| ORIGINAL ARTICLE |
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| Year : 2015 | Volume
: 2
| Issue : 4 | Page : 276-288 |
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Effect of an education program on knowledge, self-care behavior and handwashing competence on prevention of febrile neutropenia among breast cancer patients receiving Doxorubicin and Cyclophosphamide in Chemotherapy Day Centre
Wai Chi Mak1, Shirley Siu Yin Ching2
1 Department of Clinical Oncology, Prince of Wales Hospital, Hong Kong, SAR, China
2 School of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China
Correspondence Address:
Wai Chi Mak
Department of Clinical Oncology, Prince of Wales Hospital, Hong Kong, SAR
China
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2347-5625.167232
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Objective: To evaluate the efficacy of an education program on the prevention of febrile neutropenia (FN) among breast cancer patients receiving AC regimen. Methods: Randomized controlled trial with the repeated-measures design was conducted in a Chemotherapy Day Centre of an acute hospital in Hong Kong. Twenty-five subjects in the intervention group received an individual education session followed by three follow-up sessions and routine care. Twenty-four subjects in the control group received routine care. Primary outcomes included the incidence of admission due to FN, the self-care behavior adherence, the knowledge level on prevention of FN and the self-efficacy in self-management, handwashing competence were assessed by self-designed questionnaires, Chinese version of patient activation measure, and handwashing competence checklist. Results: No statistically significant difference between the intervention group and the control group on the incidence of admission due to FN, the self-efficacy in self-management, and the knowledge on prevention of FN. The self-care behavior adherence was significant at cycle 4 of AC regimen in favor of the intervention group (P = 0.036). Handwashing competence improved more significantly among subjects in the intervention group than the control group (P = 0.009). Conclusions: The education program on the prevention of FN had significantly favorable effects on self-care behavior adherence and handwashing competence across time. However, the intervention did not lead to statistically significant improvement on the incidence of admission due to FN, the self-efficacy in self-management and the knowledge level on prevention of FN. |
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