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Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
Published on: April 26, 2012
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Evaluación de la eficacia de un programa educativo sobre la neuropatía periférica inducida por la quimioterapia para
Roselyne Anyango Okumu1, Eunice A Omondi2, Irene Mageto3
1University of Nairobi, Jomo Kenyatta University of Agriculture and Technology.
Resumen
Un programa educativo mejoró significativamente la competencia de las enfermeras en el manejo de la neuropatía periférica inducida por quimioterapia (CIPN). Esto mejoró el conocimiento y la práctica en la evaluación y el tratamiento de los síntomas, lo que condujo a una mejor atención al paciente.
Área de la Ciencia:
- Enfermería Oncológica
- Atención al paciente
- Competencia clínica
Sus antecedentes:
- La neuropatía periférica inducida por quimioterapia (CIPN) tiene un impacto significativo en la calidad de vida del paciente.
- Las enfermeras son cruciales para el manejo de la CIPN a través de la evaluación, la educación y el manejo de los síntomas.
- Existe la necesidad de evaluar las intervenciones educativas para mejorar la competencia de las enfermeras en la atención del CIPN.
Objetivo del estudio:
- Evaluar la eficacia de un programa educativo sobre el CIPN.
- Mejorar la competencia de las enfermeras en la gestión del CIPN en el Hospital Nacional Kenyatta.
- Evaluar el impacto de la formación en los conocimientos y las prácticas de las enfermeras relacionadas con el CIPN.
Principales métodos:
- Se utilizó un diseño cuasi-experimental antes y después de la prueba con 43 enfermeras.
- Los datos se recopilaron mediante cuestionarios estructurados autoadministrados durante un período de seguimiento de 6 meses.
- Se llevó a cabo un programa educativo de dos días sobre el CIPN, seguido de un análisis estadístico utilizando estadísticas descriptivas y una prueba t de muestra emparejada.
Principales resultados:
- Se observaron mejoras significativas en el conocimiento de los enfermeros de los factores de riesgo de CIPN, los agentes de quimioterapia y los síntomas.
- El conocimiento sobre la eficacia de la duloxetina aumentó del 60,5% al 100% (P = 0,0001).
- La frecuencia de los exámenes de detección del CIPN por parte de las enfermeras aumentó significativamente, con puntuaciones generales de competencia que pasaron de 32,5 a 46,1 (P < 0,0001).
Conclusiones:
- El programa educativo del CIPN mejoró efectivamente la competencia de las enfermeras en la gestión del CIPN.
- Se recomienda la educación médica continua y los programas de tutoría en el CIPN.
- Se recomienda integrar la capacitación CIPN en el programa educativo del Ministerio de Salud para un impacto más amplio.
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