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Frequency, Severity, and Distress Associated With Physical and Psychosocial Symptoms at Home in Children and Adolescents With Cancer.

Authors
  • Torres, Vanessa
  • Nunes, Michelle Darezzo Rodrigues
  • Silva-Rodrigues, Fernanda Machado
  • Bravo, Lilian
  • Adlard, Kathleen
  • Secola, Rita
  • Fernandes, Ananda Maria
  • Nascimento, Lucila Castanheira
  • Jacob, Eufemia
Type
Published Article
Journal
Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
Publication Date
Jan 01, 2019
Volume
33
Issue
4
Pages
404–414
Identifiers
DOI: 10.1016/j.pedhc.2018.11.007
PMID: 30846334
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Malignancy- and cancer-related treatments lead to multiple symptoms. Although treatments focus on cure, few research studies have examined the symptoms that accompany these aggressive and complicated treatments. The purpose of the study was to evaluate the symptoms experienced by children at home. Children (n = 25) and adolescents (n = 33) diagnosed with cancer completed the Memorial Symptoms Assessment Scale during the 5 days at home after discharge from the hospital. The most frequent physical symptoms were fatigue (52.1%), nausea (50.7%), lack of appetite (43.7%), and pain (42.3%). The most frequent psychological symptoms were difficulty sleeping (21.1%), worrying (18.3%), feeling sad (18.3%), and feeling nervous (16.9%). Significant differences were found in the overall physical and psychosocial symptoms and Global Distress Index in patients with and without pain, fatigue, and nausea. Results indicated that physical and psychosocial symptoms and Global Distress Index increased as severity of pain, nausea, and fatigue increased. Children and adolescents were experiencing many symptoms at home but were often not reporting them. Copyright © 2018 National Association of Pediatric Nurse Practitioners. All rights reserved.

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