Clown Intervention on Psychological Stress and Fatigue in Pediatric Patients With Cancer Undergoing Chemotherapy.

Cancer Nursing
Luis C Lopes-JuniorRegina A G Lima

Abstract

Clown intervention has been shown to enhance emotional and behavioral processes, but few studies have comprehensively examined the effectiveness of this practice using biomarkers. The aim of this study was to evaluate the effect of a clown intervention on the levels of psychological stress and cancer-related fatigue in pediatric patients with cancer undergoing chemotherapy. Sixteen patients who met all criteria from a pediatric oncology inpatient unit in a Brazilian comprehensive cancer care hospital participated in this quasi-experimental study. Eight saliva samples were collected, comprising 4 at baseline and 4 after clown intervention (+1, +4, +9, and +13 hours after awakening). Salivary cortisol and α-amylase levels were determined using high-sensitivity enzyme-linked immunosorbent assay kits. Stress and fatigue were measured by the Child Stress Scale-ESI and the PedsQL Multidimensional Fatigue Scale, respectively. Relationships among stress, fatigue, and biomarker levels were investigated using nonparametric statistics. In comparison with baseline measurements, the total psychological stress and fatigue levels improved after the clown intervention at the collection time point +4 hours (P = .003 and P = .04, respectively). ...Continue Reading

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Citations

Dec 18, 2020·BMJ : British Medical Journal·Luís Carlos Lopes-JúniorRegina Aparecida Garcia Lima
Nov 7, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Wanessa Miranda-SilvaUNKNOWN Mucositis Study Group of the Multinational Association of Supportive Care in Cancer / International Society for Oral Oncolog
May 27, 2021·Revista da Escola de Enfermagem da U S P·Luís Carlos Lopes-JúniorRegina Aparecida Garcia de Lima

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