Tsai Yu-Li, Tsai Shiow-Chwen, Yen Sang-Hue, Huang Kai-Lin, Mu Pei-Fan, Liou Hueh-Chun, Wong Tai-Tong, Lai I-Chun, Liu Pin, Lou Hsiao-Ling, Chiang I-Tsun, Chen Yi-Wei
Division of Radiation Oncology, Cancer Center, Taipei Veterans General Hospital, Taipei, Taiwan.
Graduate Institute of Transition and Leisure Education for Individuals with Disabilities, Taipei Physical Education College, Taipei, Taiwan.
Childs Nerv Syst. 2013 Jul;29(7):1123-9. doi: 10.1007/s00381-013-2099-3. Epub 2013 Apr 13.
External beam radiotherapy (EBRT) is frequently used to improve disease control for pediatric brain tumor patients. However, to facilitate the radiotherapy (RT) procedure, "forced" type interventions including conscious sedation or general anesthesia are frequently used to manage patients' fear and anxiety. The aim of this study was to investigate the effects of therapeutic play (TP) in reducing anxiety for pediatric brain tumor patients treated by EBRT.
Between April 1st and September 30th, 2009, 19 young brain tumor patients, aged 3-15 years and recommended for RT, were recruited: ten to a control group and nine to the study intervention group. The study group was introduced with TP during EBRT. The Beck Youth Anxiety Inventory and the Faces Anxiety Scale were used to evaluate patients' psychological levels of anxiety. The heart rate variability and salivary cortisol concentrations were used to indicate the patients' physical levels of anxiety. Both the psychological and physiological tests were administered to all subjects before and after the RT procedure.
The study group had significantly lower anxiety scores and expressed fewer negative emotions than did the control group before EBRT.
TP can not only improve the quality of medical services but can also reduce costs and staffing demands. In addition, it can help lower young patients' anxiety and fear during medical procedures. As a result, it further decreases the potential negative impacts of hospitalization on these young patients.
体外放射治疗（EBRT）常用于改善小儿脑肿瘤患者的疾病控制情况。然而，为了便于放疗（RT）程序的进行，包括清醒镇静或全身麻醉在内的“强制”型干预措施经常被用于应对患者的恐惧和焦虑。本研究的目的是调查治疗性游戏（TP）对接受EBRT治疗的小儿脑肿瘤患者焦虑情绪的缓解作用。
在2009年4月1日至9月30日期间，招募了19名年龄在3至15岁、推荐接受放疗的年轻脑肿瘤患者：10名进入对照组，9名进入研究干预组。研究组在EBRT期间接受了TP干预。使用贝克青少年焦虑量表和面部焦虑量表来评估患者的心理焦虑水平。心率变异性和唾液皮质醇浓度用于指示患者的身体焦虑水平。在放疗程序前后，对所有受试者进行心理和生理测试。
在EBRT之前，研究组的焦虑得分显著低于对照组，且表达的负面情绪较少。
TP不仅可以提高医疗服务质量，还可以降低成本和人员需求。此外，它有助于减轻年轻患者在医疗过程中的焦虑和恐惧。因此，它进一步降低了住院对这些年轻患者的潜在负面影响。
