Nurse's Role
Conditions
Keywords
anxiety, hematology-oncology nursing, pain intervention, randomized controlled trial, fear
Brief summary
Intrathecal chemotherapy is often used to prevent the spread of cancer to the central nervous system in pediatric patients and is one of the most invasive procedures. It is believed that the way it is administered and the complications experienced after treatment negatively affect the comfort of the pediatric patient, leading them to refuse the treatment.
Detailed description
Receiving sedation is one of the pharmacological procedures for intrathecal chemotherapy which creates a particularly difficult situation for the child. However, since pharmacological methods increase the cost and cause toxicity in children, in recent years, the symptoms that occur in cancer treatment have been tried to be controlled with non-pharmacological methods. Music intervention facilitates a sense of control in patients and provides mental distraction, emotional smoothness, and relaxation, which have been found to have pain relief effects.
Interventions
BEHAVIORALMusic intervention
: In addition to the routine practice of the clinic, the pediatric patients in this group listened to music through headphones for 20 minutes just before the procedure to reduce the child's anxiety and fear. The therapeutic effect of music was used. Before the study, children between the ages of 6 and 12 who were inpatients at the clinic were asked what music they most liked to listen to, what kind of music they liked, and what their favorite artists and songs were. The music was selected based on the children's answers. In addition, the researcher added children's songs by a musician named Banu Kanıbelli
Sponsors
Ondokuz Mayıs University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Investigator)
Intervention model description
a parallel group, randomized, controlled experimental study.
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* To be between 6-12 years old, * Being treated in the Hematology and Oncology Clinic, * About to receive intrathecal chemotherapy treatment, * The child not having pain before intrathecal chemotherapy treatment
Exclusion criteria
were, * Refusing to participate in the study, * Being under 6 years of age and over 10 years of age, * The child having pain prior to intrathecal chemotherapy treatment, * Having any physical or mental disability, * Not being able to speak Turkish.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anxiety | 30 minutes before intrathecal chemotherapy treatment and just after music intervention | Child Anxiety Meter-State (CAM-S):The scale can be scored between 1 and 10. An increase in the score means an increase in anxiety. |
| fear | 30 minutes before intrathecal chemotherapy treatment and just after music intervention | Children's Fear Scale (CFS): The scale can be scored between 0 and 4. An increase in the score means an increase in fear |
| pain scale | 60 minutes after intrathecal chemotherapy treatment | Face, Legs, Activity, Cry, Consolability pain scale (FLACC): total score between 0 and 10 is obtained by assigning 0, 1, or 2 points for each category. As the severity of pain increases, the total score increases, and as the severity of pain decreases, |
Countries
Turkey (Türkiye)
Outcome results
None listed