Estratégia multimídia para aquisição de conhecimento e redução de ansiedade de cuidadores de crianças e adolescentes em quimioterapia: ensaio clínico randomizado
The study aims to evaluate the effect of a multimedia strategy based on standard guidelines for acquiring knowledge and reducing anxiety among caregivers of children and adolescents undergoing chemotherapy. This is a randomized and controlled clinical trial, carried out in a Philanthropic Hospita...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/52075 |
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| Resumo: | The study aims to evaluate the effect of a multimedia strategy based on standard guidelines
for acquiring knowledge and reducing anxiety among caregivers of children and adolescents
undergoing chemotherapy. This is a randomized and controlled clinical trial, carried out in a
Philanthropic Hospital, a reference in the care of children and adolescents with cancer, in
Natal-RN. The Experimental Group received the institution's standard guidelines associated
with a multimedia strategy on the chemotherapy treatment process - Digital animation film
lasting 12 minutes and 22 seconds, while the Control Group received only the standard
guidelines that are provided at the institution. The data collection instrument used was the
State-Trait Anxiety Inventory (STAI) and a Knowledge Assessment Instrument (IAC). The
project was approved by the Central Research Ethics Committee of the Federal University of
Rio Grande do Norte nº CAAE 52597121.9.0000.5537 and registered in the Brazilian Clinical
Trial Registry (RBR-4wdm8q9). It should be noted that the digital animation film was
validated in terms of content by specialists and the target audience. The latter was carried out
in the pilot study phase, where it showed that the digital animation film reached satisfactory
rates, proving to be a valid, reliable and important instrument to be used by caregivers of
children and adolescents undergoing chemotherapy (Intraclass Correlation Coefficient was
0.936 [95% CI 0.868–0.984] with p< 0.05 and Cronbach's alpha of 0.943). In the randomized
clinical trial phase, there was a predominance of female participants (96.15%), with a mean
age of 33.50 ± 10.40, with complete secondary education (50%), married (50%), the majority
(65.38%) residing in cities in the interior of Natal-RN. Regarding the time from diagnosis to
initiation of treatment, it was between five and 15 days, with mean and standard deviation:
8.08 ± 2.78. Regarding the level of knowledge, there was an increase in acquisition in both
groups (p <0.05), with the group that used the multimedia strategy obtaining the best result,
with an average response of 7.77 and a greater number of correct answers in questions about
the chemotherapy treatment. Regarding the level of anxiety, there is a statistical difference in
relation to the caregivers of the experimental group, where they had a reduction in the STAIState comparing the initial and final periods with p value < 0.05, showing a reduction in the
level of anxiety from moderate to low after the intervention. It is concluded that the effect of
the multimedia strategy is positive for acquiring knowledge and reducing the level of anxiety
in caregivers of children and adolescents undergoing chemotherapy, confirming the
alternative hypothesis of the study. |
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