Các yếu tố liên quan đến hành vi tự chăm sóc của người bệnh ung thư huyết học hóa trị=Factors related to self-care behaviors of cancer patients receiving chemotherapy treatment

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Tác giả: Thị Phương Hoanh Huỳnh, Thị Hội Lê, Thị Phương Thảo Lê, Ling Chun Tsai, Hồ Thủy Vy Nguyễn, Thị Ngọc Minh Nguyễn, Thị Nhung Nguyễn, Thị Tuyền Nguyễn, Suzanne Monivong Cheanh Beaupha, Thị Thủy Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.353-369

Bộ sưu tập: Metadata

ID: 478282

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Chemotherapy is a cancer treatment that is widely accepted. Nonetheless, some healthy cells will be adversely affected by chemotherapy, which might result in unfavourable side effects. Studies have shown that patients who practice self -care will lessen symptoms of distress such exhaustion, nausea, and vomiting as well as learn to cope with the effects of cancer and its treatment. However, little research has been done to examine the relationship between social support, self-efficacy, and self-care behaviours among chemotherapy patients. Objective: The primary aim was to determine factors related to self-care behaviors of cancer patients receiving chemotherapy treatment. Methods: This study employed a crosssectional design with a descriptive and correlational approach. A self -developed questionnaire was used, which drew inspiration from a previous study conducted in Thailand, in which that instrument was established and developed at the Out-Patient Department of the Cancer Center in Chonburi City, Thailand in Thai language. To test hypotheses and compare means between groups, ANOVA, and post-hoc tests were utilised. Pearson’s correlation coefficient was employed to measure the linear correlation between two variables, besides the multiple linear regression to figure out which factors can predict self -care behavior. Results: Participants exhibited a quite good proportion of satisfactory self -care behavior when they were treated with chemotherapy. The result indicated when self -care knowledge increased one unit, self -care behavior increased by 0.66. Social support, age group predicted 45.9% of the variance in self -care behavior. Conclusions: The study identified key factors influencing patients’ self -care behavior when they were treated with chemotherapy, providing valuable insights for developing targeted interventions and educational strategies in this population.Hóa trị là phương pháp điều trị ung thư hiện đang được sử dụng rộng rãi. Tuy nhiên, một số tế bào bình thường sẽ bị tác động bởi hóa trị, có thể gây ra các tác dụng phụ. Các nghiên cứu đã chỉ ra rằng bệnh nhân thực hành tự chăm sóc sẽ giảm bớt các triệu chứng căng thẳng như mệt mỏi, buồn nôn và nôn cũng như học cách đối phó với tác động của ung thư và việc điều trị. Tuy nhiên, ít nghiên cứu được thực hiện để kiểm tra mối liên quan giữa hỗ trợ xã hội, niềm tin vào năng lực bản thân và hành vi tự chăm sóc ở bệnh nhân hóa trị. Mục tiêu: Xác định các yếu tố liên quan đến hành vi tự chăm sóc của bệnh nhân hóa trị. Đối tượng - phương pháp: Nghiên cứu cắt ngang mô tả tương quan được thực hiện trên 242 bệnh nhân nội trú và ngoại trú với các bệnh ác tính huyết học nhận hóa trị tĩnh mạch tại Khoa Huyết học, Bệnh viện Chợ Rẫy. Nghiên cứu sử dụng bộ câu hỏi tự điền có cấu trúc để thu thập dữ liệu, dựa trên công cụ được phát triển tại Khoa Ngoại trú của Trung tâm Ung thư ở thành phố Chonburi, Thái Lan. Để kiểm tra giả thuyết và so sánh trung bình giữa các nhóm, nghiên cứu áp dụng phân tích phương sai (ANOVA) và các phân tích hậu định. Hệ số tương quan Pearson được sử dụng để đo lường tương quan tuyến tính giữa hai biến số, bên cạnh hồi quy tuyến tính đa biến để xác định các yếu tố có thể dự đoán hành vi tự chăm sóc. Kết quả: Đa phần bệnh nhân có hành vi tự chăm sóc tốt khi được hóa trị. Kết quả cho thấy nếu kiến thức về thực hành tự chăm sóc tăng một đơn vị thì thực hành tự chăm sóc tăng 0,66. Hỗ trợ xã hội, nhóm tuổi dự đoán 45,9% thực hành. Kết luận: Nghiên cứu đã xác định các yếu tố chính ảnh hưởng đến hành vi tự chăm sóc của bệnh nhân khi họ hóa trị, cung cấp những hiểu biết có giá trị cho việc phát triển các can thiệp và chiến lược giáo dục mục tiêu trong nhóm đối tượng này.

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