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Administration of Home Intravenous Chemotherapy to Children by their Parents

Claire McCall1, Michelle Mannion1, Carol Hilliard1

  • 11 Our Lady's Children's Hospital Crumlin, Dublin, Ireland.

Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses
|May 13, 2016
PubMed

Insights

Parents successfully administered home chemotherapy after receiving training, reporting significant benefits like reduced costs and family stress. The program effectively addressed initial parental concerns, ensuring safe and positive outcomes for children with cancer.

Area of Science:

  • Pediatric Oncology
  • Home Healthcare Management
  • Family Support Systems

Background:

  • Childhood cancer treatment significantly impacts family life, finances, and child development.
  • Minimizing negative effects of illness and hospitalization is crucial for pediatric cancer patients and their families.
  • Home chemotherapy administration offers a potential solution to mitigate treatment burdens.

Purpose of the Study:

  • To evaluate a nationwide initiative supporting parents in administering chemotherapy to their children at home.
  • To assess parental perspectives on home chemotherapy education, benefits, and concerns.
  • To determine the safety and efficacy of a home-based chemotherapy program.

Main Methods:

  • A questionnaire survey was distributed to parents (n=140) in a home chemotherapy program (2009-2014).
  • Data collection involved assessing parental satisfaction with training, perceived benefits, and concerns.
  • Analysis utilized descriptive statistics and content analysis of parent feedback.

Main Results:

  • A high response rate (77%, n=108) was achieved, with 100% of parents finding the training adequate.
  • Initial parental nervousness (41%) was effectively managed by the education program.
  • Key benefits included reduced costs, travel, family disruption, and stress; no medication errors were reported.

Conclusions:

  • The home chemotherapy program, emphasizing a partnership approach, empowers parents with informed decision-making.
  • The program is well-received, demonstrating feasibility and safety in managing pediatric chemotherapy at home.
  • Home administration significantly reduces burdens on children and families undergoing cancer treatment.
Abstract

Keywords:
childrenhome chemotherapymedication safetyoncologyparentspediatric

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