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Quality of Life Research

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03.05.2021 | COVID-19 Zur Zeit gratis

Quality of life and occupational performance of children with cancer in the era of the COVID-19 pandemic in terms of rehabilitation

verfasst von: Gözde Önal, Güleser Güney, Meral Huri

Erschienen in: Quality of Life Research | Ausgabe 10/2021

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Abstract

Purpose

This study was designed to determine the changes in the quality of life (QOL) and occupational performance of children with cancer and to examine their rehabilitation needs during the pandemic period in Turkey.

Methods

60 children with cancer and their families participated in the study. The first and second assessments were carried out in April and September 2020, respectively. The pediatric quality of life inventory parent proxy-report was used to evaluate the QOL, and the Canadian occupational performance measurement was used to evaluate children’s occupational performance and satisfaction. A qualitative interview was planned to determine the impact of the pandemic on children with cancer alongside their families and therefore determining the rehabilitation needs of the children.

Results

While there is no statistically significant change in the pain-related conditions of the children in the first six months of the pandemic (p > 0.05), procedural and treatment anxieties of the children increased during the treatment. Their QOL including cognitive state, perceived physical appearance and communication skills also showed a statistically significant decrease (p < 0.05). Both the occupational performance and satisfaction scores decreased significantly, covering the pre-pandemic and pandemic era (p < 0.01). In the qualitative interview parents expressed their children's need for physical, psychological and social participation support. Also, they emphasized the need for time management.

Conclusions

During the COVID-19 pandemic, the QOL and occupational performance level of children with cancer decreased significantly. Holistic rehabilitation approaches complying with pandemic conditions are likely to benefit these children.

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Harapan, H., Itoh, N., Yufika, A., Winardi, W., Keam, S., Te, H., Megawati, D., Hayati, Z., Wagner, A. L., & Mudatsir, M. (2020). Coronavirus disease 2019 (COVID-19): A literature review. Journal of Infection and Public Health, 13(5), 667–673CrossRef

Jebril, N. (2020). World Health Organization declared a pandemic public health menace: A systematic review of the coronavirus disease 2019 “COVID-19.” International Journal of Psychosocial Rehabilitation, 24(9), 9160–9166. https://doi.org/10.37200/IJPR/V24I9/PR290311CrossRef

Cheung, A. T., Li, W. H. C., Ho, L. L. K., Chan, G. C. F., & Chung, J. O. K. (2020). Health support to pediatric cancer survivors and their families during the COVID-19 pandemic. Pediatric Blood & Cancer, 67(11), e28441. https://doi.org/10.1002/pbc.28441CrossRef

Alradhawi, M., Shubber, N., Sheppard, J., & Ali, Y. (2020). Effects of the COVID-19 pandemic on mental well-being amongst individuals in society—A letter to the editor on “The socio-economic implications of the coronavirus and COVID-19 pandemic: A review.” International Journal of Surgery, 78, 147–148. https://doi.org/10.1016/j.ijsu.2020.04.070CrossRefPubMed

Sheridan Rains, L., Johnson, S., Barnett, P., Steare, T., Needle, J. J., Carr, S., Lever Taylor, B., Bentivegna, F., Edbrooke-Childs, J., Scott, H. R., Rees, J., Shah, P., Lomani, J., Chipp, B., Barber, N., Dedat, Z., Oram, S., Morant, N., Simpson, A., & COVID-19 Mental Health Policy Research Unit Group. (2021). Early impacts of the COVID-19 pandemic on mental health care and on people with mental health conditions: framework synthesis of international experiences and responses. Social Psychiatry and Psychiatric Epidemiology, 56(1), 13–24. https://doi.org/10.1007/s00127-020-01924-7CrossRefPubMed

Banerjee, D. (2020). The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian Journal of Psychiatry, 50, 102014. https://doi.org/10.1016/j.ajp.2020.10201CrossRefPubMedPubMedCentral

Duan, L., & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry, 7(4), 300–302. https://doi.org/10.1016/S2215-0366(20)30073-0CrossRefPubMedPubMedCentral

Ferreira, L. N., Pereira, L. N., da Fé Brás, M., & Ilchuk, K. (2021). Quality of life under the COVID-19 quarantine. Quality of Life Research. https://doi.org/10.1007/s11136-020-02724-xCrossRefPubMedPubMedCentral

Ravens-Sieberer, U., Kaman, A., Erhart, M., Devine, J., Schlack, R., & Otto, C. (2021). Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-021-01726-5CrossRef

10.

Arnett, J. J. (2015). The Oxford handbook of emerging adulthood. Oxford University Press.CrossRef

11.

Orben, A., Tomova, L., & Blakemore, S. J. (2020). The effects of social deprivation on adolescent development and mental health. The Lancet Child & Adolescent Health, 4(8), 634–640. https://doi.org/10.1016/S2352-4642(20)30186-3CrossRef

12.

