Abstract
Background: Patients with leukemia undergoing chemotherapy have problems and side –effect which considered life –threatened and affect their quality of life . This requires self-care guidelines for those patients to improve their quality of life. The aim of this study was to assess the effect of self-care guidelines on quality of life for patients with leukemia undergoing chemotherapy .study Design: A quasi experimental design. Setting: the study was conducted at the inpatient and outpatient clinics in Hematological Unit affiliated to Ain Shams University Hospital. Study subjects: A purposive sample of adult patients newly diagnosed with leukemia (No=100). Data collection tools: Structured interview questionnaire for the patients with leukemia undergoing chemotherapy, Quality of Life Cancer survivors Questionnaire and Patients Self-care practices observational checklist.Result: 28% of control group and 84% of the study group got total satisfactory level of knowledge post implementation of self-care guidelines with highly statistical significant between them at P value < 0.01, while there was highly statistically significant deference between study and control groups regarding satisfactory level of self-care practices post implementation of self-care guidelines at p-value was <0.01. Moreover, 70% of the patients in the study have good total quality of life post implementation of self-care guidelines with highly statistical significant differences between two groups .Conclusion: Implementation of self-care guiltiness had statistically significant positive effect on quality of life dimensions for patients with leukemia undergoing chemotherapy which support the study hypothesis. Recommendation: Implementing systematically continuous self-care guidelines in hospitals for patients with leukemia, generalization of self-care guidelines for patients with leukemia in other media such as: newspapers, television, and the radio to help improve the health status of these patients and manage the chemotherapy side effects and A simplified, comprehensive and illustrated Arabic language guided booklet with images
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