Pediyatrik Onkoloji Hastalarında Ruhsal Hastalıklar ve Bakıma Yönelik Kanıta Dayalı Güncel Uygulamalar

Yıl 2022, Cilt: 7 Sayı: 1, 105 - 111, 31.01.2022

Abdullah Sarman , Emine Sarman

Öz

Çoğu kez ölüm, ağrı ve acı çekme ile eş anlamlı olarak kullanılan kanser, hastaların zorlu bir başa çıkma dönemi geçirmesine neden olmakta ve acil müdahale gerektiren bir kriz durumu meydana getirmektedir. Yapılan araştırmalar, kanser hastalarında anksiyete, depresyon, travma sonrası stres bozukluğu gibi ruhsal hastalıkların oldukça yaygın olduğunu göstermektedir. Pediyatrik kanser hastalarında gelişebilecek ruhsal hastalıklarda farmakolojik ve farmakolojik olmayan çözüm yollarının saptanması ve uygulanması süreçlerinde pediyatri ve onkoloji hemşirelerinin büyük sorumlulukları bulunmaktadır. Pediyatrik onkolojik hastaların bakımında kanıta dayalı uygulamaların sunulması ve bu tür müdahalelerin kliniklerde yaygınlaştırılması çocukların yaşam kalitesinin artmasına, ruhsal hastalık belirtilerinin azalmasına önemli katkılar sağlayacaktır. Bu derlemede pediyatrik kanser hastaları açısından depresif bozukluklar, anksiyete bozuklukları, davranış değişiklikleri, duygudurum bozuklukları, travma sonrası stres bozuklukları ve bakıma yönelik güncel uygulamalara yer verilmiştir.

Anahtar Kelimeler

ruhsal hastalık, Çocuk, hemşirelik, kanıta dayalı uygulamalar, kanser

Destekleyen Kurum

Yok.

Proje Numarası

Yok.

Current Evidence-Based Practices for Mental Illnesses and Care in Pediatric Oncology Patients

Öz

Cancer, which is often used synonymously with death, pain, and suffering, creates a crisis that causes patients to have a difficult coping period and requires emergency intervention. Researches show that mental illnesses such as anxiety, depression, and post-traumatic stress disorder are quite common in cancer patients. Pediatric and oncology nurses have great responsibilities in the processes of detecting and applying pharmacological and non-pharmacological solutions for mental illnesses that may develop in pediatric cancer patients. Offering evidence-based practices in the care of pediatric oncological patients and disseminating such interventions in the clinics will make significant contributions for improving the quality of life of children and reducing the symptoms of mental illness. Depressive disorders, anxiety disorders, behavioral changes, mood disorders, post-traumatic stress disorders and current practices for the care regarding pediatric cancer patients are included in the present review.

Anahtar Kelimeler

Child, nursing, evidence-based practices, cancer, mental illness

Proje Numarası

Yok.

