Parental views regarding symptoms in children with cancer and recognition of cancer-related fatigue

Abstract

OBJECTIVES This descriptive study aimed to assess parental knowledge regarding cancer-related symptoms and their attitude regarding fatigue in children treated for cancer. METHODS This study included 89 parents of children with cancer who were being treated in the pediatric oncology clinics of four hospitals in Izmir. A questionnaire form consisting of 13 items was used to collect data. RESULTS Parents observed severe alopecia in 48.3%, fatigue in 49.4%, nausea-vomiting in 34.8%, anxiety in 24.7%, moderate taste change in 23.6%; constipation/diarrhea in 28.1%, pain in 7%, sleeping difficulty in 12.4%, and rare respiratory distress in 7.9%. Parents reported cancer-related fatigue severely affecting their children's school activity in 43.8%, friendships in 39.3%, psychology in 37.1%, play activity in 36%, energy in 29.2%, and family relationships in 28.1%. CONCLUSION We determined that parents were able to assess their child's cancer-related symptoms, as well as the fatigue that affected their child's quality of life.

Keywords

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Çocukların kansere bağlı yaşadıkları semptomlar ve yorgunluğa ebeveyn bakışı

Öz

AMAÇ Tanımlayıcı çalışma, pediatrik onkoloji kliniklerinde tedavi gören çocukların ebeveynlerinin kansere bağlı semptomlara ilişkin gözlemlerini ve yorgunlukla ilgili görüşlerini belirlemek amacı ile yapıldı. GEREÇ VE YÖNTEM Araştırma, İzmir ilinde bulunan dört hastanenin pediatrik onkoloji kliniklerinde çocukları yatan 89 ebeveyn ile yapıldı. Araştırma verileri 13 sorudan oluşan anket formu kullanılarak toplandı. BULGULAR Ebeveynlerin çocuklarında, saç dökülmesini çok sık (%48.3); yorgunluk (%49.4), bulantı-kusma (%34.8), kaygı-endişe (%24.7) ve tad değişikliğini (%23.6) orta düzeyde; kabızlıkishal (%28.1), ağrı (%27), uyku güçlüğü (%12.4) ve solunum güçlüğünü (%7.9) çok az düzeyde gözlemledikleri saptandı. Çocukların kanser yorgunluğu nedeniyle, %43.8'inin ders çalışma aktiviteleri, %39.3'ünün arkadaşlık ilişkisi, %37.1'inin moral, %36'sının oyun aktiviteleri, %29.2'sinin yaşam enerjisi ve %28.1'inin aile ilişkisinin çok fazla etkilendiği saptandı. SONUÇ Ebeveynlerin çocuklarında kansere bağlı semptomları tanımlayabildikleri ve yorgunluğun çocuklarının yaşamı üzerinde önemli düzeyde etkisi olduğunu düşündükleri bulunmuştur.

Anahtar Kelimeler

• Kansere bağlı yorgunluk, kanser, çocuk, ebeveyn

Kaynakça

1. 1. Knowles G, Borthwick D, McNamara S, Miller M, Leggot L. Survey of nurses’ assessment of cancer-related fatigue. Eur J Cancer Care (Engl) 2000;9(2):105-13.
2. 2. Magnusson K, Karlsson E, Palmblad C, Leitner C, Paulson A. Swedish nurses’ estimation of fatigue as a symptom in cancer patients--report of a questionnaire. Eur J Cancer Care (Engl) 1997;6(3):186-91.
3. 3. Curt GA. The Impact of Fatigue on Patients with Cancer: Overview of FATIGUE 1 and 2. Oncologist 2000;5 Suppl 2:9-12.
4. 4. Hinds PS, Hockenberry-Eaton M, Gilger E, Kline N, Burleson C, Bottomley S, Quargnenti A. Comparing patient, parent, and staff descriptions of fatigue in pediatric oncology patients. Cancer Nurs 1999;22(4):277- 88; quiz 288-9.
5. 5. Davies B, Whitsett SF, Bruce A, McCarthy P. A typology of fatigue in children with cancer. J Pediatr Oncol Nurs 2002;19(1):12-21.
6. 6. Langeveld NE, Grootenhuis MA, Voûte PA, de Haan RJ, van den Bos C. No excess fatigue in young adult survivors of childhood cancer. Eur J Cancer 2003;39(2):204-14.
7. 7. Eddy L, Cruz M. The relationship between fatigue and quality of life in children with chronic health problems: a systematic review. J Spec Pediatr Nurs 2007;12(2):105-14.
8. 8. Mock V, St Ours C, Hall S, Bositis A, Tillery M, Belcher A, et al. Using a conceptual model in nursing research--mitigating fatigue in cancer patients. J Adv Nurs 2007;58(5):503-12.

