Top

Published in:

01-12-2019

The Effect of Fatigue-Related Education on Pediatric Oncology Patients’ Fatigue and Quality of Life

Authors: Aslı Akdeniz Kudubes, Murat Bektas, Kamer Mutafoğlu

Published in: Journal of Cancer Education | Issue 6/2019

Abstract

The identification of cancer-related fatigue as a clinical problem in pediatric oncology is an important phenomenon, and there are limited number of studies about raising the awareness of pediatric oncology patients and their parents. Fatigue-related education for patients and their parents before and during cancer treatment reduces the fatigue levels of patients. This study aims to analyze the effect of fatigue-related education for pediatric oncology patients aged 7–12 and their parents on their fatigue and quality of life. This study was conducted with 80 children with cancer and their parents who were assigned to either the control group (n = 40) or the experimental group (n = 40). The experimental group received a fatigue-related educational program. The data were collected three times: prior to the program, 3 months later, and 6 months afterwards. Multidimensional variance analysis, the Bonferroni adjusted t test and regression analysis were used to analyze the data. A significant difference was found among the experimental and the control group for total mean scores and the mean scores of subdimensions of the Scale for the Assessment of Fatigue—Child Form in terms of the interactions of group, time, and group*time (p < 0.05). Significant differences were found among the experimental and control groups’ mean scores on the Scale for the Quality of Life—Child and Parents Form in terms of the interactions of group, time, and group*time (p < 0.05). Fatigue-related education is an effective education model as a way to reduce fatigue and increase the quality of life of children with cancer. The use of fatigue-related education by nurses in pediatric oncology clinics will have positive effects on children and their parents.

Cancer Facts & Figures 2018 - American Cancer Society. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2018/cancer-facts-and-figures-2018.pdf. Accessed 23 June 2018.

Andersen C, Adamsen L, Moeller T, Midtgaard J, Quist M, Tveteraas A, Rorth M (2006) The effect of a multidimensional exercise programme on symptoms and side-effects in cancer patients undergoing chemotherapy-the use of semi-structured diaries. Eur J Oncol Nurs 10(4):247–262. https://doi.org/10.1016/j.ejon.2005.12.007 CrossRefPubMed

Woodgate RL (2008) Feeling states: a new approach to understanding how children and adolescents with cancer experience symptoms. Cancer Nurs 31:229–238. https://doi.org/10.1097/01.NCC.0000305731.95839. CrossRefPubMed

Jalmsell L, Kreicbergs U, Onelöv E, Steineck G, Henter J (2006) Symptoms affecting children with malignancies during the last month of life: a nationwide follow up. Pediatrics 117(4):1314–1320. https://doi.org/10.1542/peds.2005-1479 CrossRefPubMed

Cleve LV, Muñoz CE, Savedra V (2012) Symptoms in children with advanced cancer: child and nurse reports. Cancer Nurs 35(2):115–125. https://doi.org/10.1097/NCC.0b013e31821aedba CrossRefPubMedPubMedCentral

Williams PD, Williams AR, Kelly KP, Dobo C, Gieseking A, Connor R, Ridder L, Potter N, Del Favero D (2012) Symptom checklist for children with cancer. Cancer Nurs 35(2):89–98. https://doi.org/10.1097/NCC.0b013e31821a51f6. CrossRefPubMed

Turan SA, Esenay FI, Güven M (2016) Kanserli çocuklarda kemoterapi sonrası görülen semptomlar. J Curr Pediatr 14:74–81

National Cancer Comprehensive Network Guidelines, 2010. https://www.nccn.org/store/login/login.aspx?ReturnURL=https://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf. Accessed 13 June 2017.

Waller A, Caroline NL (2007) Handbook of pallative care in cancer. Woburn Butterworth-Heineman, Massachusetts

10.

Karakoç T (2008) Kanser hastalarında yorgunluk ve hemşirelik bakımı. Fırat Sağlık Hizmetleri Dergisi 3(8):99–118

11.

Davies B, Whitsett SF, Bruce A, McCarthy P (2002) A typology of fatigue in children with cancer. J Pediatr Oncol Nurs 19(1):12–21. https://doi.org/10.1053/jpon.2002.30012 CrossRefPubMed

12.

Mooney-Doyle K (2006) An examination of fatigue in advanced childhood cancer. J Pediatr Oncol Nurs 23(6):305–310. https://doi.org/10.1177/1043454206293269 CrossRefPubMed

13.

De Bolle M, De Clercq B, De Fruyt F, Benoit Y (2008) Self- and parental perspectives on quality of life in children with cancer. J Psychosoc Oncol 26:35–47CrossRef

14.

Matzioua V, Perdikarisb P, Felonic D, Moshovi M, Tsoumakas K, Merkouris A (2008) Cancer in childhood: children’s and parents’ aspects for quality of life. Eur J Oncol Nurs 12:209–216. https://doi.org/10.1016/j.ejon.2007.10.005 CrossRef

15.

