Distraction results for pediatric oncology care from nursing evidence: integrative review
Abstract
Introduction: Pediatric cancer causes a radical change in the external and internal environment of the child or adolescent affecting their development and growth.
Objective: To synthesize the findings of nursing studies that published results in physical, psychological, social and immune health through the use of distraction strategies for care.
Methodology: Integrative literature review, qualitative descriptive and retrospective based on parameters established by Whittemore and Knafl with five stages. Inclusion criteria: scientific articles with results in physical, psychological, social and immune health through the use of distraction from nursing to pediatric population with oncological diagnosis, published in 15 scientific databases, languages: English, Portuguese and Spanish, between the years 2011-2020, with level of evidence according to Lobiondo Level I, II and III, randomized studies, with independent and separate control group, based on critical evaluation of the Joanna Briggs Institute.
Results: The distraction strategies used in children and adolescents with oncological diagnosis included: exercise, play, massage, music and complementary therapies performed in different scenarios that obtained significant results in physical, psychological, social and immune health.
Conclusions: With the use of distraction in the hospital or non-hospital setting, health benefits are achieved, proving to be an innovative and important intervention for nursing care in the pediatric oncological population.
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References
Organización Mundial de la Salud. El cáncer infantil [Internet]. 2018 [citado 12 de septiembre de 2020]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/cancer-in-children
Alvarado Romero H, Rodríguez Colmenares S. Necesidades percibidas de atención por niños, cuidadores y enfermeros durante la hospitalización en una unidad de cuidado intensivo. Investig en Enfermería Imagen y Desarro. 2015;17(1):113-30.
Bulechek GM, Butcher HK, Dochterman JM, Wagner CM. Clasificación de Intervenciones de Enferemería (NIC). 2014. 665 p.
Villamizar B, Durán MM. Modelo de adaptación de Roy en un ensayo clínico controlado. Av en Enfermería. 2012;2:97-107.
Hillgrove-Stuart J, Riddell RP, Horton R, Greenberg S. Toy-mediated distraction: Clarifying the role of distraction agent and preneedle distress in toddlers. Pain Res Manag. 2013;18(4):197-202.
Toronto CE, Remington R. A Step-by-Step Guide to Conducting an Integrative Review. A Step-by-Step Guide to Conducting an Integrative Review. 2020. 1-105 p.
LoBiondo-Wood G, Haber J. Nursing research methods and critical appraisal for evidence-based practice. 8TH Editio. Elsevier Inc.; 2014. 1-585 p.
Joanna Briggs Institute. Critical Appraisal Tools [Internet]. [citado 12 de noviembre de 2020]. Disponible en: https://joannabriggs.org/critical-appraisal-tools
Urrutia G, Bonfill X. Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis [Internet]. Vol. 135, Medicina Clínica. 2010. p. 507-11. Disponible en: http://es.cochrane.org/sites/es.cochrane.org/files/public/uploads/PRISMA_Spanish.pdf
Chang CW, Mu PF, Jou ST, Wong TT, Chen YC. Systematic Review and Meta-Analysis of Nonpharmacological Interventions for Fatigue in Children and Adolescents With Cancer. Worldviews Evidence-Based Nurs. 2013;10(4):208-17.
Lian Tan LM, Pheng Leong KS, Yip WK. Effective pain management during painful procedures in children with cancer: a systematic review. JBI Database Syst Rev Implement Reports. 2014;12(4):430-84.
Lopes-Júnior LC, Bomfim EO, Nascimento LC, Nunes MDR, Pereira-da-Silva G, Lima RAG. Non-pharmacological interventions to manage fatigue and psychological stress in children and adolescents with cancer: an integrative review. Eur J Cancer Care (Engl). 2016;25(6):921-35.
da Silva LAGP, Baran FDP, Das Mercês NNA. MUSIC IN THE CARE OF CHILDREN AND ADOLESCENTS WITH CANCER: INTEGRATIVE REVIEW. Texto e Context Enferm. 2016;25(4):1-10.
Rodríguez-Mansilla J, González-Sánchez B, Torres-Piles S, Guerrero Martín J, Jiménez-Palomares M, Núñez Bellino M. Efectos de la aplicación del masaje terapéutico en niños con cáncer: una revisión sistemática. Rev Lat Am Enfermagem. 2017;25:1-9.
Nunes MDR, Bomfim E, Olson K, Lopes-Junior LC, Silva-Rodrigues FM, Garcia de Lima RA, et al. Interventions minimizing fatigue in children/adolescents with cancer: An integrative review. J Child Heal Care. 2018;22(2):186-204.
Xavier WS, Pacheco ST, Silva LF, Nascimento LC, Lopes-Júnior LC, Araújo BB et al, Realizaram. Intervenções não farmacológicas na melhoria da qualidade de vida de crianças/adolescentes oncológicos. Acta Paul Enferm. 2020;33:1-11.