Copeland, W. E., McGinnis, E., Bai, Y., Adams, Z., Nardone, H., Devadanam, V., Rettew, J., & Hudziak, J. J. (2021). Impact of COVID-19 pandemic on college student mental health and wellness. Journal of the American Academy of Child and Adolescent Psychiatry, 60(1), 134-141.e2. https://doi.org/10.1016/j.jaac.2020.08.466CrossRefPubMed

13.

Riiser, K., Helseth, S., Haraldstad, K., Torbjørnsen, A., & Richardsen, K. R. (2020). Adolescents’ health literacy, health protective measures, and health-related quality of life during the COVID-19 pandemic. PLoS ONE, 15(8), e0238161. https://doi.org/10.1371/journal.pone.0238161CrossRefPubMedPubMedCentral

14.

Dalton, L., Rapa, E., & Stein, A. (2020). Protecting the psychological health of children through effective communication about COVID-19. The Lancet Child & Adolescent Health, 4(5), 346–347. https://doi.org/10.1016/S2352-4642(20)30097-3CrossRef

15.

Duan, L., Shao, X., Wang, Y., Huang, Y., Miao, J., Yang, X., & Zhu, G. (2020). An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. Journal of Affective Disorders, 275, 112–118. https://doi.org/10.1016/j.jad.2020.06.029CrossRefPubMedPubMedCentral

16.

Jiao, W. Y., Wang, L. N., Liu, J., Fang, S. F., Jiao, F. Y., Pettoello-Mantovani, M., & Somekh, E. (2020). Behavioral and emotional disorders in children during the COVID-19 epidemic. The Journal of Pediatrics, 221, 264-266.e1. https://doi.org/10.1016/j.jpeds.2020.03.013CrossRefPubMedPubMedCentral

17.

Xie, X., Xue, Q., Zhou, Y., Zhu, K., Liu, Q., Zhang, J., & Song, R. (2020). Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province China. JAMA Pediatrics, 174(9), 898–900. https://doi.org/10.1001/jamapediatrics.2020.1619CrossRefPubMed

18.

Yeasmin, S., Banik, R., Hossain, S., Hossain, M. N., Mahumud, R., Salma, N., & Hossain, M. M. (2020). Impact of COVID-19 pandemic on the mental health of children in Bangladesh: A cross-sectional study. Children and Youth Services Review, 117, 105277. https://doi.org/10.1016/j.childyouth.2020.105277CrossRefPubMedPubMedCentral

19.

Jibb, L. A., Croal, L., Wang, J., Yuan, C., Foster, J., Cheung, V., Gladstone, B. M., & Stinson, J. N. (2018). Children’s experiences of cancer care: A systematic review and thematic synthesis of qualitative studies. Oncology Nursing Forum, 45(4), 527–544. https://doi.org/10.1188/18.ONF.527-544CrossRefPubMed

20.

Loeffen, E., Knops, R., Boerhof, J., Feijen, E., Merks, J., Reedijk, A., Lieverst, J. A., Pieters, R., Boezen, H. M., Kremer, L., & Tissing, W. (2019). Treatment-related mortality in children with cancer: Prevalence and risk factors. European Journal of Cancer, 121, 113–122. https://doi.org/10.1016/j.ejca.2019.08.008CrossRefPubMed

21.

Tian, Y., Qiu, X., Wang, C., Zhao, J., Jiang, X., Niu, W., Huang, J., & Zhang, F. (2021). Cancer associates with risk and severe events of COVID-19: A systematic review and meta-analysis. International Journal of Cancer, 148(2), 363–374. https://doi.org/10.1002/ijc.33213CrossRefPubMed

22.

Ciążyńska, M., Pabianek, M., Szczepaniak, K., Ułańska, M., Skibińska, M., Owczarek, W., Narbutt, J., & Lesiak, A. (2020). Quality of life of cancer patients during coronavirus disease (COVID-19) pandemic. Psycho-Oncology, 29(9), 1377–1379. https://doi.org/10.1002/pon.5434CrossRefPubMed

23.

Younger, E., Smrke, A., Lidington, E., Farag, S., Ingley, K., Chopra, N., Maleddu, A., Augustin, Y., Merry, E., Wilson, R., Benson, C., Miah, A., Zaidi, S., McTiernan, A., Strauss, S. J., Dileo, P., Gennatas, S., Husson, O., & Jones, R. L. (2020). Health-related quality of life and experiences of sarcoma patients during the COVID-19 pandemic. Cancers, 12(8), 2288. https://doi.org/10.3390/cancers12082288CrossRefPubMedCentral

24.

Mirlashari, J., Ebrahimpour, F., & Salisu, W. J. (2020). War on two fronts: Experience of children with cancer and their family during COVID-19 pandemic in Iran. Journal of Pediatric Nursing, 57, 25–31. https://doi.org/10.1016/j.pedn.2020.10.024CrossRefPubMedPubMedCentral

25.

