The Effect of The Mindfulness-Based Relaxation, Aromatherapy, and Prayer (RADO) Intervention on Anxiety and Quality of Life Among Children With Cancer.

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Multidisciplinary Healthcare Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S507759
Dyna Apriany, Windy Rakhmawati, Aulia Iskandarsyah, Dany Hilmanto
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Abstract

Purpose: This study evaluates the effectiveness of a novel mindfulness-based intervention called RADO (Relaxation, Aromatherapy, and Prayer) for reducing anxiety and improving the quality of life in children with cancer.

Patients and methods: A quasi-experimental pre- and post-control group design was used. Participants included 66 children with cancer aged 10-17 years, diagnosed with cancer for at least 3 months, currently undergoing treatment, and able to communicate verbally, and recruited from three hospitals in Bandung, Indonesia. The study used consecutive sampling. The intervention group received a seven-day RADO program involving mindfulness-based relaxation, aromatherapy, and prayer. Anxiety and QoL were measured using the Hamilton Rating Scale for Anxiety (HRS-A) and Pediatric Quality of Life Inventory (PEDQL 3.0), respectively. Data were collected at baseline (T0), day three (T1), and day seven (T3). Statistical analysis included repeated ANOVA and independent t-tests.

Results: By day seven (T3), the intervention group showed a significant reduction in anxiety (p < 0.001) and improved QoL (p = 0.001) compared to the control group. Repeated ANOVA revealed significant within-group changes in the intervention group across time points, while no significant changes were observed in the control group. Following the intervention, males and a diagnosis of ALL demonstrated slightly higher anxiety scores and quality of life scores than female and those with other cancer types. Additionally, individuals who underwent fewer chemotherapy cycles (<10) showed better outcomes in anxiety and quality of life than those with 10 or more cycles.

Conclusion: The RADO intervention significantly reduced anxiety and enhanced QoL among pediatric cancer patients, demonstrating its potential as a culturally tailored MBI for children undergoing cancer treatment. Further research is needed to explore long-term effects and cross-cultural adaptability.

正念放松、芳香疗法和祈祷(RADO)干预对癌症儿童焦虑和生活质量的影响。
目的:本研究评估了一种名为RADO(放松、芳香疗法和祈祷)的新型正念干预方法在减少癌症儿童焦虑和改善生活质量方面的有效性。患者和方法:采用准实验前后对照组设计。参与者包括66名患有癌症的10-17岁儿童,被诊断患有癌症至少3个月,目前正在接受治疗,能够口头交流,从印度尼西亚万隆的三家医院招募。本研究采用连续抽样。干预组接受为期7天的RADO计划,包括正念放松、芳香疗法和祈祷。焦虑和生活质量分别采用汉密尔顿焦虑量表(HRS-A)和儿科生活质量量表(PEDQL 3.0)进行测量。在基线(T0)、第3天(T1)和第7天(T3)收集数据。统计分析包括重复方差分析和独立t检验。结果:与对照组相比,干预组在第7天(T3)焦虑水平显著降低(p < 0.001),生活质量显著改善(p = 0.001)。重复方差分析显示,干预组各时间点的组内变化显著,而对照组无显著变化。在干预之后,男性和被诊断为ALL的人比女性和其他癌症类型的人表现出略高的焦虑得分和生活质量得分。结论:RADO干预显著降低了儿童癌症患者的焦虑,提高了他们的生活质量,显示了它作为一种针对癌症治疗儿童的文化量身定制的MBI的潜力。长期效应和跨文化适应性有待进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Multidisciplinary Healthcare
Journal of Multidisciplinary Healthcare Nursing-General Nursing
CiteScore
4.60
自引率
3.00%
发文量
287
审稿时长
16 weeks
期刊介绍: The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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