Lopez-Rodriguez MM, Fernández-Millan A, Ruiz-Fernández MD, Dobarrio-Sanz I, Fernández-Medina IM. New technologies to improve pain, anxiety and depression in children and adolescents with cancer: A systematic review. Int J Environ Res Public Health. 2020;17(10):1-14.
Jibb LA, Birnie KA, Nathan PC, Beran TN, Hum V, Victor JC, et al. Using the MEDiPORT humanoid robot to reduce procedural pain and distress in children with cancer: A pilot randomized controlled trial. Pediatr Blood Cancer. 2018;65:1-9.
Li WHC, Chung JOK, Ho EKY, Chiu SY. Effectiveness and feasibility of using the computerized interactive virtual space in reducing depressive symptoms of Hong Kong Chinese children hospitalized with cancer. J Spec Pediatr Nurs. 2011;16(3):190-8.
Çelebioğlu A, Gürol A, Yildirim ZK, Büyükavci M. Effects of massage therapy on pain and anxiety arising from intrathecal therapy or bone marrow aspiration in children with cancer. Int J Nurs Pract. 2015;21(6):797-804.
Ouyang N, Cai R, Zhou X, Huang H, Qiu X, Liu K. Effects of a group-based physical activity program for pediatric patients with cancer on physical activity and symptom experience: A quasi-experimental study. Pediatr Blood Cancer. 2019;66(11):1-10.
Sriasih NK, Allenidekania, Wanda D. The Effects of the COMMASH-E Intervention on the Fatigue, Sleep Quality and Functional Status of Children with Cancer in Indonesia. Compr Child Adolesc Nurs. 2019;42(sup1):197-207.
Happy Hayati K, Allenidekania YA. “AeRop exercise” can improve the sleep quality of Indonesian pediatric cancer patients. Enferm Clin [Internet]. 2019;29(2):342-5. Disponible en: https://doi.org/10.1016/j.enfcli.2019.04.041
Braam KI, van der Torre P, Takken T, Veening MA, van Dulmen-den Broeder E, Kaspers GJL. Physical exercise training interventions for children and young adults during and after treatment for childhood cancer. Cochrane Database Syst Rev. 2016;(3):1-64.
Nijhof SL, Vinkers CH, van Geelen SM, Duijff SN, Achterberg EJM, van der Net J, et al. Healthy play, better coping: The importance of play for the development of children in health and disease. Neurosci Biobehav Rev [Internet]. 2018;95(July):421-9. Disponible en: https://doi.org/10.1016/j.neubiorev.2018.09.024
Falke ACS, Milbrath VM, Freitag VL. Percepción del equipo de enfermería sobre el enfoque lúdico al niño hospitalizado. Cult los Cuid. 2018;22(50):12-24.
Çelebioğlu A, Gürol A, Yildirim Z, Büyükavci M. Effects of massage therapy on pain and anxiety arising from intrathecal therapy or bone marrow aspiration in children with cancer. Int J Nurs Pract. 2015;21(6):797-804.
Snyder M, Lindquist R. Terapias complementarias y alternativas en enfermería. Vol. 6. 2021. 511 p.
Da Cunha Batalha LM, Mota AASC. Massage in children with cancer: Effectiveness of a protocol. J Pediatr (Rio J) [Internet]. 2013;89(6):595-600. Disponible en: http://dx.doi.org/10.1016/j.jped.2013.03.022
Martí-Augé P, Mercadal-Brotons M, Solé-Resano C. Music therapy in Oncology. Gac Mex Oncol [Internet]. 2015;14(6):346-52. Disponible en: http://dx.doi.org/10.1016/j.gamo.2015.11.013
Taquechel ML, Díaz JA, De Los Ángeles Reyes Figueroa M, Mora MA. Eticidad del pensamiento de Florence Nightingale. Rev Habanera Ciencias Medicas. 2013;12(4):688-96.
Selfa-Martínez I, Camaño-Puig R. Paciente oncológico musicoterapia y ansiedad. 2018;14:1-6.
Barreda JKQP, Aronés ZY, Revisión. Guía para la Estimulación e Integración Multisensorial de Estudiantes con Sordoceguera y Multidiscapacidad [Internet]. 2014. 165 p. Disponible en: http://www.senseintperu.org/en/wp-content/uploads/2015/08/guia-de-estimulacion-multisensorial.pdf
Loeffen EAH, Mulder RL, Font-Gonzalez A, Leroy PLJM, Dick BD, Taddio A, et al. Reducing pain and distress related to needle procedures in children with cancer: A clinical practice guideline. Eur J Cancer. 2020;131:53-67.
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