publicado em 07/08/2013 às 12h09:00
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Children with cancer undergo chemotherapy develop strategy for

Patient has positive relationship with the health team and keep desire and willingness to perform tricks

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Foto: Cecília Bastos/Jornal da USP
Study shows that children with cancer build links with health teams and ways of looking at treatment
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Study shows that children with cancer build links with health teams and ways of looking at treatment

Children diagnosed with cancer build positive links with health teams, and maintain the desire and willingness to make jokes, even after the discovery of the disease and during chemotherapy, suggests research from the School of Nursing of Ribeirão Preto (PRSP), USP. The work of the occupational therapist Amanda Moya Pacciulio, shows that children demonstrate healthy ways and develop strategies to cope with the adversities of treatment, such as the effects of chemotherapy, for example.

Amanda interviewed ten children between 7 and 12 years, diagnosed with cancer, chemotherapy and hospitalized for at least three months in the Hospital of the Medical School of Ribeirão Preto (HCFMRP) USP. The interviews were conducted individually with children, at the bedside where they were interned. Amanda used finger puppets, a method that arouses interest and curiosity, encouraging active participation in research, and facilitate the expression of the child.

As a method of study, the therapist sought the perspective of each child about the process of cancer treatment in hospital, and investigated aspects of the hospital they saw as positive and negative and only then approach the hospital undergoing chemotherapy and their coping strategies, using semi-structured interviews. Among the negative aspects of treatment, children mentioned the side effects of chemotherapy such as nausea and vomiting, and loss of appetite, fatigue, hair loss, and also the pain this caused mainly by invasive procedures. < EYE>

The lack of appetite, says Amanda, was cited by only one child, according to this, the appetite disappeared a few days after chemotherapy infusion. To address this problem, children and their families have developed some strategies such as buying food in cafeterias and restaurants located on the hospital premises or take home food that appeals to most children, he notes.

<b> Play </ b>

The idleness imposed by the hospital stay was another negative factor pointed out by children. In their statements, they say getting tired of having nothing to do but appreciate the existence of the hospital's own toys. About recreation areas available to children, they love the playground and garden, outdoor patio, and room class hospital, where recreation is offered, with some games and activities available graphics, says the researcher. However, children remember the fact that much of the time staying connected to the infusion pump chemotherapy, limiting access to these sites, which highlights the importance of toy, adapted to the hospital context.

Another positive aspect, says Amanda, are the recreational activities, expressive and crafts offered by the occupational therapist team and their trainees, considered as a strategy that favored coping with hospitalization. The work undertaken by the Company of Laughing Clowns was also quoted as a differential from the hospital, tells the occupational therapist. They understand the importance of chemotherapy in cancer treatment, seemed to bear with ease the side effects and the need for hospitalizations, for having as ultimate goal to cure, says Amanda.

For the researcher, the positive and affectionate bond between patients and health staff, also contributed to the confrontation of the treatment process, as well as the use of hats, scarves, hats and wigs helped in coping with hair loss and its impact negative self-image and self esteem in children. Regarding the spirituality, Amanda reports that children received religious influence of their families and assimilated them into the habit of praying.

Regardless of the therapeutic moment in which children are or prognosis, they partly influenced by family members who will transmit their beliefs and values, maintain the hope of healing as a flame, nourished by religion, says. The master's coping strategies of chemotherapy in the perspective of children hospitalized with cancer was made in the course of Graduate Diploma in Public Health Nursing, under the guidance of Professor Lucila Castanheira Born in March 2012.

Source: USP
   Palavras-chave:   Chemotherapy    Children with cancer    Nursing    Nursing School of Ribeirão Preto    EERP    USP   
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