Word Files
Reference for Downloading Educational Files
  2. Medical Sciences
  3. Investigating the factors related to the quality of life of children with cancer in educational and therapeutic centers in Shiraz 2019-2020

Investigating the factors related to the quality of life of children with cancer in educational and therapeutic centers in Shiraz 2019-2020

Number of pages: 140 File Format: word File Code: 31933
Year: Not Specified University Degree: Master's degree Category: Psychology
Tags/Keywords: cancer - child - Children with cancer - Children's cancer - Children's quality of life - Chronic diseases - Physical disorders - quality of life
  • Part of the Content
  • Contents & Resources

  • Summary of Investigating the factors related to the quality of life of children with cancer in educational and therapeutic centers in Shiraz 2019-2020

    Dissertation to receive a master's degree in nursing education

    Abstract

    Introduction: Today, with the development of medical science and its related technology, cancer in children and adolescents has gradually turned from an acute and fatal disease into a chronic disease and the survival rate has increased. The aim of the treatments used today for children with cancer is not only to increase the survival rate but also to increase the quality of life of these children. As a result, it is important to examine the factors related to the quality of life of children with cancer.

    Purpose: The purpose of this study is to determine the factors related to the quality of life of children with cancer.

    Methodology: This research is a descriptive-analytical cross-sectional study in which 213 children aged 2-14 years with cancer referred to Imam Reza Clinic (AS). and Amir Shahr Shiraz Hospital participated. The data in this research was collected using a questionnaire consisting of three sections: 1) factors related to the quality of life of children with cancer and the general health of mothers, 2) health-related quality of life (TNOAZL) and 3) specific quality of life (Ped QL Cancer Module) of children with cancer through interviewing the mother and observing the child's file. After collecting the data, it was entered into SPSS software version 19. The results were analyzed using t-test, one-way analysis of variance, Pearson, Mann-Whitney, Kruskal-Wallis correlation coefficient, Spear-Man correlation coefficient and multiple logistic regression. Results: The results showed that the average score of health-related quality of life was (61.38±12.34), specific quality of life was (64.61±16.83). The examination of individual-social and clinical factors and the general health of the mother showed that, based on the multiple logistic regression model, the age of the child, the duration of the disease, the interval between the chemotherapy courses and the number of radiation therapy courses with the quality of life related to the health and age of the child, the general health of the mother, the interval between the chemotherapy courses and the number of radiation therapy courses had a statistically significant relationship with the specific quality of life (p<0.05).

    Conclusion: Considering that among the factors related to the quality of life related to the health and specific of children, the age of the child and the general health of the mother, the duration of the disease, the interval between chemotherapy courses and the number of radiation therapy courses are most related to the quality of life of children, therefore it is very important to pay attention to the quality of life of all children and their families, especially in the aggressive period of treatment, when they are more vulnerable. Keywords: cancers, children, quality of life Its physical dimension has been taken into consideration and less has been mentioned about its mental and social health dimensions. Health means the ability to adapt, effective communication, responsibility, good nutrition, good physical performance, stress management, appropriate mental state and effective social performance (1). The World Health Organization[1] considers "health to be a state of physical, mental and social well-being and not just to improve the disease" (2). Today, health diagnosis and evaluation of health interventions pay attention to other human values ??such as quality of life in addition to calculating mortality indicators, frequency and severity of disease(4). Quality of life is a broader concept of health that includes a set of physical, mental and social well-being (5). In fact, the quality of life has a multidimensional structure that is examined in different functional, social, psychological, and emotional dimensions (6). Chronic diseases are among the disorders that severely affect people's health and, as a result, their quality of life (8).Chronic disease is a condition that disrupts daily activities for more than 3 months per year or causes hospitalization for more than one month per year or at the time of diagnosis. The development of technology and drug treatment has increased the number of children suffering from chronic diseases (9). Approximately 10-40% of children in the world suffer from chronic diseases (10). The impact of chronic and debilitating diseases on a child's performance and health status is very high. These children need 3 times more bed rest than other children, 2 times more need a doctor and 5 times more hospitalized than other children. Chronic illness may last for years or continue throughout life and affect all activities of children and parents. Among chronic diseases, cancer is one of the things that has always attracted the human mind (9).

