Michelle Darezzo Rodrigues Nunes1, Eufemia Jacob2, Emiliana Omena Bomfim3, Luis Carlos Lopes-Junior4, Regina Aparecida Garcia de Lima5, Milena Floria-Santos6, Lucila Castanheira Nascimento7. 1. School of Nursing at Rio de Janeiro State University, Boulevard 28 de Setembro, 157, Vila Isabel, Rio de Janeiro, RJ, Brazil. Electronic address: mid13@hotmail.com. 2. University of California Los Angeles, School of Nursing, 700 Tiverton Avenue, Factor Building, Rm 5-942 Los Angeles, CA, USA. Electronic address: ejacob@sonnet.ucla.edu. 3. University of Saskatchewan at College of Medicine, 107 Wiggins Road, Saskatoon, SK, Canada. Electronic address: e.bomfim@usask.ca. 4. University of São Paulo at Ribeirão Preto College of Nursing, Bandeirantes Avenue, 3900, Ribeirão Preto, 14040-902 SP, Brazil. Electronic address: luisgen@usp.br. 5. University of São Paulo at Ribeirão Preto College of Nursing, Bandeirantes Avenue, 3900, Ribeirão Preto, 14040-902 SP, Brazil. Electronic address: limare@eerp.usp.br. 6. University of São Paulo at Ribeirão Preto College of Nursing, Bandeirantes Avenue, 3900, Ribeirão Preto, 14040-902 SP, Brazil. Electronic address: milena@eerp.usp.br. 7. University of São Paulo at Ribeirão Preto College of Nursing, Bandeirantes Avenue, 3900, Ribeirão Preto, 14040-902 SP, Brazil. Electronic address: lucila@eerp.usp.br.
Abstract
PURPOSE: The study examined the different dimensions of fatigue (general, sleep/rest, cognitive), health related quality of life (HRQL) (physical, emotional, cognitive, social), and the relationships between fatigue and HRQL in hospitalized children and adolescents with cancer in Brazil. METHOD: Participants were recruited from a pediatric oncology inpatient unit in a comprehensive cancer care hospital in southeast Brazil. They completed the PedsQL Multidimensional Fatigue Scale and the PedsQL Inventory of Quality of Life (Generic and Cancer module) once during hospitalization. RESULTS: The majority (66.7%) of the participants (n = 38; mean age 12.1 ± 2.9 years) had total fatigue scores < 75 on 0 to 100 scale; with the mean total fatigue score of 63.8 ± 18.5. The majority (72.2% generic; 83.3% cancer modules) had total PedsQL scores < 75 on 0 to 100 scale. The mean PedsQL score on generic module (61.1 ± 17.0) was similar to the mean PedsQL score cancer module (59.1 ± 16.7). Significant correlations were found between total fatigue and quality of life generic (r = 0.63, p = 0.000) and cancer module (r = 0.74, p = 0.000). CONCLUSIONS: The study is the first to report fatigue and health related quality of life in hospitalized children and adolescents with cancer in Brazil. Similar to experiences of other children in the world, our findings indicate that children and adolescents with cancer had problems with fatigue that were associated with low HRQL. Future studies are recommended to examine interventions (exercise, leisurely activities) that may alleviate fatigue and improve HRQL in pediatric patients with cancer.
PURPOSE: The study examined the different dimensions of fatigue (general, sleep/rest, cognitive), health related quality of life (HRQL) (physical, emotional, cognitive, social), and the relationships between fatigue and HRQL in hospitalized children and adolescents with cancer in Brazil. METHOD:Participants were recruited from a pediatric oncology inpatient unit in a comprehensive cancer care hospital in southeast Brazil. They completed the PedsQL Multidimensional Fatigue Scale and the PedsQL Inventory of Quality of Life (Generic and Cancer module) once during hospitalization. RESULTS: The majority (66.7%) of the participants (n = 38; mean age 12.1 ± 2.9 years) had total fatigue scores < 75 on 0 to 100 scale; with the mean total fatigue score of 63.8 ± 18.5. The majority (72.2% generic; 83.3% cancer modules) had total PedsQL scores < 75 on 0 to 100 scale. The mean PedsQL score on generic module (61.1 ± 17.0) was similar to the mean PedsQL score cancer module (59.1 ± 16.7). Significant correlations were found between total fatigue and quality of life generic (r = 0.63, p = 0.000) and cancer module (r = 0.74, p = 0.000). CONCLUSIONS: The study is the first to report fatigue and health related quality of life in hospitalized children and adolescents with cancer in Brazil. Similar to experiences of other children in the world, our findings indicate that children and adolescents with cancer had problems with fatigue that were associated with low HRQL. Future studies are recommended to examine interventions (exercise, leisurely activities) that may alleviate fatigue and improve HRQL in pediatric patients with cancer.
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