The Effect of Music Intervention on Anxiety, Fear, and Pain in Pediatric Patients Receiving Intrathecal Chemotherapy

Ondokuz Mayıs University50 enrolled

Overview

Intrathecal chemotherapy is often used to prevent the spread of cancer to the central nervous system in pediatric patients and is one of the most invasive procedures. It is believed that the way it is administered and the complications experienced after treatment negatively affect the comfort of the pediatric patient, leading them to refuse the treatment.

Receiving sedation is one of the pharmacological procedures for intrathecal chemotherapy which creates a particularly difficult situation for the child. However, since pharmacological methods increase the cost and cause toxicity in children, in recent years, the symptoms that occur in cancer treatment have been tried to be controlled with non-pharmacological methods. Music intervention facilitates a sense of control in patients and provides mental distraction, emotional smoothness, and relaxation, which have been found to have pain relief effects.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Nurse's Role

Interventions

Music interventionBEHAVIORAL

: In addition to the routine practice of the clinic, the pediatric patients in this group listened to music through headphones for 20 minutes just before the procedure to reduce the child's anxiety and fear. The therapeutic effect of music was used. Before the study, children between the ages of 6 and 12 who were inpatients at the clinic were asked what music they most liked to listen to, what kind of music they liked, and what their favorite artists and songs were. The music was selected based on the children's answers. In addition, the researcher added children's songs by a musician named Banu Kanıbelli

Eligibility

Sex: ALLMin age: 6 YearsMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: * To be between 6-12 years old, * Being treated in the Hematology and Oncology Clinic, * About to receive intrathecal chemotherapy treatment, * The child not having pain before intrathecal chemotherapy treatment Exclusion criteria were, * Refusing to participate in the study, * Being under 6 years of age and over 10 years of age, * The child having pain prior to intrathecal chemotherapy treatment, * Having any physical or mental disability, * Not being able to speak Turkish.

Locations (1)

Ondokuz Mayis University

Samsun, Black Sea, Turkey (Türkiye)

Outcomes

Primary Outcomes

anxiety

Child Anxiety Meter-State (CAM-S):The scale can be scored between 1 and 10. An increase in the score means an increase in anxiety.

Time frame: 30 minutes before intrathecal chemotherapy treatment and just after music intervention

fear

Children's Fear Scale (CFS): The scale can be scored between 0 and 4. An increase in the score means an increase in fear

Time frame: 30 minutes before intrathecal chemotherapy treatment and just after music intervention

pain scale

Face, Legs, Activity, Cry, Consolability pain scale (FLACC): total score between 0 and 10 is obtained by assigning 0, 1, or 2 points for each category. As the severity of pain increases, the total score increases, and as the severity of pain decreases,

Time frame: 60 minutes after intrathecal chemotherapy treatment

Data from ClinicalTrials.gov

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