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