자료유형  

 학위논문

Control Number  

0016933782

International Standard Book Number  

9798379605025

Dewey Decimal Classification Number  

610.73

Main Entry-Personal Name  

Wang, Tongyao.

Publication, Distribution, etc. (Imprint  

[S.l.] : Case Western Reserve University., 2021

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2021

Physical Description  

1 online resource(159 p.)

General Note  

Source: Dissertations Abstracts International, Volume: 84-12, Section: A.

Dissertation Note  

Thesis (Ph.D.)--Case Western Reserve University, 2021.

Restrictions on Access Note  

This item must not be sold to any third party vendors.

Summary, Etc.  

요약Background: Poor performance on tracheostomy care is associated with low quality of life, high chance of complications and tracheostomy-related readmissions to the hospital. Few educational handouts on tracheostomy were designed to accommodate head and neck cancer patients' health literacy level.Purpose and Aims: The purpose of the study was to develop and validate a pictographic educational handout on tracheostomy care for patients with head and neck cancer and their family caregivers. The study aimed to establish content and face validity, and preliminary efficacy of pictographic education handout, and identify demographic, disease-related, and care related factors associated with lower tracheostomy care self- efficacy.Methods: The study used a participatory action research method with an expert panel including multidisciplinary professionals (n=13), patients (n=22) and family caregivers (n=17) recruited in Cleveland, Ohio, United States. In the development stage, graphic designers and clinical researchers designed the pictographic educational handout. In the evaluation and field-testing stages, the pictographic educational handout was evaluated iteratively by the experts with a handout evaluation instrument. The handout was revised three times based on their feedback.Results: The final version demonstrated content validity and usability with high content validity index of 88.3% in clinical and 89.1% in user experts. The pictographic intervention also showed a medium to large effect size on improving patients and caregivers' self-efficacy on tracheostomy care. Furthermore, a regression model with cognition preferences, anxiety, age and comorbidities explained 57.3% of variance in self-efficacy.Conclusion: The study provides a valid pictographic handout on tracheostomy care for future patients and family caregivers. Pictographic intervention on improving tracheostomy care is effective in improving self-efficacy. The study further identified risk factor associated with lower self-efficacy level which provides evidence for better understanding and improving the patients and caregivers learning experience on tracheostomy care.

Subject Added Entry-Topical Term  

Nursing.

Subject Added Entry-Topical Term  

Oncology.

Subject Added Entry-Topical Term  

Health education.

Subject Added Entry-Topical Term  

Health care management.

Index Term-Uncontrolled  

Discharge education

Index Term-Uncontrolled  

Pictograph

Index Term-Uncontrolled  

Tracheostomy self-care

Index Term-Uncontrolled  

Caregivers

Added Entry-Corporate Name  

Case Western Reserve University Nursing

Host Item Entry  

Dissertations Abstracts International. 84-12A.

Host Item Entry  

Dissertation Abstract International

Electronic Location and Access  

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Control Number  

joongbu:643949