Nursing interventions to manage fatigue in children with cancer: A Systematic Review

Cancer-related fatigue (CRF) is a persistent, subjective sense of tiredness related to cancer or cancer treatment that interferes with usual functioning. Recently it is increasingly recognized as an important symptom in children and adolescents with cancer with serious effects on physical, cognitive and psychosocial functions and therefore on the overall quality of life (QoL).

The aim of the study was to investigate nursing interventions for the management of fatigue in children and/or adolescents with cancer during the treatment phase.

Method: This is a systematic review of the bibliography conducted by searching articles in international bibliographic databases (Medline, PubMed, Scopus, Cochrane Library). The criteria for the introduction of an article in the study were: to be written in English, to be completely relevant to the subject, to sample children or adolescents with cancer, to be published from 2017-2020, to be published in a reputable scientific journal, to be a research study, to study non- pharmacological intervention to improve CRF. After a systematic and critical review of the articles, 20 articles were included in the study.

The results show that in recent years there has been a significant increase in studies to alleviate the symptoms of fatigue in children and adolescents with cancer. 10 of the studies focus on promoting physical activity mainly through aerobic exercise, but also resistance and flexibility exercises, 3 on exercise programs through digital interactive games and 3 on interactive activities with clowns. The other 4 articles focus on the use of other methods such as yoga, the use of cognitive and behavioral approaches such as sleep training and relaxation techniques, the use of soya beans and game-based occupational therapy sessions.

Conclusions: CRF in children and adolescents during the treatment phase can be improved and alleviated both by engaging in physical activity and by applying other methods, such as clown visits, soy intake and yoga.

Category: Volume 61, Issue 3
Hits: 2210 Hits
Created Date: 27-10-2022
Authors: Athanasia Chatzoglou , Ioannis Koutelekos , Evangelos Dousis