Caring for Pediatric Patients with Acute Lymphoblastic Leukemia: Health Care Provider Roles
Article Sidebar
Main Article Content
Abstract
The objective of this study was to describe the provision of care for Acute Lymphoblastic Leukemia (ALL) pediatric patients by health care providers using descriptive qualitative research. The key informants were purposively selected to include 10 health care providers involved in caring for ALL pediatric patients: a physician and 9 nurses. The place of study was one of the tertiary hospitals in the eastern region of Thailand. Data were collected using participant behavioral observations and in-depth interviews. Data were analyzed using content analysis. The results of this study showed that the care of ALL pediatric patients in the context of one of the tertiary hospitals in the Eastern region of Thailand by health care provider was divided according to the stage of illness and the treatment period, which had four characteristics: 1) preparation for treatment by diagnosing, providing information about the treatment, assessing the ability of the child and the caregiver and preparing the child before giving medicine; 2) symptomatic therapy by reducing the risks of medication, managing complications, and monitoring treatment results, providing information for self-care during treatment, and helping with problems; 3) care according to the variations in health status consists of resolving complications and continuing treatment; 4) care according to treatment outcomes included clarification of options, treatment according to family’s discretion, palliative care, promotion of family life and follow up visitation. The results of this study provide information which can be used to guide health personnel to provide appropriate and effective care for pediatric patients with ALL.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
World Health Organization. World health statistics 2015[internet].2015 [cited 2016 December 13].
Available from: http://www.who.int/gho/publications/world_health_statistics/2015/en
Imsamran W, Chaiwarawattana A, Wiangnon S, Pongnikorn D. Cancer in Thailand: Volume VIII, 2010-
Bangkok: National Cancer Institute, Thailand;2015.
The Thai Society of Hematology. National protocol for the treatment of childhood cancers 2018. 1sted.
Nonthaburi: Sahamitr printing & publishing company limited;2018.
Tharnprisan P. Rate of relapsed free among childhood acute lymphobastic leukemia treated with Thai
national protocol in Srinagarind Hospital [Master thesis]. Khon Kaen: Khon Kean University.2012.(in Thai)
The American Cancer Society medical and editorial content team. Key Statistics for childhood cancers
[Internet]. Atlanta: American Cancer Society.2021 [cited 2021 Feb 1]. Available from: https://www.
cancer.org/cancer/cancer-in-children/key-statistics.html #references.
Vetcho S, Hongchayangkool K, Orapiriyakul R, Wongchanchailert M. Impact of an oral care programme
on oral mucositis in cancer schoolchildren being treated with chemotherapy. Thai Journal of Nursing
Council 2014;29(2):61-71.(in Thai)
Yooyen P, Sanasuttipun W, Srichantaranit A. The effects of a teaching program on knowledge and behavior
of caregivers to prevent infection in preschool-aged children with leukemia. Nursing Science Journal of
Thailand 2019;37(4):79-92.(in Thai)
Sahler OJZ, Dolgin MJ, Phipps S, Fairclough DL, Askins MA, Katz ER, et al. Specificity of problem-solving
skills training in mothers of children newly diagnosed with cancer: Results of a multisite randomized
clinical trial. Journal of Clinical Oncology 2013;31(10):1329–1335.
Medication Records and Statistic Units, Chonburi Hospital. Statistic of children with cancer in Department
of Pediatric. Chonburi: Medication Record and Statistic Units, Chonburi Hospital, Thailand;2016.(in Thai)
Plodpluang, A. Data analysis in phenomenology studies. Nursing Journal of the Ministry of Public Health
;23(2):1-10.
Lincoln SY, Guba EG. Naturalistic inquiry. Newbury Park: Sage Publications;1985.
Saengthong W, Hownarn C, Maneesri R. The effects of a preparation program on self-care behaviors of
school-aged Children with Acute Leukemia under chemotherapy During the initial stage of treatment.
The Southern College Network Journal of Nursing and Public Health 2020;7(1):158-168.(in Thai)
Charoensatsiri R, Saritphisarn L, Nitirat O. A development of a self-management support model to care pediatric acute lymphoblastic leukemia patients with chemotherapy at Prapokklao Hospital. Hua Hin Sook
Jai Klai Kangwon Journal 2020;5(3):1-13.(in Thai)
Rood JA, Eeltink CM, van Zuuren FJ, Verdonck-de Leeuw IM, Huijgens PC. Perceived need for information
of patients with haematological malignancies: a literature review. Journal of clinical nursing 2015;24:353-69.
Ponkaew W, Thasanoh Elter P, Suwanwaiphatthana W, Khumsaen N. Social support for family of children
with cancer in the information society. Journal of Health Science Bromarajonani College of Nursing Sunpasitthiprasong 2020;4(3):21-34.(in Thai)
Namkhum S, Tangvoraponkchai J. The effect of a preparation program on self–care behaviors in school
age children with leukemia during the relapse stage. Journal of Nursing Science and Health 2014;37(3):2-8.
(in Thai)
Thamanee G, Patoomwan A, Phengjard J. Palliative care needs of children with cancer and their families
as perceived by family caregivers.