Adaptation to get some sleep among school-age patients with leukemia during chemotherapy
Keywords:
chemotherapy, adaptation, sleep, leukemia, school-age childrenAbstract
School-age patients with leukemia need to be treated by chemotherapy, causing many discomforts including sleep problems that affect their health and treatment responses. To date, there is no specific studies related to sleep problems and how to deal with them among these group of patients. This study aimed to describe sleep problems and management of sleep problems among school-aged children with leukemia during chemotherapy. It was a part of thesis entitled “Dealing with sleep problems in school age children with Leukemia during chemotherapy”, using qualitative research method. The informants were 10 school-age children with leukemia aged 8-12 years who received the second stage onwards of chemotherapy at the Queen Sirikit National Institute of Child Health. Data were collected by in-depth interviews and then were analyzed using Thematic analysis.
The result showed that “Adaptation to get some sleep” was the main theme reflecting that school-age patients with leukemia still had sleep problems. These young patients experienced with sleeping fitfully, discontinuous sleeping, difficulty falling asleep after waking. These school-age patients had their own way of dealing with sleep problems by taking short naps during their daily life, or found a way to reduce body heat resulting from chemotherapy that could help themselves had better sleep, such as turning on the air conditioner, electric fan, or taking a shower. However, these methods could not compensate sleep adequately. The results showed that school-age patients still had sleep problems and could not deal with sleep problems on their own. Pediatric nurses can use the results of this study as a baseline to develop nursing practice guideline for school-aged patients with leukemia during chemotherapy who have sleep problems, as well as for further research.
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