Efecto de una intervención educativa para cuidadores familiares de personas con cáncer en cirugía
Open accessAbstract
Objetivo: Evaluar el efecto de una intervención educativa en cuidadores familiares de adultos con cáncer que se encuentran en postoperatorio de cirugía oncológica, para fortalecer la competencia de cuidado en el hogar y disminuir la sobrecarga. Método: Se trata de un abordaje cuantitativo cuasi-experimental con grupo de intervención y grupo control; se incluyeron 290 cuidadores familiares de pacientes intervenidos por cirugía, se aplicó la intervención educativa desde el ingreso hasta seis semanas después del egreso, se realizó medición antes y después de la competencia para el cuidado en el hogar y de la sobrecarga de cuidado. Resultados: En el grupo intervenido se obtuvo impacto positivo y estadísticamente significativo en la competencia para el cuidado en el hogar y disminución de sobrecarga. Conclusiones: La intervención educativa es una estrategia que aumenta la competencia para cuidar en el hogar, y disminuye la sobrecarga en cuidadores de personas con cáncer sometidos a cirugía. Objective. To evaluate the effect of an educational intervention on family caregivers of adults with cancer who are in the postoperative period of oncological surgery, to strengthen the competence of home care and reduce overload. Method. This was a quasi-experimental quantitative approach with intervention group and control group; 290 family caregivers of patients undergoing surgery were included, educational intervention was applied from admission to six weeks after discharge, measurement was made before and after competence for home care and care overload. Results. In the group intervened, a positive and statistically significant impact was obtained in the competence for home care and decreased overload. Conclusions. The educational intervention is a strategy that increases skills for care at home, and reduces the burden on caregivers of people with cancer undergoing surgery.
AI snapshot
Written from the paper’s full text.
TL;DR
A nurse-led educational intervention for family caregivers of adults undergoing cancer surgery improved home-care competence and reduced caregiver burden compared with usual care. The quasi-experimental study found significant post-intervention differences favoring the intervention group.
Key findings
- Home-care competence increased in the intervention group from a mean of 50.2 to 56.7, versus 51.0 to 53.5 in the control group (post-intervention p = 0.00).
- Caregiver burden decreased in the intervention group from 36.9 to 32.74, versus 38.36 to 34.74 in the control group (post-intervention p = 0.017).
- After the intervention, 96.6% of the intervention group had no caregiver burden, compared with 81.4% of the control group (p = 0.00).
- Significant post-intervention differences favored the intervention group in the knowledge, uniqueness, instrumental, enjoyment, and anticipation dimensions of home-care competence; relation/interaction did not differ significantly (p = 0.105).
Methods
- Quasi-experimental quantitative pre-post design with intervention and control groups, conducted at the Instituto Nacional de Cancerología in Bogotá, Colombia, from November 2016 to May 2018.
- Final sample: 290 family caregivers, 145 in the intervention group and 145 in the control group; caregivers were of adults in postoperative oncologic surgery.
- The intervention included group sessions, face-to-face sessions, and weekly telephone follow-up for 4 weeks after discharge; outcomes were measured before and six weeks after discharge using the CUIDAR competence instrument and the Zarit caregiver burden scale, analyzed with nonparametric tests and chi-square.
Limitations
- The paper states that only one post-intervention measurement was taken, so medium- and long-term effects and other influencing factors were not assessed.
- The paper states that future work should explore additional resources such as home visits and nursing follow-up consultations, and include variables such as perceived quality of life, caregiver symptom burden, and health lifestyles.
- Evident from the text: the quasi-experimental design limits causal inference compared with a fully randomized controlled trial.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 9 cited sources checked · 0 supported · 0 flagged
- Findingown data
After the intervention, mean home care competence was higher in the intervention group than in the control group (56.7 vs 53.5, p=0.00).
“las medias del GI en la competencia para cuidar en el hogar y en las dimensiones conocimiento, unicidad, instrumental, disfrutar y anticipación son estadísticamente superiores a las del GC.”
- Also stated in: § RESULTADOS · plain
“GI 50,2 7,4 0,1 56,7 3,9 0,00 a GC 51,0 7,1 53,5 5,9”
Quote in the paperSubstantial claim - Also stated in: § RESULTADOS · plain
- Findingown data
After the intervention, caregiver burden was lower in the intervention group than in the control group (32.74 vs 34.74, p=0.017).
“Posterior a la intervención se obtienen cambios estadísticamente significativos en el nivel de sobrecarga para el cuidado en los cuidadores, siendo menor la que presenta el GI frente al GC.”
- Also stated in: § RESULTADOS · plain
“GI 36,9 12,9 0,159 32,74 7,6 0,017 GC 38,36 12,1 34,74 7,7”
Quote in the paperSubstantial claim - Also stated in: § RESULTADOS · plain
- Premisecitation
Perioperative education for cancer patients has better results when delivered face-to-face.