    Cancer is a general term for complex diseases that arise as a result of some genetic changes and cause uncontrollable and irregular cell proliferation (11). The term pediatric cancer [2] refers to cases of cancer that are diagnosed in children under 15 years of age (12). Children's cancer includes a group of malignancies, each of which has different epidemiological characteristics, biological characteristics, treatment methods, and survival problems (13). Cancer creates unfavorable physical, psychological, social and economic conditions for the family and society, and causes many years of the patient's life to be spent coping with the disease and pursuing treatment methods (12).  As the death rate of childhood diseases (especially infectious diseases) has decreased in industrialized and developing countries, the number of children diagnosed with cancer has increased (14). In Europe and America, this disease has been reported as the main cause of death in children aged 5-14, and its prevalence in this age group is approximately 129 per million people (9). The survey conducted by Mahek (Institute for the Support of Children with Cancer) regarding the prevalence of cancer in Iran shows that the number of children with cancer was 9 out of every 100,000 children per year in different years in the country, which increased to 15 children in 2008 (4).  According to the report of the Fars Province Cancer Registry Center, during the years 1380 to 1387 (for 8 years), the number of children with cancer was 1610, among which blood cancers were the most frequent (47.8 percent), followed by brain tumors and other parts of the central nervous system (9.5 percent) and lymph nodes (9.3 percent), which accounted for the most cases (15).

    The quality of life of the sick child is jeopardized as a result of the pain caused by the disease itself and aggressive treatment methods, as well as a decrease in energy to enjoy normal daily activities, the inability to establish contact with friends at school and in the community, and fear of the future (20). Treatment methods make the child tired and sick all the time. These children are also susceptible to infection and are continuously admitted to the hospital, which leads to the separation of the child from the family, school and community (21). Cancer treatments are accompanied by complications and toxicity that endanger the quality of life of a person in the short or long term (6). Treatment methods such as chemotherapy, radiation therapy, or surgery may have adverse effects on childhood development and cause long-term physical, psychological, and social effects in childhood and adulthood (22).

  • Contents & References of Investigating the factors related to the quality of life of children with cancer in educational and therapeutic centers in Shiraz 2019-2020

    List:

    Research area..2

    Research objectives (general purpose and specific objectives). 10

    Research questions and assumptions. 11

    Definition of keywords. 13

    Research limitations. ..16

    Overview of studies ..29

    Chapter 3: Research method

    Research type ..41

    Research community ..41

    Sampling method ..41

    Specifications of the research units ..42

    Sample size ..42

    Research environment ..43

    Tools and methods of data collection. 43

    Determining the validity and scientific reliability of the tool. 46

    Method of data analysis. 48

    Ethical considerations.

    Findings analysis and discussion. 83

    Final conclusion from the findings. 99

    Application of findings in nursing. 100

    Titles

    Suggestions based on findings. 101

    List of sources..103

    Appendices.

    Source:

     

     

    1_ Stanooph  M., Lancaster J. Community and public health nursing. 6th ed. United States of America: Mosby Y, 2005; 416_17.

    2_Alavi A., Parvin N., Kheiri S., Hamidi Zadeh S., Tahmasebi S. Quality of life for children and adolescents with diabetes and their parents from their perspective in the normal group. Journal of Kurdistan University of Medical Sciences, Volume 15, 1389; 46-52. (Text in translation)

    3_Hbibi Sola A., Nickpour S., Seidalshohadaei M. Study of health promoting behaviors and quality of life in elderly. Journal of Ardabil Medical Sciences. 1385; 8(1); 29_36. (Text in persion)

    4_ Sajjadi H., Roshanfekr P., Asangari B., Zeinali Maraghe M., Gharai N., Torabi F. Quality of life and satisfaction with services in caregivers of children with cancer. Iran Journal of Nursing (IJN). Vol:24, No.72, Oct 2011; 8_17. (Text in persion)

    5_ Ebrahimi M. The effect of Empowerment on Quality of Life Self _ Efficacy, Clinical & Lab Indicators of patients under Hemodialysis treatment referred to Boo Ali Hospital Shiraz _ Iran, 2009. for the degree of master of science Medical Surgical nursing education. (Text in persion)

    6_ Zeighami Mohammadi Sh., Hoshmand P., Kushyar M., Ismaili H. Quality of life in cancer patients undergoing chemotherapy. Journal of Nursing and Midwifery, Hamedan, Volume 16, No. 1387; 1_8. (Text in Persian)

    7_Pakbur Haji Aqa A. Quality of life of patients with esophageal cancer who were referred to Imam Khomeini Hospital (RH) in Tehran. Quarterly Payesh, Year 8, Number 4, Fall 1388; 371_378. (Text in translation)

    8_ Mahmodi Gh., Bahman poor N., Shariaati Gh. The relationship between quality of life and coping methods used by patients treated with hemodialysis. Journal of Gorgan University of Medical Sciences. 1382; 5(12); 43_52. (Text in persion)

    9_Wilson D., Hockenberry M.J., Wong's nursing care of infants and children. 8th ed. United States of America: Mosby Elsevier: St. Louis; 2008; 1536_80.