Kotecha, R. S. (2020). Challenges posed by COVID-19 to children with cancer. The Lancet Oncology, 21(5), e235. https://doi.org/10.1016/S1470-2045(20)30205-9CrossRefPubMedPubMedCentral

26.

van Gorp, M., Maurice-Stam, H., Teunissen, L. C., van de der Peppel-van Meer, W., Huussen, M., Schouten-van Meeteren, A., & Grootenhuis, M. A. (2021). No increase in psychosocial stress of Dutch children with cancer and their caregivers during the first months of the COVID-19 pandemic. Pediatric Blood & Cancer, 68(2), e28827. https://doi.org/10.1002/pbc.28827CrossRef

27.

Darlington, A. E., Morgan, J. E., Wagland, R., Sodergren, S. C., Culliford, D., Gamble, A., & Phillips, B. (2021). COVID-19 and children with cancer: Parents’ experiences, anxieties and support needs. Pediatric Blood & Cancer, 68(2), e28790. https://doi.org/10.1002/pbc.28790CrossRef

28.

Damani, A., Ghoshal, A., Rao, K., Singhai, P., Rayala, S., Rao, S., Ganpathy, K. V., Krishnadasan, N., Verginiaz, L., Vallath, N., Palat, G., Venkateshwaran, C., Jenifer, J. S., Matthews, L., Macaden, S., Muckaden, M. A., Simha, S., Salins, N., Johnson, J., … Bhatnagar, S. (2020). Palliative care in coronavirus disease 2019 pandemic: Position statement of the Indian association of palliative CARE. Indian Journal of Palliative Care, 26(Suppl 1), S3–S7. https://doi.org/10.4103/IJPC.IJPC_207_20

29.

Zhou, X., Cai, S., & Guo, Q. (2020). Responses of pediatric palliative care to the COVID-19 pandemic in China. Pediatric Research. https://doi.org/10.1038/s41390-020-01137-3CrossRefPubMedPubMedCentral

30.

Dehghan, L., Dalvand, H., Hadian Rasanani, M. R., & Nakhostin Ansari, N. (2020). Occupational performance outcome for survivors of childhood cancer: Feasibility of the Canadian occupational performance measure. Occupational Therapy in Health Care. https://doi.org/10.1080/07380577.2020.1773011CrossRefPubMed

31.

Mulligan, S. (2017). Defining and measuring the occupational performance of children. Journal of Occupational Therapy, Schools, & Early Intervention, 10(2), 107–120. https://doi.org/10.1080/19411243.2017.1292863CrossRef

32.

Creswell, J. W., Fetters, M. D., & Ivankova, N. V. (2004). Designing a mixed methods study in primary care. The Annals of Family Medicine, 2(1), 7–12. https://doi.org/10.1370/afm.104CrossRefPubMed

33.

Creswell, J. W., & Creswell, J. D. (2005). Mixed methods research: Developments, debates, and dilemmas. Research in organizations: Foundations and methods of inquiry. (pp. 315–326). Berrett-Koehler Publishers.

34.

Law, M., Baptiste, S., McColl, M., Opzoomer, A., Polatajko, H., & Pollock, N. (1990). The Canadian occupational performance measure: An outcome measure for occupational therapy. Canadian Journal of Occupational Therapy, 57(2), 82–87. https://doi.org/10.1177/000841749005700207CrossRef

35.

Enemark Larsen, A., Rasmussen, B., & Christensen, J. R. (2018). Enhancing a client-centred practice with the Canadian occupational performance measure. Occupational Therapy International, 2018, 5956301. https://doi.org/10.1155/2018/5956301CrossRefPubMedPubMedCentral

36.

Torpil, B. (2017). Multipl Skleroz’lu bireylerde Kanada Aktivite Performans Ölçümü’nün Türkçe kültürel adaptasyonu, geçerlilik ve güvenilirliği. Retrieved October 23, 2020, from http://www.openaccess.hacettepe.edu.tr:8080/xmlui/handle/11655/3475?show=full

37.

Chen, X., Origasa, H., Ichida, F., Kamibeppu, K., & Varni, J. W. (2007). Reliability and validity of the pediatric quality of life inventory (PedsQL) short form 15 generic core scales in Japan. Quality of Life Research, 16(7), 1239–1249. https://doi.org/10.1007/s11136-007-9230-4CrossRefPubMed

38.

Varni, J. W., Burwinkle, T. M., Katz, E. R., Meeske, K., & Dickinson, P. (2002). The PedsQL in pediatric cancer: reliability and validity of the pediatric quality of life inventory generic core scales, multidimensional fatigue scale, and cancer module. Cancer, 94(7), 2090–2106. https://doi.org/10.1002/cncr.10428CrossRefPubMed

39.

