Fatigue In Children With Cancer Who Receive Chemotherapy

Sri Hendrawati, Fanny Adistie, Nenden Nur Asriyani Maryam

Abstract


Fatigue in children with cancer is a physical, mental, and emotional experience characterized by reduced energy, decreased physical activity, and increased feelings of fatigue. So far, health workers have assumed that fatigue is a subjective feeling and is not life-threatening. If not handled properly, fatigue can reduce the quality of life. This study aimed to identify the level of fatigue in children with cancer. This research used a descriptive quantitative method. According to the inclusion criteria: 1) the respondents are children with cancer aged 6-18 years; 2) the children is undergoing treatment or medication, and 3) the general condition of the children is good. Technique sampling used consecutive sampling to get 74 children with cancer. The instruments used were the Childhood Fatigue Scale (CFS) to measure the level of fatigue in children and the Fatigue Scale-Adolescent (FSA) to measure the level of fatigue in adolescents. Data analysis using the mean value and frequency distribution. The results showed that based on the fatigue questionnaire of children with cancer who receive chemotherapy, most of them had a severe fatigue scale of 56 people (75.7%). Meanwhile, a small proportion of children had a mild fatigue scale of as many as 18 people (24.3%). In this study, all children with cancer experienced fatigue. It interrupts or limits their daily activities and significantly influences different aspects of personal life. Children can still felt fatigued even after chemotherapy is over. Nurses as health workers who have the most frequent contact with children must provide appropriate nursing interventions for cancer to minimize fatigue.


Keywords


Cancer, chemotherapy, children, fatigue.

Full Text:

PDF

References


Allenidekania, Kusumasari, Bangun, & Lukitowa. (2012). Influencing factors in cancer related fatigue in hospitalized children in Jakarta. Directorate of Research and Community Engagement Universitas Indonesia.

Bastani, F., Khosravi, M., Borimnejad, L., & Arbabi, N. (2015). The effect of acupressure on cancer-related fatigue among school-aged children with acute lymphoblastic leukemia. Iran J Nurs Midwifery Res, 20(5), 545–551. https://doi.org/10.4103/1735-9066.164508

Crichton, A., Knight, S., Oakley, E., Babl, F. E., & Anderson, V. (2015). Fatigue in child chronic health conditions: A systematic review of assessment instruments. Pediatrics, 135(4), e1015–e1031. https://doi.org/10.1542/peds.2014-2440

da Silva, M. C. M., Lopes Júnior, L. C., Nascimento, L. C., & de Lima, R. A. G. (2016). Fatigue in children and adolescents with cancer from the perspective of health professionals. Revista Latino-Americana de Enfermagem, 24, 1–10. https://doi.org/10.1590/1518-8345.1159.2784

Fernandes, A. (2020). Kelelahan Pada Anak Dengan Leukemia Limfoblastik Akut Dalam Menjalani Kemoterapi Fase Induksi. JURNAL KESEHATAN PERINTIS (Perintis’s Health Journal), 7(1), 69–74. https://doi.org/10.33653/jkp.v7i1.411

Hendrawati, S., Nurhidayah, I., Mediani, H. S., & Mardhiyah, A. (2019). The Incidence of Mucositis in Children with Chemotherapy Treatment. Journal of Nursing Care, 2(1), 23–31. https://doi.org/10.24198/jnc.v2i1.20129

Hinds, P. S., Hockenberry, M., Tong, X., Rai, S. N., Gattuso, J. S., McCarthy, K., Pui, C.-H., & Srivastava, D. K. (2007). Validity and Reliability of a New Instrument to Measure Cancer- Related Fatigue in Adolescents. J Pain Symptom Manage, 34(6), 1–20. https://doi.org/10.1016/j.jpainsymman.2007.01.009.Validity

Hockenberry-Eaton, M., & Hinds, P. S. (2000). Fatigue in children and adolescents with cancer: evolution of a program of study. Seminars in Oncology Nursing, 16(4), 261–272.

Hockenberry, M.J., Wilson, D., & Rodgers, C. (2017). Wong’s Essentials of Pediatric Nursing (10th ed.). Elsevier.

Hockenberry, Marilyn J., & Wilson, D. (2018). Wong’s Nursing Care of Infants and Children (11th ed.). Mosby.

Hockenberry, Marilyn J, Hinds, P. S., Barrera, P., Bryant, R., Adams-McNeill, J., Hooke, C., Rasco-Baggott, C., Patterson-Kelly, K., Gattuso, J. S., & Manteuffel, B. (2003). Three instruments to assess fatigue in children with cancer: the child, parent and staff perspectives. J Pain Symptom Manage, 25(4), 319–328. https://doi.org/10.1016/s0885-3924(02)00680-2

International Agency of Research Cancer. (2017). Section of Cancer Surveilance.

Ismuhu, S., Rakhmawati, W., & Fitri, S. Y. R. (2020). Akupresur: Alternatif Mengurangi Mual Dan Muntah Akibat Kemoterapi Literature Review. Journal of Nursing Care, 3(3). http://jurnal.unpad.ac.id/jnc/article/view/24502

Kaushal, B. D., Narendra, D. B., & Smitha, D. (2013). A Comparative Study between Relaxation Technique and Aerobic Exercise in Fatigue During Chemotherapy in Acute Lymphoblastic Leukemia in Children. Indian Journal of Physiotherapy and Occupational Therapy, 7(3), 140–145. https://doi.org/10.5958/j.0973-5674.7.3.081

Keener, T. A. (2018). Childhood Cancer-Related Fatigue and Day-to-Day Quality of Life. Journal of Pediatric Oncology Nursing, 36(3). https://doi.org/10.1177/1043454218818062

Kestler, S., & LoBiondo-Wood, G. (2012). Review of Symptom Experiences in Children and Adolescents With Cancer. Cancer Nursing, 35(2), 31–49. https://doi.org/10.1097/NCC.0b013e3182207a2a

Macmillan Cancer Support. (2013). Throwing light on the consequences of cancer and its treatment.