    10_ Grootenhuis  M A., Koopman H M., Verrips EG H., Vogles A G C., Last B F. Health related quality of life problems of children aged 8-11 years with a chronic disease. Development Neuro Rehabilitation, 2007;10(1) ;27_33.

    11_Robert M K., Bonita F S., Nina F S., Richard E B., Joseph W. Nelson Text book of pediatrics. Sanders, Philadelphia, 19th, 2011; 1725_1745.

    12_ Mirzaie M., Yazdy F., Navidi Z.Survey personal and disease characteristics of children with cancer hospitalized in 17 shahrivar hospital, Rasht. Journal of the Faculty of Medicine, Guilan Province, Year 19, No. 61. Spring and Summer 1388; 32_36. (Text in persion)

    13_ Patterson J N., Holm K E., Gurney J G. The impact of childhood cancer on the family: A Qualitative Analysis of Strains, resources, and copingThe impact of childhood cancer on the family: A Qualitative Analysis of Strains, resources, and coping behaviors. psycho_oncology, 2004, 13; 390_407.

    14_Chirirvella S., Rajappa S., Sinha S., Eden T., Barr R D. Health related quality of life among children with cancer in Hyderabad, India. Indian Journal of Pediatrics, Vol 76, 2009; 1231_1235.

    15_ Farahmand M., Almasi Hashiani A., Hassanzade j., Moghadami M. Childhood cancer epidemiology based on cancer registry, data of Fars province of Iran. Koomesh, Volume 13, No. 1, Fall 1390; 8_13. (Text in persion)

    16_Sanjari M., Jaafarpoor M., Safarabadi T., Hoseini F. Coping strategies for adolescents with cancer and their parents. Journal of Nursing 2005; 41(18); 111_210. (Text in translation)

    17_ Chao Ch., Chen S., Wang Ch. Y., Wu Y.Ch. , Yeh Ch. H. Psychosocial adjustment among pediatric cancer patients and their parents. Psychiatry and clinical neurosciences (2003), 57; 75-81.

    18_ Eiser Ch., Eiser R., Stride Ch B. Quality of life in children newly diagnosed with cancer and their mothers. Health and Quality of life outcomes 2005,3(29); 1_5.

    19_Aqabrary A., Ahmadi F., Mohammad Ali A., Hajizadeh A., Farahani A. Dimensions of physical, psychological and social quality of life in women with breast cancer The chemotherapy. Nursing Research, Volume 1, Number 3, Winter 1385; 55_65. (Text in persion)

    20_ Vadurova H. Quality of life cancer children caregivers. Cancer research UK, 2004. Available from:.

    21_ Pek J H., Chan Y H., Yeoh A E., Quah T Ch., Tan P L., and et al. Health related quality of life in children with cancer undergoing treatment: A first look at the Singapore 2010, 39;8_43.

    22_ Berman R. Cancer and benign tumors: Nelson's textbook of medicine. Translated by Shabnam Hashmi descendants., Tehran: Abasalh Street.1387;3_80

    23_Kyritsi H., Matziou V., Papadatou D., Evagelluo E., Koutelekos G., Polikandrioti M. Self concept of children and adolescents with cancer. Health science journal. Vol. 32, No. 2, 2009; Available from: http://www.hsj.gr.

    24_ William Li H., Joyce Chung O., Yani Chiu S. The impact of cancer on children's physical, emotional and psychosocial well-being. cancer nursing. vol. 33, No. 1, 2010; 47_54

    25) Ruland C., Hamilton G., Osma B S. The complexity of symptoms and problems experienced in children with cancer: A review of the literature. Journal of pain and symptom management, vol.37, No.3.2009;403_418.

    26_Hadi N., Moezzi M., Amin Lari A. A survey of the risk factors of acute lymphoblastic leukemia in children under the age of 15 in Farse. Shiraz E_ medical Journal 2008;9(1); 2_10. (Text in persion)

    27_ Asadi N. The impact of educating parents of leukemic children on the patients quality of life referred to Faghihi hospital in Shiraz. Thesis of master of science in pediatric nursing education. Shiraz University of Medical Science 2009. (Text in persion)

    28_ Yaris N., Yavuz M. N., Yavuz A., Okten A. Assessment of quality of life in pediatric cancer patients at diagnosis and during therapy. Turkish journal of cancer. Vol.31,No.4,2001;139_148.

