Journal of Pediatric Hematology-Oncology Nursing最新文献_第5页

Impact of a Virtual Art Program on Quality of Life for Children, Adolescents, and Young Adults With Cancer. 虚拟艺术项目对儿童、青少年和年轻癌症患者生活质量的影响。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-09-01 Epub Date: 2025-08-05 DOI: 10.1177/27527530251346730

Sarah M Wolff, Howard L Smith, Neill F Piland, Kerstin Lynam

{"title":"Impact of a Virtual Art Program on Quality of Life for Children, Adolescents, and Young Adults With Cancer.","authors":"Sarah M Wolff, Howard L Smith, Neill F Piland, Kerstin Lynam","doi":"10.1177/27527530251346730","DOIUrl":"10.1177/27527530251346730","url":null,"abstract":"BackgroundPediatric cancer impacts children's physical, cognitive, and psychological well-being. Evidence-based interventions are needed to improve quality of life (QOL) and address social isolation. Virtual art programs may address these needs by enhancing accessibility.MethodThis study analyzed secondary data from the virtual Pablove Shutterbugs Photography Program (vPSPP), a 6-week virtual photography course for pediatric cancer patients. QOL was measured at baseline, midprogram, and postprogram using the PedsQL 4.0 SF15 scale (n = 201). Multilevel modeling was employed to assess change in QOL, accounting for individual variation. Semistructured interviews (n = 15 participants and parents) explored perceived program benefits.ResultsMultilevel modeling showed significant increases in QOL over time for both children and teens. The effect size was medium (d = 0.67). Participants with lower baseline QOL experienced the greatest gains, and random slope variance highlighted individual differences in program response. Qualitative themes included (a) reduced isolation and stronger social connections, (b) identity development, (c) increased confidence and personal agency, and (d) improved motivation and distraction from pain.DiscussionFindings suggest that participation in the vPSPP may have contributed to improvements in QOL among pediatric cancer patients, highlighting the potential value of virtual art programs in supporting emotional expression, social connection, and self-esteem. Future research should investigate long-term outcomes, scalability, and strategies to address access barriers to expand the reach of art-based interventions in pediatric oncology care.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"244-257"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ho'oulu Me Ke Ikaika (Grow With Strength): An Approach to the Care of Adolescent and Young Adult Survivors of Childhood Cancer. 与力量一起成长：一种照顾青少年和青少年癌症幸存者的方法。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-09-01 Epub Date: 2025-11-05 DOI: 10.1177/27527530251346727

Maile Enos, Kiyomi Goto, Joyce Wong, Patricia W Nishimoto, Dianne Fochtman, Erin O Bantum, Paulette M Yamada

{"title":"Ho'oulu Me Ke Ikaika (Grow With Strength): An Approach to the Care of Adolescent and Young Adult Survivors of Childhood Cancer.","authors":"Maile Enos, Kiyomi Goto, Joyce Wong, Patricia W Nishimoto, Dianne Fochtman, Erin O Bantum, Paulette M Yamada","doi":"10.1177/27527530251346727","DOIUrl":"https://doi.org/10.1177/27527530251346727","url":null,"abstract":"BackgroundAny cancer experience can adversely affect the psychosocial health of adolescent and young adults (AYAs) diagnosed with cancer. This can lead to social withdrawal, educational/employment issues, depression, anxiety, and risky behavior. There is an unmet need for comprehensive AYA cancer survivorship care that uses a tailored approach rather than a one-size-fits-all approach. Community-based survivorship groups that focus on psychosocial needs of patients could enhance survivorship care. These groups have the ability to use an observation-based approach to provide long-term surveillance, reach underserved populations, and could contribute to evidence-based research.MethodThis article describes an existing, community-based program that uses a tailored approach. Ho'oulu Me Ke Ikaika is a community-based organization that provides an open, safe, and nurturing environment that encourages positive transformative growth of AYA patients with cancer into confident, independent, and resilient survivors. Ikaika uses a flexible mindset to adapt to survivors' evolving needs. Ikaika's retreat staff often share life experiences with AYA participants either because they were diagnosed with childhood cancer themselves or they are oncological healthcare providers.ResultsThis article provides insight for other AYA support groups. There is abundant knowledge that can be learned from community organizations that could maximize the impact of AYA survivorship care and research.DiscussionCollaborative efforts among scholars, healthcare professionals, and survivorship groups could help streamline long-term health surveillance, provide valuable insight for research, and assist in recruiting and retaining of research participants. This article stimulates a dialog that could change the trajectory of AYA survivorship research.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":"42 5","pages":"277-284"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sensory, Inflammatory, and Psychosocial Characteristics of Chronic Pain in Adolescents and Young Adults With Sickle Cell Disease. 镰状细胞病青少年慢性疼痛的感觉、炎症和社会心理特征

