Electronic Symptom Assessment in Children and Adolescents With Advanced Cancer Undergoing Hematopoietic Stem Cell Transplantation
| Autor: | Jennifer L Raybin, Chelsea Balian, Zhanhai Li, Jessica A. Ward, Elizabeth Gilger, Kathleen Montgomery |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Nausea medicine.medical_treatment Pain Hematopoietic stem cell transplantation Malignancy Quality of life immune system diseases Neoplasms Adaptation Psychological medicine Humans Child Fatigue Oncology (nursing) business.industry Hematopoietic Stem Cell Transplantation Cancer medicine.disease Distress surgical procedures operative Cohort Quality of Life Female Electronic data Symptom Assessment medicine.symptom business |
| Zdroj: | Journal of Pediatric Oncology Nursing. 37:255-264 |
| ISSN: | 1532-8457 1043-4542 |
| DOI: | 10.1177/1043454220917686 |
| Popis: | Background/Purpose: Effective symptom assessment and management for children with advanced cancer undergoing hematopoietic stem cell transplantation (HSCT) is critical to minimize suffering. The purpose of this subanalysis was to compare feasibility of electronic data collection data and symptom prevalence, frequency, severity, and distress from children with advanced cancer undergoing HSCT with a non-HSCT cohort. Method: An abbreviated Pediatric Quality of Life and Evaluation of Symptoms Technology Memorial Symptom Assessment Scale was electronically administered every 2 weeks to children with advanced cancer. A subanalysis was conducted for the cohort of children who received autologous or allogeneic HSCT. Results: Forty-six participants completed 563 symptom assessments during the study. However, 11 of these 46 children received HSCT and completed 201 symptom assessments. The median age in the HSCT cohort was 12.7 years, 73% were female, and most children had a hematologic (45%) or solid tumor (45%) malignancy. Pain (35%), nausea (30%), sleeping difficulty (29%), and fatigue (22%) were the most commonly reported symptoms in children receiving HSCT. Children in the HSCT cohort had similar total, subscale, and individual symptom scores compared with children who did not receive HSCT. Certain domains of gastrointestinal symptoms (nausea, lack of appetite, and diarrhea) were higher for children receiving HSCT compared with children with advanced cancer not receiving HSCT ( p < .05). Conclusion: Elicitation of patient-reported symptom experiences using electronic methods improves nurses’ understanding of the symptom experience for children with advanced cancer undergoing HSCT and may promote timely assessment and treatment of distressing symptoms. |
| Databáze: | OpenAIRE |
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