    29_ Hinds P S., Billups C A., Cao X ., Gattuso J S ., Burghen E ., West N ., & et al. Health_related quality of life in adolescents at the time of diagnosis with osteosarcoma or acute myloid leukemia. Journal of oncology nursing .2009(13);156_163.

    30_ Karami A. Quality of life of cancer patients in Qazvin (1386). Journal of Qazvin University of Medical Sciences. Vol.14, No. 3. Fall 1389; 81_86. (Text in translation)

    31_Keshtkaran Z. Effect of training on quality of life of patients with osteoarthritis of hip and knee rehabilitation center affiliated to Shiraz University of Medical Sciences. Master thesis, Faculty of Nursing, Shiraz University, Iran, 2003. (Text in translation)

    32_Mounir G M., Abolfotouh M A. Assessment of health related quality of life among school children with cancer in Alexandria. J Egypt Public Health Assoc. Vol.

Investigating the factors related to the quality of life of children with cancer in educational and therapeutic centers in Shiraz 2019-2020
How To Access The File
Related Contents:
Number of pages: 133 Category: Psychology

Dissertation for Master's degree (M.A) Major: Clinical Psychology Abstract The purpose of this study was to investigate the effect of group supportive psychotherapy on the life expectancy and psychological adjustment of mothers of children with cancer. The design of the current research was quasi-experimental and pre-test-post-test with a control group. The statistical ...

Number of pages: 127 Category: Psychology

Dissertation for Master's degree (M.A.) Major: General Comparison of primary maladaptive schemas and cognitive distortions in cancer patients with normal people Abstract: The present study was conducted to compare cognitive distortions and primary maladaptive schemas in cancer patients and normal people. For this purpose, from the statistical population of cancer patients ...

Number of pages: 120 Category: Psychology

Dissertation for Master's Degree in Psychology (M.A) Orientation: General Abstract Cancer is one of the chronic diseases that carries a heavy economic, social and psychological burden for the patient, family and society. The purpose of this study is to investigate the effectiveness of spiritual intelligence and mindfulness training on psychological well-being and life expectancy ...

Number of pages: 62 Category: Paramedical

Dissertation: To receive a professional doctorate degree in the field of medicine Persian abstract Title: Investigation and comparison of anxiety disorders in children with and without functional constipation referred to the pediatric clinic of Amir Kabir Arak Hospital Introduction: Functional constipation is a common disorder in children between 5 and 12 years of age. Based on ...

Number of pages: 231 Category: Architectural Engineering

Thesis­ academic certificate for obtaining the master's degree Major: Architecture, architectural trend, February 2013 Abstract of the influential role of therapeutic spaces and the environment in general, in the behavior and mood of Mes children

Number of pages: 89 Category: Physical Education - Sports

Dissertation: To receive a master's degree in the field of physical education and sports science (sports physiology orientation) Keywords: aerobic exercise, weight, body fat percentage, teenage girls Abstract The purpose of this research was the effect of intermittent aerobic exercise on the weight and body fat percentage of teenage girls. For this purpose, 30 students aged ...

Number of pages: 205 Category: Psychology

Dissertation for Master's Degree in General Psychology Abstract This study was conducted with the aim of investigating the effectiveness of mental resilience training on the quality of life and life expectancy of mothers of deaf children in Rasht city. The statistical population of this research includes all mothers with deaf children, and in this research, 30 mothers whose ...

Number of pages: 83 Category: Educational Sciences

In order to obtain a master's degree in the field of educational psychology, the aim of the study was to compare behavioral disorders, self-esteem, and life satisfaction in orphaned and normal adolescents. The design of this research was causal-comparative. The statistical population of the present study consists of the unaccompanied boys and girls of Semnan and Tehran and ...

Number of pages: 102 Category: Medical Sciences

Dissertation for Master's degree in Health Sciences in Nutrition Abstract Introduction Researches indicate the prevalence of blood lipid disorders in childhood and adolescence. Considering the formation of eating habits from childhood and adolescence and the impact on health or illness in adulthood, the present study was conducted with the aim of determining the correlation ...

Number of pages: 150 Category: Medical Sciences

Master of Medical Biotechnology Abstract Background and Objective: Retinoblastoma is one of the most common intraocular tumors in children. Although there is progress in the treatment of retinoblastoma, the failure in treatment and mortality in developed countries is remarkable. The most important reason for this failure is drug resistance and its side effects. The aim of this ...