SYMPTOMS AND DEPENDENT CARE DURING CANCER TREATMENTS OF CHILDREN AND ADOLESCENTS

2.50
Hdl Handle:
http://hdl.handle.net/10755/211671
Type:
Research Study
Title:
SYMPTOMS AND DEPENDENT CARE DURING CANCER TREATMENTS OF CHILDREN AND ADOLESCENTS
Abstract:
Purpose/Aims & Conceptual Framework. Examined (a) symptom occurrence/severity reported by parents/caregivers of children/adolescents during cancer therapy; (b.) what caregiver reports that help alleviate symptoms, including self-care/dependent care; and (c) what self-/dependent care categories are reported. Used Orem’s self-care/dependent care concepts. Methods. Cross-sectional; Midwestern and Southwestern USA; 92 parents/children ages 1-17 years; 52% females; 16 were <5 years old; 5-11 yo.=53; 12-17 yo.=23. Diagnoses: 56% had leukemia; 44%, Other cancers. Instruments: Therapy-Related Symptom Checklist for Children (TRSC-C): record patients’ symptom occurrence/severity on a 5-pt scale (0, no symptom; 4, “A whole lot”; and Symptom Alleviation: Self-Care Methods (SA:SCM): identify methods used to alleviate therapy-related symptoms. Cronbach’s alphas: TRSC-C= .91; SA:SCM= .72; good content and construct validity. Descriptive-correlational data/content analyses done. Results: A. 40% or more reported 19 symptoms, mean severity “Quite a bit”: loss of appetite, nausea, vomiting, bruising, fever, weight loss, feeling sluggish, hair loss, depression, pain, irritable, agitation, headache, sweating, afraid, constipation, skin changes, tripping and falling and difficulty sleeping. B. Of six categories of self/dependent-care methods/complementary therapies, all found useful; most used were Diet/Nutrition; and, Prescribed Medicines. C. Self/dependent-care examples: a. Diet/nutrition category includes: provide more variety, offer child’s favorite foods, use ‘strong flavors’ (sweet, sour), change meal frequency; b. Mind/body control category includes: provide reassurance, rewards; hold, hug, say “I love you”; play/ talk; sleep; use heating pad; c. Biologic treatment and d. Herbal treatments, not mentioned; e.’Other’ category includes: nutritionist consult; mouth care, ice chips, magic mouthwash, throat spray; f. Prescribed medications include anti-emetics for nausea, pain relievers. Implications: Assessing patient/parent-reported symptoms and use of self/dependent care and complementary therapies during pediatric cancer treatments helps parents help their children.
Keywords:
Adult caregivers; Cancer Patients; Children
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4783
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleSYMPTOMS AND DEPENDENT CARE DURING CANCER TREATMENTS OF CHILDREN AND ADOLESCENTSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211671-
dc.description.abstractPurpose/Aims & Conceptual Framework. Examined (a) symptom occurrence/severity reported by parents/caregivers of children/adolescents during cancer therapy; (b.) what caregiver reports that help alleviate symptoms, including self-care/dependent care; and (c) what self-/dependent care categories are reported. Used Orem’s self-care/dependent care concepts. Methods. Cross-sectional; Midwestern and Southwestern USA; 92 parents/children ages 1-17 years; 52% females; 16 were <5 years old; 5-11 yo.=53; 12-17 yo.=23. Diagnoses: 56% had leukemia; 44%, Other cancers. Instruments: Therapy-Related Symptom Checklist for Children (TRSC-C): record patients’ symptom occurrence/severity on a 5-pt scale (0, no symptom; 4, “A whole lot”; and Symptom Alleviation: Self-Care Methods (SA:SCM): identify methods used to alleviate therapy-related symptoms. Cronbach’s alphas: TRSC-C= .91; SA:SCM= .72; good content and construct validity. Descriptive-correlational data/content analyses done. Results: A. 40% or more reported 19 symptoms, mean severity “Quite a bit”: loss of appetite, nausea, vomiting, bruising, fever, weight loss, feeling sluggish, hair loss, depression, pain, irritable, agitation, headache, sweating, afraid, constipation, skin changes, tripping and falling and difficulty sleeping. B. Of six categories of self/dependent-care methods/complementary therapies, all found useful; most used were Diet/Nutrition; and, Prescribed Medicines. C. Self/dependent-care examples: a. Diet/nutrition category includes: provide more variety, offer child’s favorite foods, use ‘strong flavors’ (sweet, sour), change meal frequency; b. Mind/body control category includes: provide reassurance, rewards; hold, hug, say “I love you”; play/ talk; sleep; use heating pad; c. Biologic treatment and d. Herbal treatments, not mentioned; e.’Other’ category includes: nutritionist consult; mouth care, ice chips, magic mouthwash, throat spray; f. Prescribed medications include anti-emetics for nausea, pain relievers. Implications: Assessing patient/parent-reported symptoms and use of self/dependent care and complementary therapies during pediatric cancer treatments helps parents help their children.en_GB
dc.subjectAdult caregiversen_GB
dc.subjectCancer Patientsen_GB
dc.subjectChildrenen_GB
dc.date.available2012-02-20T12:07:33Z-
dc.date.issued2012-02-20T12:07:33Z-
dc.date.accessioned2012-02-20T12:07:33Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.