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-09-01 Epub Date: 2025-10-21 DOI: 10.1177/27527530251342152

Megan Coco, Angela R Starkweather, Crystal L Park, Wendy Henderson

{"title":"Sensory, Inflammatory, and Psychosocial Characteristics of Chronic Pain in Adolescents and Young Adults With Sickle Cell Disease.","authors":"Megan Coco, Angela R Starkweather, Crystal L Park, Wendy Henderson","doi":"10.1177/27527530251342152","DOIUrl":"10.1177/27527530251342152","url":null,"abstract":"BackgroundChronic pain in sickle cell disease (SCD) can begin in adolescence and impair quality of life (QOL) and functioning; however, very few studies have characterized chronic SCD-related pain in this age group. This study aimed to examine the sensory, inflammatory, and psychosocial characteristics of chronic pain in adolescents and young adults (AYA) with SCD and compare them according to the three ACTTION-APS Pain Taxonomy subtypes of chronic SCD pain.MethodA cross-sectional comparative design of AYA ages 9-23 with chronic SCD pain and pain-free AYA with SCD was used. Quantitative sensory testing (QST) and psychosocial questionnaires were administered and analyzed using independent t-tests to detect differences between chronic pain and pain-free groups and analysis of variance was used to test differences between chronic pain subtypes. Salivary samples were collected for analysis of inflammatory markers IL-1β, 6, 8, 10, and TNF-α using standardized enzyme-linked immunosorbent assay kits.ResultsNineteen chronic pain participants and four pain-free controls were enrolled. Participants with chronic SCD-related pain had a significantly higher pain burden, higher mechanical pain threshold, and lower warm detection threshold (WDT) compared with pain-free AYA with SCD. Statistical differences among the three chronic pain groups and the pain-free control group in psychosocial measures and WDT were also noted.DiscussionThe findings of this study can help nurses understand chronic pain in SCD youth. This study suggests that there are unique characteristics of chronic SCD-related pain in youth with varying disabilities and psychosocial needs; additional research is needed to explore these differences further.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"217-229"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond the Bundle: Reducing Central Line-Associated Bloodstream Infections on a Pediatric Hematology, Oncology, and Bone Marrow Transplant Unit. 超越捆绑：减少儿童血液学，肿瘤学和骨髓移植单位的中央静脉相关血流感染。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-16 DOI: 10.1177/27527530251346733

Mindy Bibart, Emily A Eisel, Kimberly Taylor, Randal Olshefski, Cheryl Camacho, Micheal Welty, Robert Gajarski, Terri Guinipero