9. 9. Hockenberry-Eaton M, Hinds P, O’Neill JB, Alcoser P, Bottomley S, Kline NE, et al. Developing a conceptual model for fatigue in children. European Journal of Oncology Nursing 1999;3(I):5-11.
10. 10. Erickson JM. Fatigue in adolescents with cancer: a review of the literature. Clin J Oncol Nurs 2004;8(2):139- 45.
11. 11. Edwards JL, Gibson F, Richardson A, Sepion B, Ream E. Fatigue in adolescents with and following a cancer diagnosis: developing an evidence base for practice. Eur J Cancer 2003;39(18):2671-80.
12. 12. Wagner LI, Cella D. Fatigue and cancer: causes, prevalence and treatment approaches. Br J Cancer 2004;91(5):822-8.
13. 13. Gibson F, Edwards J, Sepion B, Richardson A. Cancerrelated fatigue in children and young people: survey of healthcare professionals’ knowledge and attitudes. Eur J Oncol Nurs 2006;10(4):311-6.
14. 14. Gibson F, Garnett M, Richardson A, Edwards J, Sepion B. Heavy to carry: a survey of parents’ and healthcare professionals’ perceptions of cancer-related fatigue in children and young people. Cancer Nurs 2005;28(1):27-35.
15. 15. Langeveld N, Ubbink M, Smets E; Dutch Late Effects Study Group. ‘I don’t have any energy’: The experience of fatigue in young adult survivors of childhood cancer. Eur J Oncol Nurs 2000;4(1):20-8.
16. 16. Hedström M, Haglund K, Skolin I, von Essen L. Distressing events for children and adolescents with cancer: child, parent, and nurse perceptions. J Pediatr Oncol Nurs 2003;20(3):120-32.
17. 17. Whitsett SF, Gudmundsdottir M, Davies B, McCarthy P, Friedman D. Chemotherapy-related fatigue in childhood cancer: correlates, consequences, and coping strategies. J Pediatr Oncol Nurs 2008;25(2):86-96.
18. 18.Jalmsell L, Kreicbergs U, Onelöv E, Steineck G, Henter JI. Symptoms affecting children with malignancies during the last month of life: a nationwide followup. Pediatrics 2006;117(4):1314-20.
19. 19. Hongo T, Watanabe C, Okada S, Inoue N, Yajima S, Fujii Y, et al. Analysis of the circumstances at the end of life in children with cancer: symptoms, suffering and acceptance. Pediatr Int 2003;45(1):60-4.
20. 20. Collins JJ, Byrnes ME, Dunkel IJ, Lapin J, Nadel T, Thaler HT, et al. The measurement of symptoms in children with cancer. J Pain Symptom Manage 2000;19(5):363-77.
21. 21. Mooney-Doyle K. An examination of fatigue in advanced childhood cancer. J Pediatr Oncol Nurs 2006;23(6):305-10.
22. 22. Yurtsever S. The experience of fatigue in Turkish patients receiving chemotherapy. Oncol Nurs Forum 2007;34(3):721-8.
23. 23. Stone P, Ream E, Richardson A, Thomas H, Andrews P, Campbell P, et al. Cancer-related fatigue--a difference of opinion? Results of a multicentre survey of healthcare professionals, patients and caregivers. Eur J Cancer Care (Engl) 2003;12(1):20-7.
24. 24. de Nijs EJ, Ros W, Grijpdonck MH. Nursing intervention for fatigue during the treatment for cancer. Cancer Nurs 2008;31(3):191-206; quiz 207-8.