Tomlinson D, Hinds PS, Bartels U, Hendershot E, Sung L (2011) Parent reports of quality of life for pediatric patients with cancer with no realistic chance of cure. J Clin Oncol 29(6):639–645. https://doi.org/10.1200/JCO.2010.31.4047 CrossRefPubMed

16.

Tahmasebi M, Yarandi F, Eftekhar Z, Montazeri A, Namazi H (2007) Quality of life in gynecologic cancer patients. Asian Pac J Cancer Prev 8:591–592PubMed

17.

Genc RE, Conk Z (2008) Impact of effective nursing interventions to the fatigue syndrome in children who receive chemotherapy. Cancer Nurs 31(4):312–317. https://doi.org/10.1097/01.NCC.0000305740.18711.c6 CrossRef

18.

Berger AM, Mitchell SA, Jacobsen PB, Pirl WF (2015) Screening, evaluation, and management of cancer-related fatigue: ready for implementation to practice? CA Cancer J Clin 65(3):190–211. https://doi.org/10.3322/caac.21268 CrossRefPubMed

19.

Yesilbalkan ÖU, Karadakovan A, Göker E (2009) The effectiveness of nursing education as an intervention to decrease fatigue in Turkish patients receiving chemotherapy. Oncol Nurs Forum 36(4):215–222. https://doi.org/10.1188/09.ONF.E215-E222 CrossRef

20.

Kestler SA, LoBiondo-Wood G (2012) Review of symptom experiences in children and adolescents with cancer. Cancer Nurs 35(2):E31–E49. https://doi.org/10.1097/NCC.0b013e3182207a2a CrossRefPubMed

21.

Barrera M, Pringle LB, Sumbler K, Saunders F (2000) Quality of life and behavioral adjustment after pediatric bone marrow transplantation. Bone Marrow Transplant 26(4):427–435. https://doi.org/10.1038/sj.bmt.1702527 CrossRefPubMed

22.

Woodgate RL, Degner LF (2003) Expectations and beliefs about children’s cancer symptoms: perspectives of children with cancer and their families. Oncol Nurs Forum 30(3):479–491. https://doi.org/10.1188/03.ONF.479-491 CrossRefPubMed

23.

Woodgate RL, Degner LF, Yanofsky R (2003) A different perspective to approaching cancer symptoms in children. J Pain Symptom Manag 26(3):800–817. https://doi.org/10.1016/S0885-3924(03)00285-9 CrossRef

24.

Taş F, Yılmaz HB (2008) Pediatrik onkoloji hastalarında yaşam kalitesi kavramı. Turk. J Oncol 23(2):104–107

25.

Yılmaz BH, Muslu GK, Taş F (2009) Çocukların kansere bağlı yaşadıkları semptomlar ve yorgunluğa ebeveyn bakışı. Turk. J Oncol 24(3):122–127

26.

Kudubes AA, Bektas M, Ugur O (2014) Developing a scale for the assessment of fatigue in pediatric oncology patients aged 7-12 for children and parents. Asian Pac J Cancer Prev 15(23):10199–10207. https://doi.org/10.7314/APJCP.2014.15.23.10199 CrossRefPubMed

27.

Kudubes AA, Bektas M (2015) Developing a scale for quality of life in pediatric oncology patients aged 7-12-children and parent forms. Asian Pac J Cancer Prev 16(2):523–529. https://doi.org/10.7314/APJCP.2015.16.2.523 CrossRefPubMed

28.

Eral G, Ertem VH (2013) Nicel verilerin yer aldığı bağımsız ve bağımlı gruplarda uygulanan istatistiksel yöntemler. Çocuk Dergisi 13(4):138–140CrossRef

29.

Takken T, van der Torre P, Zwerink M, Hulzebos EH, Bierings M, Helders PJ, van der Net J (2009) Development, feasibility and efficacy of a community-based exercise training program in pediatric cancer survivors. Psychooncology 15(4):440–448. https://doi.org/10.1002/pon.1484 CrossRef

30.

Ullrich CK, Dussel V, Hilden JM, Sheaffer JW, Moore CL, Berde CB, Wolfe J (2010) Fatigue in children with cancer at the end of life. J Pain Symptom Manag 40(4):483–494. https://doi.org/10.1016/j.jpainsymman. CrossRef

31.

Yeh CH, Man Wai JP, Lin US, Chiang YC (2011) A pilot study to examine the feasibility and effects of a home-based aerobic program on reducing fatigue in children with acute lymphoblastic leukemia. Cancer Nurs 34(1):3–12. https://doi.org/10.1097/NCC.0b013e3181e4553c CrossRefPubMed

32.