“La educación perioperatoria en pacientes con cáncer tiene mejores resultados cuando se administra en un formato cara a cara”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [4]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisereasoning
The needs of advanced cancer or pediatric oncology populations cannot be generalized to caregivers of surgical oncology patients.
“las necesidades de poblaciones oncológicas en cáncer avanzado o en niños no puede ser generalizable para cuidadores de pacientes quirúrgicos oncológicos”
Quote in the paperSubstantial claim - Study design and conductown data
Patients in the control and intervention groups had similar baseline characteristics (mean age 56.8, SD 13.4; 59.3% female; 97.2% intact mental status; 97.2% low dependency).
“Los pacientes presentan características similares tanto en el GC como en el GI: edad promedio de los pacientes fue de 56,8 años desviación estándar (DE) de 13,4, la mayoría de género femenino (59,3%), estado mental intacto (97,2%), bajo nivel de dependencia (97,2%).”
Quote in the paperSubstantial claim
- Premisecitation
The time and type of activities dedicated to caregiving can affect caregivers' physical, psychological, and social health outcomes.
“teniendo en cuenta que el tiempo y tipo de actividades dedicadas al cuidado pueden afectar los resultados de su salud física, psicológica y social (6) .”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [6]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationown data
The educational intervention increases home care competence in all six dimensions.
“aumenta la competencia de cuidado en el hogar en sus seis dimensiones”
Quote in the paperNot a substantial claim - Interpretationown data
The educational intervention increases home care competence in family caregivers of adults with cancer undergoing surgery.
“La intervención educativa es una estrategia que aumenta la competencia para cuidar en el hogar”
- Also stated in: § CONCLUSIONES · plain
“aumenta la competencia de cuidado en el hogar en sus seis dimensiones”
Quote in the paperSubstantial claim - Also stated in: § CONCLUSIONES · plain
- Interpretationown data
The educational intervention decreases caregiver burden in family caregivers of adults with cancer undergoing surgery.
“y disminuye la sobrecarga en cuidadores de personas con cáncer sometidos a cirugía.”
- Also stated in: § CONCLUSIONES · plain
“disminuye la sobrecarga del cuidador.”
Quote in the paperSubstantial claim - Also stated in: § CONCLUSIONES · plain
- Study design and conductcitation
The CUIDAR instrument has psychometric properties for use in Spanish.
“Cuenta con propiedades psicométricas para su uso en español (11) .”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [11]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation
Evidence is limited on the potential benefits of perioperative educational efforts for caregivers of cancer patients.
“Es de señalar que la evidencia es limitada sobre los potenciales beneficios que proveen esfuerzos de estas características en el proceso perioperatorio para cuidadores de pacientes con cáncer.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [9]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [6]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [10]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- May combine two claims. 10
- Classified as probably not a substantial claim. 5
May combine two claims.
Findingown dataAfter the intervention, statistically significant differences between groups were found in competence levels and in the knowledge, uniqueness, instrumental, enjoy, and anticipation dimensions.
“Posterior a la intervención se identifican cambios estadísticamente significativos entre el GI y el GC en los niveles de competencia para el cuidado y las dimensiones conocimiento, unicidad, instrumental, disfrutar y anticipación.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAfter the intervention, 96.6% of the intervention group had no caregiver burden, compared with 81.4% of the control group.
“después de la intervención en el GI, el porcentaje de participantes con ausencia de sobrecarga es del 96,6%, en contraste con el GC en el que solo el 81,4% presenta esta condición.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe relation and interaction dimension increased in both groups after the intervention without statistically significant between-group differences.
“La dimensión relación e interacción aumentó en los dos grupos posterior a la intervención, sin evidenciar diferencias estadísticamente significativas.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the intervention group, competence levels shifted from medium to high, while in the control group the trend was from high to medium.
“En el GI los niveles de competencia de los cuidadores pasaron de estar en rangos medios a altos, mientras que en el GC la tendencia fue a bajar de rango alto a medio.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable). May combine two claims.
PremisecitationFamily caregivers of cancer patients require special guidance and basic knowledge and instrumental skills for taking responsibility for the patient's health.
“El cuidador requiere una orientación especial frente a toma de responsabilidades sobre la salud del paciente, necesita conocimientos y habilidades instrumentales básicas”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [6]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim. May combine two claims.
Study design and conductown dataBecause normality was not met by the Kolmogorov test, the analysis used Wilcoxon for related samples and Mann-Whitney U for independent samples.
“previa verificación del no cumplimiento de supuesto de normalidad, mediante la prueba de Kolmogorov, se acudió a una combinación de pruebas no paramétricas, la prueba de Wilcoxon para dos muestras relacionadas y la U de Mann-Whitney para dos muestras independientes”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataAt baseline, the intervention and control groups were homogeneous in caregiver sociodemographic variables and showed no significant differences in care competence or burden.
