Psycho-Education on Knowledge of Oral Hygiene and Psychological Distress to the Parents with Leukemia Children.

Ilya Krisnana,I Dewa Ugrasena,Iqlima Kurnia,Yuni Arief,Pujiati Pujiati

doi:10.31557/apjcp.2021.22.2.485

Abstract

Objective:To analyze the effect of psycho-educational intervention on knowledge of oral hygiene and psychological distress to the parents of children suffering from leukemia. Methods:Design of this study was a quasi-experimental pre-posttest control group design. The sample were 70 mothers who had children with leukemia (intervention group = 35 mothers; control group = 35 mothers). The independent variable was psycho-educational, while the dependent variables were oral hygiene knowledge and psychological distress. The instruments used were the knowledge questionnaire and the Depression-Anxiety-Stress Scale (DASS-21). Data were analyzed using the Wilcoxon signed rank test and the Mann Whitney U-test with the significance α =0.05. Results:The knowledge most widely known by parents was about how to perform of oral care (37.3%). All parameters of knowledge about oral hygiene have increased after being given a psycho-educational intervention. Psycho-educational interventions had an effect on reducing psychological distress; depression (p=0.000), anxiety (p=0.001) and stress (p=0.000). Conclusion:Most parents whose children suffer from cancer experience psychological distress in the form of depression, anxiety and stress with a range of symptoms ranging from mild to moderate. Psycho-educational interventions can increase knowledge about oral hygiene and decrease psychological distress in parents.

Highlights

Cancer in children can cause stress (Eldinet al., 2019)
To analyze the effect of psycho-educational intervention on knowledge of oral hygiene and psychological distress to the parents of children suffering from leukemia
Education about oral hygiene is important for the management of oral mucositis in children with leukemia (Carvalho et al, 2018; Erin, 2015)

Summary

Introduction

Cancer in children can cause stress (Eldinet al., 2019). Stress occur in children, and in parents. Stress can be caused due to the malignancy of a child’s illness, the ignorance of how to care for children, and side effects arising from chemotherapy treatment (Rahmani et al.,2018; Rodriguez et al, 2012). Psycho-educational interventions regarding children’s oral care when children get chemotherapy are still limited. Most of the problems that commonly occur in parents related to children with ALL are anxiety with the incidences of 4 out of 5 mothers (Steliarova-Foucher et al, 2017). The incidence of oral mucositis in Dr Soetomo Regional General Hospital on children with ALL who get Methotrexate chemotherapy is 62.5% with range of stages from 1 to 4 (Chafid, 2018)

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