Kaynakça

• Ergin I. Dünyada ve Türkiye’de güncel kanser istatistikleri. İçinde: Özentürk MG, editör. Kanser kontrolü ve disiplinlerarası yaklaşım. 1. Baskı. Ankara: Türkiye Klinikleri; 2021. s. 6-10.
• World Health Organisation. Childhood Cancer. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/cancer-in-children
• Sancak İE, Kurudirek F. Farklı eğitim düzeyine sahip annelerin çocuklarını kanserden korumaya yönelik yaptıkları uygulamalar. Anadolu Hemşirelik ve Sağlık Bilim Derg. 2021;24(2):175-91.
• Mitchell AJ, Ferguson DW, Gill J, Paul J, Symonds P. Depression and anxiety in long-term cancer survivors compared with spouses and healthy controls: a systematic review and meta-analysis. Lancet Oncol. 2013;14(8):721-32.
• Thompson EJ, Anderson VA, Hearps SJC, McCarthy MC, Mihalopoulos C, Nicholson JM, et al. Posttraumatic stress symptom severity and health service utilization in trauma-exposed parents. Health Psychol. 2017;36(8):779-86.
• Vernon L, Eyles D, Hulbert C, Bretherton L, McCarthy MC. Infancy and pediatric cancer: an exploratory study of parent psychological distress. Psychooncology. 2017;26(3):361-8.
• Morgan S, Cooper B, Paul S, Hammer MJ, Conley YP, Levine JD, et al. Association of personality profiles with depressive, anxiety, and cancerrelated symptoms in patients undergoing chemotherapy. Pers Individ Dif. 2017;117:130-8.
• Harper FWK, Peterson AM, Albrecht TL, Taub JW, Phipps S, Penner LA. Satisfaction with support versus size of network: differential effects of social support on psychological distress in parents of pediatric cancer patients. Psychooncology. 2016;25(5):551-8.
• Kim DH, Im YJ. The influence of family management style on psychosocial problems of childhood cancer survivors in Korea. Eur J Oncol Nurs. 2015;19(2):107-12.
• Küçükoğlu S, Çelebioğlu A. Identification of psychological symptoms and associated factors in adolescents who have a parent with cancer in Turkey. Eur J Oncol Nurs. 2013;17(1):75-80.
• McDonnell GA, Salley CG, Barnett M, DeRosa AP, Werk RS, Hourani A, et al. Anxiety among adolescent survivors of pediatric cancer. J Adolesc Health. 2017;61(4):409-23.
• Coyne I, Conlon J. Children and young people’s views of hospitalization: “it’s a scary place.” J Child Young People’s Nurs. 2007;1(1):1-6.
• Barnett M, McDonnell G, DeRosa A, Schuler T, Philip E, Peterson L, et al. Psychosocial outcomes and interventions among cancer survivors diagnosed during adolescence and young adulthood (AYA): a systematic review. J Cancer Surviv. 2016;10(5):814-31.
• Tahmasebi Z, Maghsoudi J, Talakoub S. The effect of painting on depression in children with cancer undergoing chemotherapy. Iran J Nurs Midwifery Res. 2017;22(2):102-5.
• Li WHC, Chung JOK, Ho EKY. The effectiveness of therapeutic play, using virtual reality computer games, in promoting the psychological well-being of children hospitalised with cancer. J Clin Nurs. 2011;20(15‐16):2135-43.
• Atrifard M, Zahiredin A, Dibaei S, Zahed G. Comparing depression in children and adolescents with cancer with healthy ones. URMIA Med J. 2014;25(1):21-31.
• Sotelo JL, Nemeroff CB. Depression as a systemic disease. Pers Med Psychiatry. 2017;1-2:11-25.
• Erermiş S, Küçükköse M, Özbaran B, Köse S. Çocukluk çağı kanserlerinde ruhsal sorunlar ve antidepresan kullanımı. Turkiye Klin J Pediatr. 2013;22(1):18-26.
• Yeh C-H, Chiang Y-C, Chien L-C, Lin L, Yang C-P, Chuang H-L. Symptom clustering in older Taiwanese children with cancer. Oncol Nurs Forum. 2008;35(2):273-81.
• Hockenberry MJ, Hooke MC, Gregurich M, McCarthy K, Sambuco G, Krull K. Symptom clusters in children and adolescents receiving cisplatin, doxorubicin, or ifosfamide. Oncol Nurs Forum. 2010;37(1):E16-27.
• Buckner TW, Wang J, DeWalt DA, Jacobs S, Reeve BB, Hinds PS. Patterns of symptoms and functional impairments in children with cancer. Pediatr Blood Cancer. 2014;61(7):1282-8.
• Çavuşoğlu H. Depression in children with cancer. J Pediatr Nurs. 2001;16(5):380-5.
• Rodgers C, Hooke MC, Ward J, Linder LA. Symptom clusters in children and adolescents with cancer. Semin Oncol Nurs. 2016;32(4):394- 404.
• Bail JR, Traeger L, Pirl WF, Bakitas MA. Psychological symptoms in advanced cancer. Semin Oncol Nurs. 2018;34(3):241-51.
• Lee Y-H, Chiou P-Y, Chang P-H, Hayter M. A systematic review of the effectiveness of problem-solving approaches towards symptom management in cancer care. J Clin Nurs. 2011;20(1-2):73-85.
• Mechtel M, Stoeckle A. Psychosocial care of the pediatric oncology patient undergoing surgical treatment. Semin Oncol Nurs. 2017;33(1):87-97.
• Uğur Ö. Kanser hastasının semptom yönetimi. Türk Onkol Derg. 2014;29(3):125-35.
