Effectiveness of a Nursing Intervention to Modify Self-Efficacy and Burden in Hemato-Oncology Patients’ Caregivers

Authors

DOI:

https://doi.org/10.15649/cuidarte.867

Keywords:

Self-efficacy, Nursing Care, Burnout, Caregivers, Cancer

Abstract

Introduction: Hemato-oncology patients will require caregivers to help them in the control of physical symptoms, prescribed therapies, emotional support, among others. Caregivers must prepare themselves, increase their confidence and motivation through self-efficacy in their role since if they feel competent to care, they will be better able to develop accordingly their role, decreasing the chances of being burdened. Materials and Methods: A quantitative quasi-experimental study was conducted with two groups, pre-test and post-test. The objective was to establish the effectiveness of a nursing intervention, when compared to the standard intervention, in modifying self-efficacy and burden in the role of hemato-oncology patients’ caregivers. The General Self-Efficacy Scale and the Zarit Scale were used for the measurement. Results: The intervention is effective in modifying caregivers’ self-efficacy, which can be observed in the comparison between the control group and experimental group, going from 25.8 to 29.8 (p=0.00) in the self-efficacy scale after the intervention, as well as going from 25.5 to 26.3 (p=0.00) in the experimental group. No significant differences were observed concerning the burden of the role of hemato-oncology patients’ caregivers after the intervention. Discussion: An effective intervention from Resnick's nursing theory is provided for practice. Further studies are required to test the effectiveness of the intervention in other settings. Conclusions: Motivational nursing education interventions are relevant in practice and research to modify self-efficacy in hemato-oncology patients’ caregivers.

How to cite this article: Penagos Castro Rodmar Vanessa, Vargas-Escobar Lina María. Efectividad de una intervención de enfermería para modificar la autoeficacia y la sobrecarga del cuidador del paciente hemato- oncológico. Revista Cuidarte. 2020; 11(2): e867. http://dx.doi.org/10.15649/cuidarte.867

References

International Agency for research on cancer. Global Cancer Observatory. world health organization. 2018. Recuperado a partir de: https://gco.iarc.fr/

Etienne CF. Cómo detener la epidemia del tabaquismo en la Región de las Américas. 2016;40(4):1-2.

Senden C, Vandecasteele T, Vandenberghe E, Versluys K, Piers R, Grypdonck M, et al. The interaction between lived experiences of older patients and their family caregivers confronted with a cancer diagnosis and treatment: A qualitative study. Int J Nurs Stud. Elsevier Ltd; 2015;52(1):197-206. http://dx.doi.org/10.1016/j.ijnurstu.2014.07.012

Barrera OL, Pinto AN, Sachez HB, Carrillo GM. Cuidando a los cuidadores. Vol. 1, Statewide Agricultural Land Use Baseline 2010.Bogotá: Universidad Nacional de Colombia; 2010. 360 p.

Karabulutlu EY. Coping of family caregivers of cancer patients in Turkey. Eur J Oncol Nurs. 2010;14(1):S42. https://doi.org/10.1016/S1462-3889(10)70127-7

Flores GE, Rivas RE, Seguel PF.Nivel de sobrecarga en el desepeño del rol del cuidador familiar de adulto mayor con dependencia severa. Cienc y Enfermería. 2012;XVIII(1):29-41. https://doi.org/10.4067/S0717-95532012000100004

Pérez-Cruz M, Muñoz-Martínez MÁ, Parra-Anguita L, Del-Pino-Casado R. Afrontamiento y carga subjetiva en cuidadores primarios de adultos mayores dependientes de Andalucía, España. Aten Primaria. 2017;49(7):381-8. https://doi.org/10.1016/j.aprim.2016.09.012

Tomey AM, Raile AM. Modelos y teorías en enfermería.6th e.d. Estados Unidos: ELSIEVER; 2011. 173 p.

Gallagher D, Mhaolain AN, Crosby L, Ryan D, Lacey L, Coen RF, et al. Self-efficacy for managing dementia may protect against burden and depression in Alzheimer’s caregivers. Aging Ment Heal. 2011;15(6):663-70. https://doi.org/10.1080/13607863.2011.562179

Hampton MM. Self-efficacy of caregiving and caregiver stress in adult informal caregivers of individuals at the end-of-life. Self-efficacy of caregiving & caregiver stress in adult informal caregivers of individuals at the end-of-life. 2014.

Peterson SJ, Bredow TS. Middle Range Theories. Application to Nursing Research. 3th e.d. Vol. 53, Journal of Chemical Information and Modeling; 2013. 1689-1699 p.

