Fazelniya Zahra, Najafi Mostafa, Moafi Alireza, Talakoub Sedigheh
Student Research Center, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Psychiatric, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2017 Nov-Dec;22(6):431-435. doi: 10.4103/ijnmr.IJNMR_215_15.
Quality of life (QOL) of children with cancer reduces right from the diagnosis of disease and the start of treatment. Computer games in medicine are utilized to interact with patients and to improve their health-related behaviors. This study aimed to investigate the effect of an interactive computer game on the QOL of children undergoing chemotherapy.
In this clinical trial, 64 children with cancer aged between 8 and12 years were selected through convenience sampling and randomly assigned to experimental or control group. The experimental group played a computer game for 3 hours a week for 4 consecutive weeks and the control group only received routine care. The data collection tool was the Pediatric Quality of Life Inventory (PedsQL) 3.0 Cancer Module Child self-report designed for children aged between 8 to 12 years. Data were analyzed using descriptive and inferential statistics in SPSS software.
Before intervention, there was no significant difference between the two groups in terms of mean total QOL score ( = 0.87). However, immediately after the intervention ( = 0.02) and 1 month after the intervention ( < 0.001), the overall mean QOL score was significantly higher in the intervention group than the control group.
Based on the findings, computer games seem to be effective as a tool in influencing health-related behavior and improving the QOL of children undergoing chemotherapy. Therefore, according to the findings of this study, computer games can be used to improve the QOL of children undergoing chemotherapy.
癌症患儿的生活质量从疾病诊断和治疗开始就会下降。医学领域利用电脑游戏与患者互动，并改善他们与健康相关的行为。本研究旨在调查一款互动电脑游戏对接受化疗的儿童生活质量的影响。
在这项临床试验中，通过便利抽样选取了64名年龄在8至12岁之间的癌症患儿，并随机分为实验组或对照组。实验组连续4周每周玩3小时电脑游戏，对照组仅接受常规护理。数据收集工具是专为8至12岁儿童设计的儿童生活质量量表（PedsQL）3.0癌症模块儿童自评量表。使用SPSS软件中的描述性和推断性统计方法对数据进行分析。
干预前，两组的平均总生活质量得分之间无显著差异（P = 0.87）。然而，干预后即刻（P = 0.02）以及干预后1个月（P < 0.001），干预组的总体平均生活质量得分显著高于对照组。
基于研究结果，电脑游戏似乎可作为一种有效工具来影响与健康相关的行为，并改善接受化疗儿童的生活质量。因此，根据本研究结果，电脑游戏可用于提高接受化疗儿童的生活质量。