{"title":"Beyond the Bundle: Reducing Central Line-Associated Bloodstream Infections on a Pediatric Hematology, Oncology, and Bone Marrow Transplant Unit.","authors":"Mindy Bibart, Emily A Eisel, Kimberly Taylor, Randal Olshefski, Cheryl Camacho, Micheal Welty, Robert Gajarski, Terri Guinipero","doi":"10.1177/27527530251346733","DOIUrl":"10.1177/27527530251346733","url":null,"abstract":"BackgroundPediatric patients with cancer or undergoing hematopoietic stem cell transplantation (HSCT) are at an increased risk for central line-associated bloodstream infections (CLABSIs). Previous reports show that while primary prevention bundle elements have resulted in clinically important reductions in CLABSI events, they have not eliminated events in this patient population.MethodThe quality improvement (QI) project team implemented four interventions to reduce CLABSI in a pediatric inpatient combined hematology/oncology/bone marrow transplant (PHOB) unit, using the Plan-Do-Study-Act improvement model. (a) In situ simulation provided a practical application to bedside nurses to practice skills and critical thinking without disrupting care. (b) Interdisciplinary proactive safety huddles provided an opportunity to generate patient-specific strategies for patients with unique risks. (c) Prevantics® Device swabs for catheter hub disinfection, replacing single agent isopropyl alcohol. (d) Levofloxacin prophylaxis was expanded to a broader scope of patients.ResultsDuring the 30-month project period, the inpatient PHOB unit experienced a reduced nonmucosal barrier injury (non-MBI) CLABSI rate from a baseline of 2.19 infections per 1,000 catheter days to 0.52 infections per 1,000 catheter days. MBI CLABSI rates remained unchanged.DiscussionWhile traditional prevention bundle elements play an essential role in CLABSI prevention efforts, pediatric patients with cancer or undergoing HSCT may require additional targeted strategies to achieve desired results. Our QI project, implemented at a large, freestanding pediatric academic center effectively reduced CLABSI rates during a 30-month project. We believe the interventions may be effective in other PHOB programs.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"183-192"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Parent Resolution of Their Child's Cancer Diagnosis: Associations With Parent Stress and Quality of Life. 父母对孩子癌症诊断的解决：与父母压力和生活质量的关系。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-01 Epub Date: 2025-06-12 DOI: 10.1177/27527530251342155

Marcia A Winter, Jessica Greenlee, Nour Al Ghriwati, Megan Carlson, Olle Jane Z Sahler, Thomas G O'Connor

{"title":"Parent Resolution of Their Child's Cancer Diagnosis: Associations With Parent Stress and Quality of Life.","authors":"Marcia A Winter, Jessica Greenlee, Nour Al Ghriwati, Megan Carlson, Olle Jane Z Sahler, Thomas G O'Connor","doi":"10.1177/27527530251342155","DOIUrl":"10.1177/27527530251342155","url":null,"abstract":"BackgroundTrauma or profound distress has been reported in parents responding to their child's cancer diagnosis. Parent resolution of their child's medical diagnosis reflects acceptance and forward movement from the initial shock, grief, and intense emotionality. This short-term, longitudinal study examined the stability of resolution over the first 3 months from cancer diagnosis and whether parents' resolution of their children's diagnosis was associated with concurrent mood and illness-related stress and subsequent quality of life (QOL).MethodForty-one parents/guardians (77% mothers) of children newly diagnosed with cancer or malignant tumor were recruited from pediatric oncology clinics. Parent semistructured interview responses at 2 weeks and 3 months postdiagnosis were coded as resolved or unresolved with respect to child diagnosis. Parents reported their mood and stress at 2 weeks postdiagnosis and their QOL at 6 months postdiagnosis.ResultsResolution was stable over time: parents' resolution status stayed the same from diagnosis to the 3-month follow-up. Unresolved status was associated with greater concurrent parent mood problems (p = .05, Mdifference = 7.512) and stress about their own physical and emotional problems (p = .04, Mdifference = 0.537), and poorer subsequent physical (p = .00, Mdifference = -33.11) and emotional (p = .03, Mdifference = -21.11) QOL.DiscussionParents' resolution of their child's diagnosis was evident soon after diagnosis, remained stable, and was associated with parent health and QOL. Further research is needed to examine if the manner in which parents adapt to, and make meaning of, their child's diagnosis predicts long-term functioning for children with cancer and their parents.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"145-154"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Pediatric Oncology Nurses Can Foster the Establishment of Trust With Children and Their Parents: A Review of the Literature. 儿科肿瘤护士如何培养与儿童及其父母建立信任：文献综述。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-01 Epub Date: 2025-08-11 DOI: 10.1177/27527530251342177

Lyndsay Jerusha MacKay, Emma Nickel, Una Chang, Elizabeth Kreiter, Nolan LagrisolaI