Mahdizadeh, F., Mehraban, A., Faranoush, M., Amini, M., & Mehdizadeh, M. (2020). Fatigue in Children with Cancer: Reliability and Validity of the Persian Version of Child, Parent, and Staff Fatigue Scale. Asia-Pacific Journal of Oncology Nursing, 7(2), 174–179. https://doi.org/10.4103/apjon.apjon_44_19

Ministry of Health of the Republic of Indonesia. (2015). Situasi penyakit kanker. www.depkes.go.id/resources/download/pusdatin/infodatin/infodatin-kanker.pdf

Ministry of Health Republic of Indonesia. (2017). Pusat data dan informasi Kementerian Kesehatan RI. Ministry of Health Republic of Indonesia.

National Cancer Institute. (2009). A snapshot of pediatric cancer. http://www.cancer.gov/aboutnci/servingpeople/cancer-snapshot

Nunes, M. D. R., Jacob, E., Bomfim, E. O., Lopes-Junior, L. C., Lima, R. A. G. de, Floria-Santos, M., & Nascimento, L. C. (2017). Fatigue and Health related Quality of Life in Children and Adolescents with Cancer. Eur J Oncol Nurs., 29, 39–46. https://doi.org/10.1016/j.ejon.2017.05.001.Fatigue

Nurhidayah, I., Hendrawati, S., & Hasriyadhi, D. P. (2020). Quality of life of family caregivers of children with leukemia: A descriptive quantitative study. Belitung Nursing Journal, 6(2), 52–58. https://doi.org/10.33546/BNJ.1041

Nurhidayah, I., Hendrawati, S., S. Mediani, H., & Adistie, F. (2016). Kualitas Hidup pada Anak dengan Kanker. Jurnal Keperawatan Padjadjaran, v4(n1), 45–59. https://doi.org/10.24198/jkp.v4n1.5

Polit, D. F & Back, C. T. (2012). Nursing Research Generating and Assessing Evidance for Nursing Practice.

Potts, N. L., & Mandleco, B. L. (2012). Pediatric Nursing Caing for Children and their Families (3rd ed.). Delmar Cengage Learning.

Rosenberg, A. R., Orellana, L., Ullrich, C., Kang, T., Geyer, J. R., Feudtner, C., Dussel, V., & Wolfe, J. (2016). Quality of Life in Children With Advanced Cancer: A Report From the PediQUEST Study. Journal of Pain and Symptom Management, 52(2), 243–253. https://doi.org/10.1016/j.jpainsymman.2016.04.002

Ullrich, C. K., Dussel, V., Hilden, J. M., Sheaffer, J. W., Moore, C. L., Berde, C. B., & Wolfe, J. (2010). Fatigue in children with cancer at the end of life. Journal of Pain and Symptom Management, 40(4), 483–494. https://doi.org/10.1016/j.jpainsymman.2010.02.020

Utami, A., Chodidjah, S., & Waluyanti, F. T. (2020). Kadar Hemoglobin, Depresi, dan Nyeri Memperberat Kelelahan pada Anak yang Menjalani Kemoterapi. Jurnal Kesehatan Komunitas, 6(1), 1–6. https://doi.org/10.25311/keskom.vol6.iss1.366

Uzun, Z., & Kucuk, S. (2019). Side effects of chemotherapy in children with cancer: Effects of nursing training administered to caregivers. Australian Journal of Advanced Nursing, 36(4), 37–44.

Widodo, R. I., & Amanda, G. (2018). Pentingnya Deteksi Dini Kanker pada Anak. republika.co.id: https://www.republika.co.id/berita/gaya-hidup/info-sehat/18/02/15/p45irq423-pentingnya-deteksi-dini-kanker-pada-anak

World Health Organization (WHO). (2017). Cancer. http://www.who.int/media centre/factsheets/fs297/en/.

Yasin, Y. M., & Al-hamad, A. (2015). Anxiety and Depression As Key Determinants of Cancer Related Fatigue Among Patients Receiving Chemotherapy. 11(33), 39–53.

Yayasan Onkologi Anak Indonesia. (2017). Kanker pada Anak. republika.co.id: https://www.republika.co.id/berita/gaya-hidup/info-sehat/18/02/15/p45irq423-pentingnya-deteksi-dini-kanker-pada-anak

Yılmaz, H. B., Gerçeker, G. Ö., & Muslu, G. K. (2016). Evaluating the cancer related fatigue by children, mothers, and nurses in Turkish pediatric oncology patients. Eur J Oncol Nurs., 23, 66–71. https://doi.org/10.1016/j.ejon.2016.05.002

Yu, H., Li, L., Liu, C., Huang, W., Zhou, J., Fu, W., Ma, Y., Li, S., Chang, Y., Liu, G., & Wu, Q. (2017). Factors associated with the quality of life of family caregivers for leukemia patients in China. Health and Quality of Life Outcomes, 15(1), 1–11. https://doi.org/10.1186/s12955-017-0628-6




DOI: https://doi.org/10.24198/jnc.v4i2.33158

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

JNC is indexed on:

 

Redaksi Journal of Nursing Care:


Fakultas Keperawatan, Universitas Padjadjaran
Jalan Raya Bandung-Sumedang Km. 21 Jatinangor, Sumedang, Indonesia 45363
WA: 085314295890

Tlp. 022-7795596
Email: jnc.fkep@unpad.ac.id

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

hit
counter