Format

Send to

Choose Destination
See comment in PubMed Commons below
Childs Nerv Syst. 2013 Jul;29(7):1123-9. doi: 10.1007/s00381-013-2099-3. Epub 2013 Apr 13.

Efficacy of therapeutic play for pediatric brain tumor patients during external beam radiotherapy.

Author information

1
Division of Radiation Oncology, Cancer Center, Taipei Veterans General Hospital, Taipei, Taiwan.
2
Graduate Institute of Transition and Leisure Education for Individuals with Disabilities, Taipei Physical Education College, Taipei, Taiwan.
3
Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan.
4
Division of Child and Adolescent Psychiatry, Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
5
Department and Institute of Nursing, National Yang-Ming University, Taipei, Taiwan.
6
Division of Pediatric Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.
7
Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan.
8
Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan.
9
Graduate Institute of Sports and Health, National Changhua University of Education, Changhua, Taiwan.
10
Division of Radiation Oncology, Cancer Center, Taipei Veterans General Hospital, Taipei, Taiwan. chenyw@vghtpe.gov.tw.
11
Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan. chenyw@vghtpe.gov.tw.
12
Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan. chenyw@vghtpe.gov.tw.
13
Cancer Center, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Road, Taipei, 112, Taiwan. chenyw@vghtpe.gov.tw.

Abstract

OBJECTIVE:

External beam radiotherapy (EBRT) is frequently used to improve disease control for pediatric brain tumor patients. However, to facilitate the radiotherapy (RT) procedure, "forced" type interventions including conscious sedation or general anesthesia are frequently used to manage patients' fear and anxiety. The aim of this study was to investigate the effects of therapeutic play (TP) in reducing anxiety for pediatric brain tumor patients treated by EBRT.

METHODS:

Between April 1st and September 30th, 2009, 19 young brain tumor patients, aged 3-15 years and recommended for RT, were recruited: ten to a control group and nine to the study intervention group. The study group was introduced with TP during EBRT. The Beck Youth Anxiety Inventory and the Faces Anxiety Scale were used to evaluate patients' psychological levels of anxiety. The heart rate variability and salivary cortisol concentrations were used to indicate the patients' physical levels of anxiety. Both the psychological and physiological tests were administered to all subjects before and after the RT procedure.

RESULTS:

The study group had significantly lower anxiety scores and expressed fewer negative emotions than did the control group before EBRT.

CONCLUSIONS:

TP can not only improve the quality of medical services but can also reduce costs and staffing demands. In addition, it can help lower young patients' anxiety and fear during medical procedures. As a result, it further decreases the potential negative impacts of hospitalization on these young patients.

KEYWORDS:

Anxiety; Brain tumor; Quality of life; Radiotherapy; Sedation; Therapeutic play

PMID:
23584615
DOI:
10.1007/s00381-013-2099-3
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer
    Loading ...
    Support Center