, G.,

McCahill, L.E., et al. (2003). Concerns of family caregivers of

patients with cancer facing palliative surgery for advanced

malignancies. Oncology Nursing Forum, 30(6), 997-1005.

Deorah, S., Lynch, C.F., Sibenaller, Z.A., & Ryken, T.C. (2006).

Trends in brain cancer incidence and survival in the United States:

Surveillance, epidemiology, and end results program, 1973 to

Neurosurg Focus, 20(4) E3.

Chapman, K., & Pepler, C. (1998). Coping, hope and anticipatory grief

in family members in palliative care. Cancer Nursing, 21, 226-34.

Edwards, B., & Clarke, V. (2004). The psychological impact of a

cancer diagnosis on families: The influence of family functioning

and patients’ illness characteristics on depression and anxiety.

Psycho-oncology 13, 562-76.

Germino, B.B., Fife, B.L., & Funk, S.G. (1995). Cancer and the

partner relationship: What is its meaning? Seminars in Oncology

Nursing, 11, 43-50.

Given, B., Wyatt, G., Given, C., Gift, A., Sherwood, P., DeVoss, D., et

al. (2005). Burden and depression among caregivers of patients with

cancer at the end-of-life. Oncology Nursing Forum, 31(6), 1105-17.

Gotay, C.C. (1984). The experience of cancer during early and

advanced stages: The views of patients and their mates. Social

Science and Medicine, 18, 605-613.

Haley, W.E., Levine, E.G., Brown, S.L., & Bartolucci, A.A. (1987).

Stress, appraisal, coping, and social support as predictors of

adaptational outcome among dementia caregivers. Psychology

and Aging, 2(4), 323-330.

Heim, E., Valach, L., & Schaffner, L. (1997). Coping and

psychosocial adjustment: Longitudinal effects over time and

stages in breast cancer. Psychosomatic Medicine, 59, 408-18.

Hudson, P.L., Aranda, S., & Hayman-White, K. (2005). A psychoeducational

intervention for family caregivers receiving palliative

care: A randomized controlled trial. Journal of Pain and

Symptom Management, 30(4), 329-41.

Keefe, F.J., Ahles, T.A., Porter, L.S., Sutton, L.M., McBride, C.M., Pope,

M.S., et al. (2002). The self-efficacy of family caregivers for helping

cancer patients manage pain at end-of-life. Pain 103(1-2),157-62.

Keir, S.T., Guill, A.B., Carter, K.E., Booles, L.C., Gonzales, L., &

Friedman, H.S. (2006). Differential levels of stress in caregivers of

brain tumor patients – Observations from a pilot study. Support

Care Cancer [Epub ahead of print].

Laizner, A., Yost, K.M.S., Barg, F.K., & McCorkle, R. (1993). Needs

of family caregivers of persons with cancer: A review. Seminars

in Oncology Nursing, 9(2), 114-20.

Matthews, B.A. (2003). Role and gender differences in cancer-related

distress: A comparison of survivor and caregiver self-reports.

Oncology Nursing Forum, 30, 493-99.

Northouse, L.L. (1994). Breast cancer in younger women: Effects on

interpersonal and family relations. Journal of the National

Cancer Institute Monographs, 16, 183-90.

Northouse, L.L., Mood, D., Kershaw, T., Schafenencker, A., Mellon,

S., Walker, J., et al. (2002). Quality of life of women with recurrent

breast cancer and their family members. Journal of Clinical

Oncology, 20, 4050-64.

Northouse, L.L., & Peters-Golden, H. (1993). Cancer and the family:

Strategies to assist spouses. Seminars in Oncology Nursing, 9(2),

-82.

Oberst, M., & James, R. (1985). Going home: Patient and spouse

adjustment following cancer surgery. Topics in Clinical Nursing,

, 46-57.

Pasacreta, J.V., Barg, F., Nuamah, I., & McCorkle, R. (2000). Participant

characteristics before and four months after attendance at a family

caregiver cancer education program. Cancer Nursing, 23(4), 295-303.

Scherbring, M. (2002). Effect of caregiver perception of preparedness

on burden in an oncology population. Oncology Nursing Forum,

(6), 70-76.

Schumacher, K.L., Dodd, M.J., & Paul, S.M. (1995). The stress

process in family caregivers of persons receiving chemotherapy.

Research in Nursing and Health, 16, 395-404.

Schulz, R., & Beach, S.R. (1999). Caregiving as a risk factor for

mortality: The Caregiver Health Effects Study. JAMA, 282, 2215-19.

Schut, H.A., Stroebe, M.S., van den Bout, J., & de Keijser, J. (1997).

Intervention for the bereaved: Gender differences in the efficacy of

two counselling programmes. British Journal of Clinical

Psychology, 36(Pt 1), 63-72.

Sherwood, P.R., Given, B.A., Doorenbos, A.Z., & Given, C.W.

(2004). Forgotten voices: Lessons from the bereaved caregivers of

persons with a brain tumour. International Journal of Palliative

Nursing, 10(2) 67-74.

Sherwood, P.R., Given, B.A., Given, C.W., Schiffman, R.F., Murman,

D.L., Lovely, M., et al. (2006). Predictors of distress in caregivers

of a primary malignant brain tumor. Research in Nursing and

Health, 29, 105-20.

Strang, S., Strang, P., & Ternestedt, B. (2001). Existential support in brain

tumour patients and their spouses. Support Care Cancer, 9, 625-33.

Stupp, R., Mason, W.P., van den Bent, M.J., Weller, M., Fisher, B.,

Taphoorn, M.J.B., et al.; European Organisation for Research and

Treatment of Cancer Brain Tumor and Radiotherapy Groups;

National Cancer Institute of Canada Clinical Trials Group. (2005).

Radiotherapy plus concomitant and adjuvant temozolomide for

glioblastoma. New England Journal of Medicine, 352, 987-96.

Toseland, R.W., Blanchard, C.G., & McCallion, P. (1995). A problemsolving

intervention for caregivers of cancer patients. Social

Science & Medicine, 40, 517-28.

Villejo, L., & Meyers, C. (1991). Brain function, learning styles, and

cancer patient education. Seminars in Oncology Nursing, 7(2),

-104.

Wallhagen, M.I. (1992). Perceived control and adaptation in elder

caregivers: Development of an explanatory model. International

Journal of Aging and Human Development, 36, 219-37.

Wong, R.K.S., Franssen, E., Szumacher, E., Connolly, R., Evans, M.,

Page, B. (2002). What do patients living with advanced cancer and

their carers want to know? – A needs assessment. Supportive

Care in Cancer, 10, 408-15.


Refbacks

  • There are currently no refbacks.