Encouragement Activities for reducing number of pediatric patients that require general anesthesia and reducing concerns in parents and pediatric patients who undergo irradiation at King Chulalongkorn Memorial Hospital
Keywords:
Anesthesia, radiation, pediatric, patients, anxietyAbstract
Background: Treatment of pediatric cancer consists of surgery, chemotherapy and radiation, depending on type and stage of cancer. During therapy, pediatric patients have to be alone in the radiation room. They might feel frustrated or worried and some cannot cooperate the treatment which is one of the most common problem in pediatric cancer patients. Therefore, general anesthesia is unavoidable. These patients are required to be admitted during the treatment which could affect their quality of life as well as their emotion.
Objective: The purpose of this study is to reduce the number of the pediatric patients who require anesthesia and to reduce anxiety in parents and patients during radiation treatment at Division of Radiation Oncology, King Chulalongkorn Memorial Hospital.
Materials and methods: From 2014 to 2018, 148 pediatric cancer patients (aged: 1-15 years) received radiation treatment at King Chulalongkorn Memorial Hospital. A lovely appointment card was given on the first day. Staff familiarized themselves with the patients and prepared the reward when the patients well cooperated with the treatment. At the end of the treatment, the patients received certificate from physicians to appreciate their cooperation. The concern and satisfaction of parents were assessed by questionnaires before and after treatment. In addition, the reduction in anesthesia cancellation during radiation treatment was recorded.
Results: This study demonstrated that the activities reduced parental anxiety from 70% to 12% at the end of treatment. The fear of patients decreased from 77% to 20% and satisfaction increased from 27% to 95%. In addition, the number of cancer patients in children without anesthesia were reduced by 35.7%.
Conclusion: This study demonstrated that encouragement activities reduced anxiety in treatment for parents and pediatric patients. When the patients were more cooperative, the number of daily anesthesia was reduced.
References
อ.พญ. อนุสสรา ส่งทอง, รศ.พญ. กาญจนา โชติเลอศักดิ์. เอกสาร มะเร็ง ในเด็ก (Pediatric cancer) [Internet]. 2016. Available from: http://www.chulacancer.net
Ward E, DeSantis C, Robbins A, Kohler B, Jemal A. Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin. 2014;64:83–103.
Parker WA, Freeman CR. A simple technique for craniospinal radiotherapy in the supine position. Radiother Oncol. 2006;78:217–22.
Anghelescu DL, Burgoyne LL, Liu W, Hankins GM, Cheng C, Beckham PA, et al. Safe anesthesia for radiotherapy in pediatric oncology: St. Jude Children’s Research Hospital experience, 2004–2006. Int J Radiat Oncol Biol Phys. 2008;71:491–7.
Haeberli S, Grotzer MA, Niggli FK, Landolt MA, Linsenmeier C, Ammann RA, et al. A psychoeducational intervention reduces the need for anesthesia during radiotherapy for young childhood cancer patients. Radiat Oncol. 2008;3:17.
Angstrom-Brannstrom C, Engvall G, Mullaney T, Nilsson K, Wickart-Johansson G, Svard A-M, et al. Children undergoing radiotherapy: Swedish parents’ experiences and suggestions for improvement. PLoS One. 2015;10: e0141086.
Vlachioti E, Matziou V, Perdikaris P, Mitsiou M, Stylianou C, Tsoumakas K, et al. Assessment of quality of life of children and adolescents with cancer during their treatment. Jpn J Clin Oncol. 2016;46:453–61.
Opasrattanakorn, S, Detprapon, M, Sumdaengrit B. Stress and Coping of Nasopharyngeal Carcinoma Patients Receiving Concurrent Treatment. Rama Nurs J. 2015;21:158-171.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารมะเร็งวิวัฒน์ ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับ และบุคคลากรท่านอื่น ๆ ใน สมาคมฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใดๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