• Weinstein AG, Henrich CC. Psychological interventions helping pediatric oncology patients cope with medical procedures: a nursecentered approach. Eur J Oncol Nurs. 2013;17(6):726-31.
• Hedström M, Skolin I, von Essen L. Distressing and positive experiences and important aspects of care for adolescents treated for cancer. Adolescent and nurse perceptions. Eur J Oncol Nurs. 2004;8(1):6-17.
• Hedström M, Ljungman G, Von Essen L. Perceptions of distress among adolescents recently diagnosed with cancer. J Pediatr Hematol Oncol. 2005;27(1):15-22.
• Williamson H, Harcourt D, Halliwell E, Frith H, Wallace M. Adolescents’ and parents’ experiences of managing the psychosocial impact of appearance change during cancer treatment. J Pediatr Oncol Nurs. 2010;27(3):168-75.
• Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ. 2005;330(7493):702-5.
• Zeltzer LK, Lu Q, Leisenring W, Tsao JCI, Recklitis C, Armstrong G, et al. Psychosocial outcomes and health-related quality of life in adult childhood cancer survivors: a report from the childhood cancer survivor study. Cancer Epidemiol Biomarkers Prev. 2008;17(2):435-46.
• Schultz KAP, Ness KK, Whitton J, Recklitis C, Zebrack B, Robison LL, et al. Behavioral and social outcomes in adolescent survivors of childhood cancer: a report from the childhood cancer survivor study. J Clin Oncol. 2007;25(24):3649-56.
• Nathan PC, Ness KK, Greenberg ML, Hudson M, Wolden S, Davidoff A, et al. Health-related quality of life in adult survivors of childhood Wilms tumor or neuroblastoma: a report from the childhood cancer survivor study. Pediatr Blood Cancer. 2007;49(5):704-15.
• Hudson M, Mertens A, Yasui Y, Al E. Health status of adult long-term survivors of childhood cancer: a report from the childhood cancer survivor study. JAMA. 2003;290(12):1583-92.
• Zebrack BJ, Zeltzer LK, Whitton J, Mertens AC, Odom L, Berkow R, et al. Psychological outcomes in long-term survivors of childhood leukemia, Hodgkin’s disease, and non-Hodgkin’s lymphoma: a report from the childhood cancer survivor study. Pediatrics. 2002;110(1 Pt 1):42-52.
• Greer JA, Traeger L, Bemis H, Solis J, Hendriksen ES, Park ER, et al. A pilot randomized controlled trial of brief cognitive-behavioral therapy for anxiety in patients with terminal cancer. Oncologist. 2012;17(10):1337-45.
• Mohr DC, Ho J, Duffecy J, Reifler D, Sokol L, Burns MN, et al. Effect of telephone-administered vs face-to-face cognitive behavioral therapy on adherence to therapy and depression outcomes among primary care patients: a randomized trial. JAMA. 2012;307(21):2278–85.
• Jacobsen PB, Jim HS. Psychosocial interventions for anxiety and depression in adult cancer patients: achievements and challenges. CA Cancer J Clin. 2008;58(4):214-30.
• Van Scheppingen C, Schroevers MJ, Smink A, van der Linden YM, Mul VE, Langendijk JA, et al. Does screening for distress efficiently uncover meetable unmet needs in cancer patients? Psychooncology. 2011;20(6):655-63.
• Özaltın M, Kaptanoğlu C, Aksaray G. Motorlu araç kazalarından sonra görülen akut stres bozukluğu ve travma sonrası stres bozukluğu. Turk Psikiyatr Derg. 2004;15(1):16-25.
• Oflaz F. Psychiatric nursing interventions and child and adolescent mental health dealing with traumatized children and teens. Turkiye Klin J Psychiatr Nurs-Special Top. 2015;1(2):46-51.
• Noeker M, Petermann F. Childhood cancer: psychosocial aspects. In: Wright JD, editor. International encyclopedia of the social & behavioral sciences. 2nd ed. Oxford: Elsevier; 2015. p. 459-64.
• Steinmetz T, Tarquinio C. Post-traumatic stress disorder and attachment relationships in children with cancer: a review of the literature. L’Évolution Psychiatr. 2018;83(2):235-50.
• Cutillo A, Chewning JH, Hurst MG, Madan-Swain A. Chapter 9-Multidisciplinary care of the pediatric cancer patient. In: Robin NH, Farmer MB, editors. Pediatric cancer genetics. Elsevier; 2018. p. 101-13.
• Lyon ME, Jacobs S, Briggs L, Cheng YI, Wang J. A longitudinal, randomized, controlled trial of advance care planning for teens with cancer: anxiety, depression, quality of life, advance directives, spirituality. J Adolesc Health. 2014;54(6):710-7.
• Shoshani A, Mifano K, Czamanski-Cohen J. The effects of the make a wish intervention on psychiatric symptoms and health-related quality of life of children with cancer: a randomised controlled trial. Qual Life Res. 2016;25(5):1209-18.
• Malboeuf-Hurtubise C, Achille M, Sultan S, Vadnais M. Mindfulnessbased intervention for teenagers with cancer: study protocol for a randomized controlled trial. Trials. 2013;14(135):1-9.