Salazar MAM, Murcia PLM, Solano PJA. Evaluación e intervención de la sobrecarga del cuidador informal de adultos mayores dependientes: Revisión de artículos publicados entre 1997-2014. Arch Med. 2016;16 (1):144-54. https://doi.org/10.30554/archmed.16.1.813.2016

Contreras TF, Esguerra AG, Espinosa JC. Quality of life, self-efficacy, coping styles and adherence to treatment in patients with chronic kidney disease undergoing haemodialysis treatment. Psicol y Salud. 2008;18(2):165-79.

Concepción YE. Intervención personalizada a cuidadores primarios de mujeres con cáncer avanzado de mama que reciben Cuidados Paliativos. Rev Cubana Enferm. 2010;26(3):130-43.

Mosher CE, Winger JG, Hanna N, Jalal SI, Einhorn LH, Birdas TJ, et al.Randomized Pilot Trial of a Telephone Symptom Management Intervention for Symptomatic Lung Cancer Patients and Their Family Caregivers. J Pain Symptom Manage. Elsevier Inc; 2016;52(4):469-82. https://doi.org/10.1016/j.jpainsymman.2016.04.006

Abreu LMC, Rodríguez HK, Ochoa MY. Calidad de Vida en cuidadores primarios de pacientes oncopediátricos. Instituto Nacional de Oncologia y Radiobiologia. Rev habanea ciencias Medicas. 2015;14(1):97-106.

Papastavrou E, Charalambous A, Tsangari H. How do informal caregivers of patients with cancer cope: A descriptive study of the coping strategies employed. Eur J Oncol Nurs. Elsevier Ltd; 2012;16(3):258-63. http://dx.doi.org/10.1016/j.ejon.2011.06.001

Coleman EA, Ground KL, Maul A. Th e Family Caregiver Activation in Transitions ( FCAT ) Tool : A New Measure of Family Caregiver Self-E ffi cacy. Jt Comm J Qual Patient Saf. The Joint Commission; 2015;41(11):502-7. http://dx.doi.org/10.1016/S1553-7250(15)41066-9

Mellor B. Sample size methodology. M. M. Desu and D. Raghavarao, Academic Press, Boston, 1990. No. of pages: xii + 135. Price: £21.50. ISBN: 0-12-212165-1. Stat Med. Wiley Subscription Services, Inc., A Wiley Company; 1 de enero de 1992. 2018;11(4):562-3. http://doi.wiley.com/10.1002/sim.4780110421

Olivari MC, Urra ME. Autoeficacia y conductas de salud. Cienc y Enfermería. 2007;1(4):9-15. https://doi.org/10.4067/S0717-95532007000100002

Garzón MM, Garzón MM. Post-Infarto Agudo De Especializada En Girardot Post-Infarto Agudo De Especializada En Girardot. 2015;

Cid HP, Orellana AY, Barriga O. Validación de la escala de autoeficacia general en Chile. Rev Med Chil. 2010;138(5):551-7. https://doi.org/10.4067/S0034-98872010000500004

Alvarez L, González AM, Muñoz P. El cuestionario de sobrecarga del cuidador de Zarit. Cómo administrarlo e interpretarlo. Gac Sanit. 2008;22(6):618-9. https://doi.org/10.1016/S0213-9111(08)75365-2

Hendrix CC, Bailey DE, Steinhauser KE, Olsen MK, Stechuchak KM, Lowman SG, et al. Effects of enhanced caregiver training program on cancer caregiver’s self-efficacy, preparedness, and psychological well-being. Support Care Cancer. 2016;24(1):327-36. https://doi.org/10.1007/s00520-015-2797-3

Kornblith AB, Holland JC. Model for quality-of-life research from the Cancer and Leukemia Group B: the telephone interview, conceptual approach to measurement, and theoretical framework. J Natl Cancer Inst Monogr. 1996;(20):55-62.

Silva MCP, Praça NS, Stefanelli MC. La mujer responsable de la salud de la familia. Vol. 13, Index de Enfermería. Fundación Index; 2004. 13-17. https://doi.org/10.4321/S1132-12962004000200003

Larrañaga PI, Valderrama PMJ, Martin RU, Begeristain AJM, Bacigalupe HA, Arregi GB. Mujeres y hombres ante el cuidado informal: diferencias en los significados y las estrategias. Rev Fac Nac Salud Pública. 2009;27(1):50-5.

Ugur O, Kizilci S, Besen D, Arda H, Duran G. Self-Efficacy Levels of Individuals with Chronic Obstructive Pulmonary Disease and Investigation of Caregiver Burden. Int J Caring Sci. 2017;10(2):921-8.

Santiago RP, Trejo BD, Hernández VP, Salazar SR, Tejeda AO.Sobrecarga y autoeficacia percibida en cuidadores primarios informales de pacientes con insuficiencia cardíaca. 2016;9(3):152-8.

