Predicting pediatric distress during radiation therapy procedures: The role of medical, psychosocial, and demographic factors

被引:20
作者
Klosky, James L.
Tyc, Vida L.
Tong, Xin
Srivastava, Deo Kumar
Kronenberg, Mindy
de Armendi, Alberto J.
Merchant, Thomas E.
机构
[1] St Jude Childrens Hosp, Div Behav Med, Memphis, TN 38105 USA
[2] St Jude Childrens Hosp, Div Anesthesiol, Memphis, TN 38105 USA
[3] St Jude Childrens Hosp, Dept Radiat Oncol, Memphis, TN 38105 USA
[4] St Jude Childrens Hosp, Dept Biostat, Memphis, TN 38105 USA
[5] Univ Tennessee, Coll Med, Dept Pediat, Knoxville, TN 37996 USA
关键词
pediatric distress; radiation therapy; noninvasive medical procedures;
D O I
10.1542/peds.2005-1514
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
OBJECTIVES. The purpose of this work was to identify demographic, medical, and psychosocial variables that predict radiation therapy-related distress among pediatric patients with cancer. PATIENTS AND METHODS. Seventy-nine children between the ages of 2 and 7 years were consecutively enrolled in the study. Radiation therapy-related distress was measured by rates of anesthesia, observed behavioral distress, and heart rate. RESULTS. Younger age and higher observed behavioral distress predicted the use of anesthesia, higher baseline heart rate predicted lower initial observed behavioral distress, and prone treatment position was associated with increases in both observed behavioral distress and heart rate relative to baseline. CONCLUSIONS. Modifiable treatment and psychological variables directly relate to pediatric radiation therapy-related distress. Implementation of developmentally appropriate and cost-effective interventions to reduce procedural radiation therapy distress is warranted.
引用
收藏
页码:E1159 / E1166
页数:8
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