Kudubes Aslı Akdeniz, Bektas Murat, Mutafoğlu Kamer
Department of Pediatric Nursing, Dokuz Eylul University Faculty of Nursing, Inciralti, 35340, Izmir, Turkey.
Department of Pediatrics, Izmir University of Economics Faculty of Medicine, Izmir, Turkey.
J Cancer Educ. 2019 Dec;34(6):1130-1141. doi: 10.1007/s13187-018-1419-4.
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 grouptime (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 grouptime (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.
将癌症相关疲劳识别为儿科肿瘤学中的一个临床问题是一个重要现象，而关于提高儿科肿瘤患者及其父母意识的研究数量有限。在癌症治疗前和治疗期间对患者及其父母进行与疲劳相关的教育可降低患者的疲劳水平。本研究旨在分析针对7至12岁儿科肿瘤患者及其父母开展的与疲劳相关的教育对其疲劳和生活质量的影响。本研究对80名癌症患儿及其父母进行，他们被分为对照组（n = 40）或实验组（n = 40）。实验组接受了与疲劳相关的教育项目。数据在三个时间点收集：项目实施前、3个月后和6个月后。采用多因素方差分析、Bonferroni校正t检验和回归分析对数据进行分析。在疲劳量表儿童版总分及各子维度平均分方面，实验组和对照组在组、时间以及组×时间的交互作用上存在显著差异（p < 0.05）。在儿童生活质量量表和父母生活质量量表平均分方面，实验组和对照组在组、时间以及组×时间的交互作用上存在显著差异（p < 0.05）。与疲劳相关的教育是一种有效的教育模式，可作为减轻癌症患儿疲劳并提高其生活质量的一种方式。儿科肿瘤诊所的护士采用与疲劳相关的教育将对患儿及其父母产生积极影响。