“En la caracterización de los cuidadores se evidencia la homogeneidad en la composición del GC y el GI, sin cambios estadísticamente significativos en las variables.”
- Also stated in: § RESULTADOS · plain
“En la primera medición de competencia para el cuidado de los cuidadores, no existen diferencias apreciables entre el GI y el GC.”
- Also stated in: § RESULTADOS · plain
“Al inicio del estudio, predomina ausencia de sobrecarga para el cuidado en los dos grupos, sin cambios estadísticamente significativos.”
Quote in the paperSubstantial claim- Also stated in: § RESULTADOS · plain
May combine two claims.
Study design and conductown dataThe final sample consisted of 290 caregivers, 145 in the intervention group and 145 in the control group.
“La muestra final estuvo conformada por 290 cuidadores, 145 asignados en el grupo intervención (GI) y 145 en el grupo control (GC).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductown dataParticipants were assigned to the control or intervention group by simple random assignment using an Excel file of codes.
“con una asignación aleatoria simple para GC o GI en cada uno de los grupos por medio de un archivo de excel con códigos.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductreasoningA sample size of 145 caregivers per group was calculated to detect a 20-point difference in mean competence and burden scores, with type I error 0.05, type II error 0.01, and an upper bound SD of 60.
“Se calculó un tamaño de muestra de 145 cuidadores para cada uno de los dos grupos aleatorizados, con el propósito de juzgar la hipótesis estadística que hace referencia a la diferencia entre los puntajes medios adquiridos respecto a las competencias para el cuidado en el hogar y la sobrecarga del cuidador”
- Also stated in: § Población y ámbito de estudio · plain
“(Error tipo I de 0.05 (𝛼), un error tipo II de 0.01 (β), una diferencia de 20 puntos (δ) y una cota superior de la desviación estándar de 60).”
Quote in the paperSubstantial claim- Also stated in: § Población y ámbito de estudio · plain
May combine two claims.
Study design and conductcitationThe Zarit caregiver burden scale has psychometric evidence in Spanish and for Colombia.
“Cuenta con pruebas psicométricas en español (15) y para Colombia (12).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [15]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites [12]
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe sample was selected by probabilistic sampling in the medical-surgical services and outpatient surgery clinic.
“La muestra se seleccionó mediante muestreo probabilístico, en los servicios médicoquirúrgicos, y consulta externa de cirugía.”
Quote in the paperNot a substantial claim
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Conclusion claims improvement in all six dimensions despite a decline in Disfrutar
MajorThe conclusion says competence increased in all six dimensions, but in the intervention group the proportion rated high in Disfrutar fell from 78,6% to 68,3%, while the proportion rated low rose.
“aumenta la competencia de cuidado en el hogar en sus seis dimensiones y disminuye la sobrecarga del cuidador.”
“Disfrutar Bajo 6,2 7,6 0,644 9,7 14,5 0,000 a Medio 15,2 11,7 22,1 40,0 Alto 78,6 80,7 68,3 45,5”
Intervention-group socioeconomic counts exceed the group size
MinorThe intervention group's socioeconomic categories total 151 caregivers, six more than the stated group size of 145.
Reported 145 · recomputed 151
“Estrato socioeconómico Bajo 88 (60,7) 86 (59,3) 0.29 Medio 57 (39,3) 57 (39,3) Alto 6 (4,1) 9 (6,2)”
Control-group education counts exceed the group size
MinorThe three education categories in the control group total 184 caregivers, although the control group contains 145.
Reported 145 · recomputed 184
“Grado de escolaridad Bajo 91 (62,8) 93 (64,1) 0.17 Medio 24 (16,6) 75 (51,7) Alto 30 (20,7) 16 (11)”
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Fatiga oncológica y calidad de sueño: intervención educativa de bajo costo con seguimiento
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- Authors
- Carrillo, G. M., Laguna, M. D. L. L., Gómez, O. J., Chaparro Díaz, L., & Carreño, S. P.
- Venue
- Enfermería Global
- Published
- 2021-01-01
- Volume
- 20
- Issue
- 1
- Pages
- 395-419
- ISSN
- 1695-6141 (ISSN-L)
- OpenAlex
- W3135016872
- Semantic Scholar
- f3a0eee4ff6ebffda9fa325ad322391200615256
- Cited by
- 7
- References
- 19
- Citations by year
- 2025: 3 · 2023: 2 · 2022: 2
- FWCI
- 1.47
- Type
- journal article
- Language
- es
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Enfermería Global (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Hispana (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Family Caregiving in Mental Illness
- Keywords
- family caregivers, cancer surgery, educational intervention, caregiver burden, postoperative care, caregiver education
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-18.
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