Interventions minimizing fatigue in children/adolescents with cancer: An integrative review

Fatigue is among the most common, debilitating, and distressing symptoms associated with chronic condition in pediatric population. The purpose of this study was to identify non-pharmacological fatigue interventions in children and adolescents with cancer. For this, we carried out an integrative rev...

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Published inJournal of child health care Vol. 22; no. 2; pp. 186 - 204
Main Authors Nunes, Michelle Darezzo Rodrigues, Bomfim, Emiliana, Olson, Karin, Lopes-Junior, Luis Carlos, Silva-Rodrigues, Fernanda Machado, Garcia de Lima, Regina Aparecida, Nascimento, Lucila Castanheira
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.06.2018
Subjects
Adolescent
Child
Child, Preschool
Chronic Disease - therapy
Exercise Therapy - methods
Fatigue - etiology
Fatigue - therapy
Female
Humans
Infant
Infant, Newborn
Male
Neoplasms - complications
Nursing
symptom management
cancer
Adolescent
child
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Summary:Fatigue is among the most common, debilitating, and distressing symptoms associated with chronic condition in pediatric population. The purpose of this study was to identify non-pharmacological fatigue interventions in children and adolescents with cancer. For this, we carried out an integrative review of the literature from January 2000 to December 2016. A comprehensive search of four databases was conducted: Cumulative Index to Nursing and Allied Health Literature, Psychology Information, Medline via PubMed, and Web of Science. Randomized controlled trial, quasi-experimental, case-control and cohort studies were included in this review. Thirteen relevant studies were included for analysis. Seven papers reported positive outcomes for exercise, exercise plus leisure activities, healing touch and acupressure. In another six papers using exercise, exercise plus psychological intervention and massage, no effectiveness was found. Effective management of fatigue in children and adolescents is important but research in this area is limited, so the results of this review should be interpreted cautiously. Future researchers are encouraged to test the effective interventions in homogenous cancer populations and in other groups where fatigue is a common concern.
Bibliography:ObjectType-Article-2
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ISSN:1367-4935
1741-2889
DOI:10.1177/1367493517752498