Examination of participation limitations affecting the activity performance of children and adolescents diagnosed with childhood cancer

Abstract

Purpose: This descriptive study aimed to examine participation restrictions affecting activity performance in children and adolescents diagnosed with cancer. Methods: The study included 62 children and adolescents diagnosed with cancer who had been receiving treatment for more than one year (mean age: 10.07±3.83 years) and 54 healthy children and adolescents (mean age: 9.29±3.43 years). The Pediatric Outcomes Data Collection Instrument (PODCI) was used to assess participation limitations. The PODCI consists of five main subdomains related to participation in daily living activities.The Mann-Whitney U test was used to compare participation levels between children and adolescents with cancer and their healthy counterparts, while the Kruskal-Wallis test was applied to compare participation levels among different cancer diagnoses. Results: Of the children participating in the study, 14.5% were diagnosed with acute lymphoblastic leukemia, 21% with lymphoma, and 64.5% with brain tumors. A significant difference was found between adolescents diagnosed with cancer and healthy adolescents in all subparameters of the PVTA test (p=0.001). There were significant differences among cancer types in global function and comfort (p=0.020), upper extremity function (p=0.001), and physical function/sports (p=0.006). However, no significant differences were found in transfer and mobility (p=0.847), pain/comfort (p=0.020), or happiness and satisfaction (p=0.061). Conclusion: Children diagnosed with cancer experience long-term participation restrictions due to their diagnosis and treatment processes. These restrictions are primarily physical but vary depending on the type of cancer. Further studies are recommended to explore participation restrictions and their underlying causes in more detail in children and adolescents with cancer.

Keywords

• Adolescent
• Child
• Cancer
• Participation
• patient.

Çocukluk çağı kanseri tanılı çocuklar ve adölesanların aktivite performansını etkileyen katılım kısıtlılıklarının incelenmesi

Abstract

Amaç: Bu tanımlayıcı çalışmada, kanser tanısı almış çocuk ve adölesanların aktivite performansını etkileyen katılım kısıtlılıklarının incelenmesi amaçlandı. Yöntem: Çalışmaya kanser tanısı almış ve bir yıldan uzun süredir tedavi gören 62 (yaş ortalaması 10,07± 3,83 yıl) ve sağlıklı 54 (yaş ortalaması 9,29±3,43 yıl) çocuk ve adölesan katıldı. Aktivite performansını etkileyen katılım kısıtlılıklarının incelenmesi için Pediatrik Veri Toplama Aracı (PVTA) kullanıldı. Kanser tanısı almış ve sağlıklı çocukların ve adölesanların katılım düzeyleri arasındaki fark düzeyini karşılaştırmak için Mann-Whitney U testi kullanıldı. Kanser tanısına göre katılım düzeylerini karşılaştırmak için ise Kruskal Wallis kullanıldı. Bulgular: Çalışmaya katılan çocukların %14,5’i akut lenfoblastik lösemi, %21’i lenfoma ve %64,5’i beyin tümörü tanısı almıştı. Kanser tanısı alan ve sağlıklı adölesanlar arasında PVTA testinin tüm alt parametreleri arasında anlamlı fark bulundu (p=0,001). Kanser türlerine göre global fonksiyon ve rahatlık (p=0,020), üst ekstremite fonksiyonu(p=0,001) ve fiziksel fonksiyon/spor parametreleri arasında anlamlı fark bulundu (p=0,006) özellikle beyin tümörü tanılı çocukların en fazla fonksiyonel sınırlılığa sahip olduğu bulundu. Transfer & mobilite(p=0,847), rahatlık /ağrısızlık (p=0,020) ve mutluluk & memnuniyet (p=0,061) parametrelerinde anlamlı fark bulunamadı. Sonuç: Kanser tanısı alan çocuklarda tanı ve tedavi süreçlerine bağlı olarak uzun dönemde katılım kısıtlılıkları ortaya çıkmaktadır. Bu kısıtlılıklar özellikle fiziksel boyutta olmakla birlikte kanserin türüne göre değişkenlik göstermektedir. Bu süreçte çocukların ve adölesanların katılım kısıtlılıkları ve ilişkili nedenler detaylıca inceleyen ileri çalışmalar önerilmektedir.

Keywords

• Adölesan
• Çocuk
• Kanser
• Katılım
• hasta.

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