Rodríguez RÁ, Rihuete GMI. Influencia de la dependencia de los enfermos oncológicos en la sobrecarga de sus cuidadores familiares. Med Paliativa. 2011;18(4):135-40. https://doi.org/10.1016/j.medipa.2011.10.002

López J, Marquéz-González M, Romero-Moreno R, Losada A. Espiritualidad y religiosidad en cuidadores de personas con demencia como posibles factores protectores de maltrato. Soc y Utopía, Rev Ciencias Soc. 2013;41:402-23.

García ALG, Hurtado AG, Aranda BE. Impacto de la relación de ayuda de cuidadores primarios en la calidad de vida de pacientes con cáncer avanzado. Psicooncologia. 2015;12(1):129-40.

Yildiz E, Karakaş S, Güngörmüş Z, Cengiz M. Levels of care burden and self-efficacy for informal caregiver of patients with cancer. Holist Nurs Pract. 2017;31(1):7-15. https://doi.org/10.1097/HNP.0000000000000185

Merluzzi TV, Philip EJ, Dominic OV, Heitzmann CA. Assessment of self-efficacy for caregiving : The critical role of self-care in caregiver stress and burden. Palliat Support Care. 2011;9:15-24. https://doi.org/10.1017/S1478951510000507

Uei S-L, Sung H-C, Yang M-S.Caregivers’ Self-Efficacy and Burden of Managing Behavioral Problems in Taiwanese Aged 65 and Over with Dementia. Soc Behav Personal an Int J. 2013;41(9):1487-96. https://doi.org/10.2224/sbp.2013.41.9.1487

Cheng S-T, Lam LCW, Kwok T, Ng NSS, Fung AWT. Self-efficacy is associated with less burden and more gains from behavioral problems of Alzheimer’s disease in Hong Kong Chinese caregivers. Gerontologist. 2013;53(1):71-80. https://doi.org/10.1093/geront/gns062

Gallo J, Aguirre SN, Fuentes BA. Valoración de la sobrecarga en el cuidador del paciente con algún grado de dependencia hospitalizado en el servicio de neurocirugía del Hospital Universitario Erasmo Meoz entre octubre y noviembre del año 2005 Vol. 3, Revista Ciencia y Cuidado. 2006. p. 7-20.

Havyer RD, Ryn VM, Wilson PM, Griffin JM. The effect of routine training on the self-efficacy of informal caregivers of colorectal cancer patients. Support Care Cancer. 2017;25(4):1071-7. https://doi.org/10.1007/s00520-016-3494-6

Rabinowitz YG, Mausbach BT, Coon DW, Depp C, Thompson LW, Gallagher-Thompson D. The moderating effect of self-efficacy on intervention response in women family caregivers of older adults with dementia. Am J Geriatr Psychiatry. American Association for Geriatric Psychiatry; 2006;14(8):642-9. https://doi.org/10.1097/01.JGP.0000192496.73673.e5

Havyer R, Ryn VM, Wilson P, Griffin J. The Effect of Training on the Self-Efficacy of Informal Caregivers of Colorectal Cancer Patients. J Pain Symptom Manage [Internet]. 2016;51(2):331-2. https://doi.org/10.1016/j.jpainsymman.2015.12.157

Rincón-Romero KM, Torres-Contreras C, Corredor-Pardo KA. Adherencia terapéutica en personas con diabetes mellitus tipo 2. Revista Ciencia Y Cuidado. 2017;14(1):40-59. https://doi.org/10.22463/17949831.806

Duran PM, Torres CC, Arboleda LB, Rivera CR, Franco S, Santos J. Effectiveness of an Educational Nursing Intervention on Caring Ability and Burden in Family Caregivers of Patients with Chronic Non-Communicable Diseases. A Preventive Randomized Controlled Clinical Trial. Invest. Educ. Enferm. 2019; 37(1):e04. https://doi.org/10.17533/udea.iee.v37n1e04

Pereira LD, Bellinati NVC, Kanan LA. Self-Efficacy for Managing Chronic Disease 6-Item Scale: avaliação da autoeficácia no gerenciamento da doença crônica. Rev Cuid. 2018; 9(3): 2435-45. https://doi.org/10.15649/cuidarte.v9i3.561

Fernández-Silva CA, Lopez-Andrade CI, Merino C. Adherencia al tratamiento antirretroviral como conducta promotora de salud en adultos mayores. Rev Cuid. 2018; 9(2): 2201-14 http://dx.doi.org/10.15649/cuidarte.v9i2.522

Published

2020-05-01

How to Cite

1.
Penagos Castro RV, Vargas Escobar LM. Effectiveness of a Nursing Intervention to Modify Self-Efficacy and Burden in Hemato-Oncology Patients’ Caregivers. Revista Cuidarte [Internet]. 2020 May 1 [cited 2024 May 18];11(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/867

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