{"title":"How Pediatric Oncology Nurses Can Foster the Establishment of Trust With Children and Their Parents: A Review of the Literature.","authors":"Lyndsay Jerusha MacKay, Emma Nickel, Una Chang, Elizabeth Kreiter, Nolan LagrisolaI","doi":"10.1177/27527530251342177","DOIUrl":"10.1177/27527530251342177","url":null,"abstract":"BackgroundChildren with cancer and their parents experience high levels of stress and can struggle with their mental health during active treatment. Pediatric oncology nurses are well positioned to establish therapeutic relationships with children/parents and offer support. Since trust is the foundation of therapeutic relationships, the purpose of this review was to provide a comprehensive overview of how pediatric oncology nurses develop trust with children and their parents.MethodA sub-analysis of 28 articles retrieved from a large scoping review using the Joanna Briggs methodology was completed to synthesize evidence on how trust is established between pediatric oncology nurses and children/parents. Data from included studies were extracted and thematically analyzed to present key themes.ResultsTrust was foundational to the provision of quality, patient- and family-centered nursing care. Key themes include: relationships, communication, nurses' approach, nurses' expertise, parental support, partnership, and mistrust.DiscussionPediatric oncology nurses should be made aware of the trust-building strategies identified in this review. Findings from this review should be utilized to inform future research that further investigates how trust is established between pediatric oncology nurses and children/parents, including how trust creates an environment for establishing therapeutic relationships and the provision of psychosocial support.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"165-182"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cutaneous Manifestations in an Infant With Hemophagocytic Lymphohistiocytosis: Case Report. 婴儿嗜血球性淋巴组织细胞病的皮肤表现：1例报告。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-01 Epub Date: 2025-08-19 DOI: 10.1177/27527530251356970

Nancy Kuntz, Lesa J Grovas, Regina Tang, Yostina Armanyous, Clay Hoerig, Lilibeth Torno, Rishi Chavan

引用次数: 0

A Sustainable Virtual Model for Comprehensive Childhood Cancer Survivorship Care. 一个可持续的儿童癌症生存综合护理虚拟模型。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1177/27527530251348185

Kelly Anderson, Laura Dorneman, Jessice Busse, Lori Knowles, Jennifer L Raybin, W Michael Vanderlind, Melinda D Wu, Susan Lindemulder

{"title":"A Sustainable Virtual Model for Comprehensive Childhood Cancer Survivorship Care.","authors":"Kelly Anderson, Laura Dorneman, Jessice Busse, Lori Knowles, Jennifer L Raybin, W Michael Vanderlind, Melinda D Wu, Susan Lindemulder","doi":"10.1177/27527530251348185","DOIUrl":"10.1177/27527530251348185","url":null,"abstract":"Background: Childhood cancer survivorship care is complex and requires access to an interdisciplinary team. The COVID-19 pandemic altered in-person care and limited support for survivors. We report here our virtually based interdisciplinary clinic model, which provides education, screening, and psychosocial assessment/interventions to childhood cancer survivors (CCSs). Method: We initiated a virtual model for up to seven interdisciplinary providers (physician, advanced practice provider, neuropsychologist, social worker, educational specialist, dentist, registered nurse, dietician, or research associate) in separate locations to see patients in an integrated clinic. The patient virtually joined one appointment and completed successive encounters as a continuous patient visit experience. Results: We maintained our patient volume with virtual survivorship visits compared to the traditional in-person model. Between 2020 and 2023, we completed 593 interdisciplinary virtual survivorship visits, sustaining our clinic numbers after the pandemic subsided. Providers reported a high level of acceptance. Virtual comprehensive survivorship visits continue to be offered at our institution. Discussion: Our findings suggest that this model is feasible, sustainable, and preferred for a subset of the CCS population. Preferred reasons reported by families included: flexibility, decreased time off work, less cost/time for travel, more comfort in their home, and avoidance of traumatic response to the hospital environment. This process paper presents a guiding framework for interdisciplinary teams to provide a virtual care option to CCSs in a more accessible, flexible format.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"193-201"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Parental Active Participation on Pain and Anxiety in Supporting Children With Cancer Experiencing a Venipuncture: A Randomized Controlled Study. 父母积极参与对支持癌症儿童静脉穿刺疼痛和焦虑的影响：一项随机对照研究。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-07-01 Epub Date: 2025-07-31 DOI: 10.1177/27527530251342170

