Pain, sleep disturbance, and fatigue in children with leukemia and their parents: A pilot study
Pain, sleep disturbance, and fatigue in children with leukemia and their parents: A pilot study
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DOI：
10.1188/06.onf.641-646
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发表时间：
2006-05-01
影响因子：
1.9
通讯作者：
Johnson, Kyle P.
中科院分区：
文献类型：
--
作者：
Gedaly-Duff, Vivian;Lee, Kathryn A.;Johnson, Kyle P.
目的/目标：确定从急性淋巴细胞白血病（ALL）学龄儿童及其父母家中收集症状数据的可行性，并获得家庭成员在家中经历的疼痛、睡眠障碍和疲劳的初步描述。设计：前瞻性和描述性。设置：俄勒冈州和华盛顿西南部的儿童之家。样本：9名ALL儿童（8-16岁），6名父亲和7名母亲。儿童接受长春新碱在维持阶段的门诊化疗treatment.Methods：与年龄相适应，纸和铅笔日记和手腕活动，数据收集了三天的家庭的家园。通过电话提醒家庭完成他们的睡眠和活动diares.Main研究变量：疼痛，睡眠障碍，疲劳在学龄儿童和他们的父亲和mothers.Findings：大多数的家庭谁被接近表示愿意参加这项研究。在接受门诊化疗后，这些儿童在三天内报告了疼痛、睡眠障碍和疲劳数据。父亲和母亲也报告了症状。活动图显示，儿童醒来更经常在夜间比母亲或fathers.Conclusions：儿童的疼痛，睡眠障碍，疲劳表明，这些症状正在影响家庭的生活质量。需要进行更大规模的研究来检查儿童、父亲和母亲在化疗过程中的症状模式和健康结果。对护理的启示：改善ALL儿童化疗后的睡眠和管理疼痛和疲劳可能会改善儿童和父母的健康结果。
Purpose/Objectives: To determine the feasibility of collecting symptom data at home from school-age children with acute lymphoblastic leukemia (ALL) and from their fathers and mothers and to obtain initial descriptions of pain, sleep disturbance, and fatigue experienced by the family members at home.Design: Prospective and descriptive.Setting: Children's homes in Oregon and southwestern Washington.Sample: 9 children with ALL (aged 8-16 years), 6 fathers, and 7 mothers. The children received vincristine during the maintenance phase of their outpatient chemotherapy treatments.Methods: With age-appropriate, paper-and-pencil diaries and wrist actigraphy, data were collected for three days in the families' homes. Families were reminded by telephone to complete their sleep and activity diaries.Main Research Variables: Pain, sleep disturbance, and fatigue in school-age children and their fathers and mothers.Findings: Most of the families who were approached indicated willingness to participate in the study. After receiving outpatient chemotherapy, the children reported pain, sleep disturbance, and fatigue data over three days. Fathers and mothers also reported symptoms. Actigraphy showed children waking more often during the night than mothers or fathers.Conclusions: Children's pain, sleep disturbance, and fatigue suggest that the symptoms are influencing families' quality of life. Larger studies are needed to examine the symptom patterns and health outcomes of children, fathers, and mothers over the course of chemotherapy.Implications for Nursing: Improving sleep and managing pain and fatigue after chemotherapy treatment for children with ALL may improve health outcomes for children and parents.