Tanır MK, Kuğuoğlu S (2012) Olgu sunumu: Akut lenfoblastik lösemi (ALL)’ li çocuğun evde egzersiz programının sürdürülmesi. Ankara Sağlık Hizmetleri Dergisi 11(1):51–61

33.

Hinds PS, Hockenberry M, Rai SN, Zhang L, Bassem RI, McCarthy K, Cremer L, Rodriguez-Galindo C (2007) Nocturnal awakenings, sleep environment interruptions, and fatigue in hospitalized children with cancer. Oncol Nurs Forum 34(2):393–402. https://doi.org/10.1188/07.ONF.393-402 CrossRefPubMed

34.

Zupanec S, Jones H, Stremler R (2010) Sleep habits and fatigue of children receiving maintenance chemotherapy for all and their parents. J Pediatr Oncol Nurs 27(4):217–228. https://doi.org/10.1177/1043454209358890 CrossRefPubMed

35.

Rosen G, Brand SR (2011) Sleep in children with cancer: case review of 70 children evaluated in a comprehensive pediatric sleep center. Support Care Cancer 19(7):985–994. https://doi.org/10.1007/s00520-010-0921-y CrossRefPubMed

36.

Eiser C, Eiser JR, Stride CB (2005) Quality of life in children newly diagnosed with cancer and their mothers. Health Qual Life Outcomes 3(1):29. https://doi.org/10.1186/1477-7525-3-29. CrossRefPubMedPubMedCentral

37.

Hockenberry MJ, Hooke MC, Gregurich M, McCarthy K (2009) Carnitine plasma levels and fatigue in children/adolescents receiving cisplatin, ifosfamide, or doxorubicin. J Pediatr Hematol Oncol 31(9):664–669. https://doi.org/10.1097/MPH.0b013e3181b259a7 CrossRefPubMed

38.

Lashlee M, O'hanlon-Curry J (2007) Pediatric home chemotherapy: infusing quality of life. J Pediatr Oncol Nurs 24(5):294–298. https://doi.org/10.1177/1043454207304908 CrossRefPubMed

39.

Meeske KA, Patel SK, Palmer SN, Nelson MB, Parow AM (2007) Factors associated with health-related quality of life in pediatric cancer survivors. Pediatr Blood Cancer 49(3):298–305. https://doi.org/10.1002/pbc.20923 CrossRefPubMed

40.

Hörnquist JO (1982) The concept of quality of life. Scand J Soc Med 10(2):57–61CrossRef

41.

Pınar R (1997) Sağlıkla ilgili yaşam kalitesi. Sendrom Dergisi 9(9):117–124

42.

Payot A, Barrington KJ (2011) The quality of life of young children and infants with chronic medical problems: review of the literature. Curr Probl Pediatr Adolesc Health Care 41(4):91–101. https://doi.org/10.1016/j.cppeds.2010.10.008 CrossRefPubMed

43.

Barsevick AM, Irwin MR, Hinds P, Miller A, Berger A, Jacobsen P, Ancoli-Israel S, Reeve BB, Mustian K, O'Mara A, Lai JS, Fisch M, Cella D (2013) Recommendations for high-priority research on cancer-related fatigue in children and adults. J Natl Cancer Inst 105(19):1432–1440. https://doi.org/10.1093/jnci/djt242 CrossRefPubMedPubMedCentral

44.

Bower JE (2014) Cancer-related fatigue mechanisms, risk factors, and treatments. Nat Rev Clin Oncol 11(10):597–609. https://doi.org/10.1038/nrclinonc. CrossRefPubMedPubMedCentral

Title: The Effect of Fatigue-Related Education on Pediatric Oncology Patients’ Fatigue and Quality of Life
Authors: Aslı Akdeniz Kudubes
Murat Bektas
Kamer Mutafoğlu
Publication date: 01-12-2019
Publisher: Springer US
Published in: Journal of Cancer Education / Issue 6/2019
Print ISSN: 0885-8195
Electronic ISSN: 1543-0154
DOI: https://doi.org/10.1007/s13187-018-1419-4

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras

Prof. Fabrice Barlesi

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2019

Identification of Factors Associated with Hematology-Oncology Fellow Academic Success and Career Choice

Challenges to Educating Smokers About Lung Cancer Screening: a Qualitative Study of Decision Making Experiences in Primary Care

Effect of Educational Intervention Based on the Health Belief Model and Self-Efficacy in Promoting Preventive Behaviors in a Cholangiocarcinoma Screening Group

The Effects of the Training Program and Counseling Program Given to Women Who Underwent a Mastectomy and Spouses

Community Breast Health Education for Immigrants and Refugees: Lessons Learned in Outreach Efforts to Reduce Cancer Disparities

Reflections from the 2019 International Cancer Education Conference in Salt Lake City, Utah

Keynote webinar | Spotlight on antibody–drug conjugates in cancer