Münevver Erkul, Pınar Bekar, Emine Efe

{"title":"The Effect of Parental Active Participation on Pain and Anxiety in Supporting Children With Cancer Experiencing a Venipuncture: A Randomized Controlled Study.","authors":"Münevver Erkul, Pınar Bekar, Emine Efe","doi":"10.1177/27527530251342170","DOIUrl":"10.1177/27527530251342170","url":null,"abstract":"BackgroundDuring cancer treatment, children are exposed to many painful procedures. In some areas of the world, the most common exposure may be the venipuncture procedure. This painful process causes increased anxiety in children. Studies have reported that sometimes pain procedures are more traumatic than the disease itself. In general pediatrics, parent support is effective in reducing pain and anxiety during venipuncture. This study aimed to evaluate the effect of parental involvement on relieving pain and anxiety in children with cancer during venipuncture compared to children whose parents were present but not involved.MethodThis randomized controlled trial included 60 participants receiving hospitalized in the pediatric oncology clinic. Through randomization, 30 children had parents coached in supportive behaviors (parental involvement) and 30 children had parents present but without coaching as a usual care control group.ResultsCompared to children in the control group, children in the parental involvement group had significantly lower pain (p < .001) and anxiety (p < .001) scores reported after the procedure and lower heart rates during the procedure (p < .05).DiscussionResults support the efficacy of parental involvement compared to routine procedures such as venipuncture. Building on these results, future research is needed on how to involve the parent during the procedure and for which types of children and parental presence have the best effect.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"155-164"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Weighted Blankets on Anxiety for Pediatric Oncology Patients During Outpatient Chemotherapy Infusions. 加重毛毯对儿科肿瘤患者门诊化疗输液时焦虑的影响。

IF 1.5 4区医学

Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2025-05-01 Epub Date: 2025-07-15 DOI: 10.1177/27527530251342163

Jennifer Olson, Leanne Adamson, Cassie Lang, Kelly Miller, Elizabeth Phillips, Flori Legette, Figaro L Loresto

{"title":"Effects of Weighted Blankets on Anxiety for Pediatric Oncology Patients During Outpatient Chemotherapy Infusions.","authors":"Jennifer Olson, Leanne Adamson, Cassie Lang, Kelly Miller, Elizabeth Phillips, Flori Legette, Figaro L Loresto","doi":"10.1177/27527530251342163","DOIUrl":"10.1177/27527530251342163","url":null,"abstract":"BackgroundAnxiety is highly prevalent among pediatric oncology patients. Weighted blankets are a potential intervention to address anxiety for pediatric oncology patients. The goal of this work is to assess the effectiveness of weighted blankets in reducing anxiety for pediatric oncology patients.MethodA randomized 2 × 2 cross-over design was utilized. Newly diagnosed pediatric oncology patients between the age of 4 and 17 were included. All participants also needed to pass seriation screening to be able to eligible for the study. Participants were randomized to one of two arms: weighted blanket on first infusion visit after enrollment then usual care on second visit (WB:UC) or usual care on first infusion visit after enrollment then weighted blanket (UC:WB) on second visit. Anxiety via Children's Anxiety Meter-State (CAM-S) was collected pre- and postinfusion visit. Descriptive statistics were conducted to describe the data. A linear mixed model with interaction effects was conducted to assess the treatment effect of the weighted blanket.ResultsThere were 26 participants who were enrolled in the study. Twenty-four with complete information were included in the analysis. Regression models revealed that CAM-S measure reduced by -0.71 (95% CI: [-1.25 to -0.19], p = .02). WB had more impact on the second visit (<math><mi>β</mi></math> = -0.51, -1.92 to 0.88, 0.97).DiscussionThere was significant reduction in anxiety postinfusion. While further research is needed, this study highlights not only the impact of weighted blankets, but of nursing care on anxiety for pediatric oncology patients.","PeriodicalId":29692,"journal":{"name":"Journal of Pediatric Hematology-Oncology Nursing","volume":" ","pages":"129-137"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0