Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/62478
Title: Effect of an education program on knowledge, self-care behavior and handwashing competence on prevention of febrile neutropenia among breast cancer patients receiving doxorubicin and cyclophosphamide in Chemotherapy Day Centre
Authors: Mak, WC
Ching, SSY 
Keywords: Chemotherapy
Education
Febrile neutropenia
Neutropenia
Issue Date: 2015
Publisher: Medknow Publications and Media Pvt. Ltd
Source: Asia-Pacific journal of oncology nursing, 2015, v. 2, no. 4, p. 276-288 How to cite?
Journal: Asia-Pacific journal of oncology nursing 
Abstract: Objective: To evaluate the efficacy of an education program on the prevention of febrile neutropenia (FN) among breast cancer patients receiving AC regimen.
Methods: Randomized controlled trial with the repeated-measures design was conducted in a Chemotherapy Day Centre of an acute hospital in Hong Kong. Twenty-five subjects in the intervention group received an individual education session followed by three follow-up sessions and routine care. Twenty-four subjects in the control group received routine care. Primary outcomes included the incidence of admission due to FN, the self-care behavior adherence, the knowledge level on prevention of FN and the self-efficacy in self-management, handwashing competence were assessed by self-designed questionnaires, Chinese version of patient activation measure, and handwashing competence checklist.
Results: No statistically significant difference between the intervention group and the control group on the incidence of admission due to FN, the self-efficacy in self-management, and the knowledge on prevention of FN. The self-care behavior adherence was significant at cycle 4 of AC regimen in favor of the intervention group (P = 0.036). Handwashing competence improved more significantly among subjects in the intervention group than the control group (P = 0.009).
Conclusions: The education program on the prevention of FN had significantly favorable effects on self-care behavior adherence and handwashing competence across time. However, the intervention did not lead to statistically significant improvement on the incidence of admission due to FN, the self-efficacy in self-management and the knowledge level on prevention of FN.
URI: http://hdl.handle.net/10397/62478
ISSN: 2347-5625
EISSN: 2349-6673
DOI: 10.4103/2347-5625.167232
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