Yıldız Kabak, V., Yakut, Y., Çetin, M., & Düger, T. (2016). Reliability and validity of the Turkish version of the PedsQL 3.0 cancer module for 2- to 7-year-old and the PedsQL 4.0 generic core scales for 5- to 7-year-old: The Hacettepe University experience. Çocuklar için Yaşam Kalitesi Ölçeği Kanser Modülü Türkçe Versiyonunun 2-7 Yaşları Arasındaki Çocuklarda ve Genel Skalası’nın 5-7 Yaşları Arasındaki Çocuklarda Geçerlik ve Güvenilirliği: Hacettepe Üniversitesi Deneyimi. Turkish Journal of Haematology, 33(3), 236–243. https://doi.org/10.4274/tjh.2015.0242CrossRefPubMedPubMedCentral

40.

Moustakas, C. (1994). Phenomenological research methods. Sage Publications. https://doi.org/10.4135/9781412995658CrossRef

41.

Polkinghorne, D. E. (1989). Phenomenological research methods. In R. S. Valle & S. Halling (Eds.), Existential-phenomenological perspectives in psychology. (pp. 41–60). Springer.CrossRef

42.

Shankar, S., Robison, L., Jenney, M. E., Rockwood, T. H., Wu, E., Feusner, J., Friedman, D., Kane, R. L., & Bhatia, S. (2005). Health-related quality of life in young survivors of childhood cancer using the minneapolis-manchester quality of life-youth form. Pediatrics, 115(2), 435–442. https://doi.org/10.1542/peds.2004-0649CrossRefPubMed

43.

Speechley, K. N., Barrera, M., Shaw, A. K., Morrison, H. I., & Maunsell, E. (2006). Health-related quality of life among child and adolescent survivors of childhood cancer. Journal of Clinical Oncology, 24(16), 2536–2543. https://doi.org/10.1200/JCO.2005.03.9628CrossRefPubMed

44.

Vasquez, L., Sampor, C., Villanueva, G., Maradiegue, E., Garcia-Lombardi, M., Gomez-García, W., Moreno, F., Diaz, R., Cappellano, A. M., Portilla, C. A., Salas, B., Nava, E., Brizuela, S., Jimenez, S., Espinoza, X., Gassant, P. Y., Quintero, K., Fuentes-Alabi, S., Velasquez, T., … Chantada, G. (2020). Early impact of the COVID-19 pandemic on paediatric cancer care in Latin America. The Lancet Oncology, 21(6), 753–755. https://doi.org/10.1016/S1470-2045(20)30280-1

45.

Casanova, M., Pagani Bagliacca, E., Silva, M., Patriarca, C., Veneroni, L., Clerici, C. A., Spreafico, F., Luksch, R., Terenziani, M., Meazza, C., Podda, M., Biassoni, V., Schiavello, E., Chiaravalli, S., Puma, N., Bergamaschi, L., Gattuso, G., Sironi, G., Massimino, M., & Ferrari, A. (2020). How young patients with cancer perceive the COVID-19 (coronavirus) epidemic in Milan, Italy: Is there room for other fears? Pediatric Blood & Cancer, 67(7), e28318. https://doi.org/10.1002/pbc.28318CrossRef

46.

Košir, U., Loades, M., Wild, J., Wiedemann, M., Krajnc, A., Roškar, S., & Bowes, L. (2020). The impact of COVID-19 on the cancer care of adolescents and young adults and their well-being: Results from an online survey conducted in the early stages of the pandemic. Cancer, 126(19), 4414–4422. https://doi.org/10.1002/cncr.33098CrossRefPubMed

47.

de Figueiredo, C. S., Sandre, P. C., Portugal, L., Mázala-de-Oliveira, T., da Silva Chagas, L., Raony, Í., Ferreira, E. S., Giestal-de-Araujo, E., Dos Santos, A. A., & Bomfim, P. O. (2021). COVID-19 pandemic impact on children and adolescents’ mental health: Biological, environmental, and social factors. Progress in Neuro-psychopharmacology & Biological Psychiatry, 106, 110171. https://doi.org/10.1016/j.pnpbp.2020.110171CrossRef

48.

Larouche, S. S., & Chin-Peuckert, L. (2006). Changes in body image experienced by adolescents with cancer. Journal of Pediatric Oncology Nursing, 23(4), 200–209. https://doi.org/10.1177/1043454206289756CrossRefPubMed

49.

Varni, J. W., Katz, E. R., Colegrove, R., Jr., & Dolgin, M. (1995). Perceived physical appearance and adjustment of children with newly diagnosed cancer: A path analytic model. Journal of behavioral medicine, 18(3), 261–278. https://doi.org/10.1007/BF01857873CrossRefPubMed

50.

Gharebaghy, S., Sadat Mirbagheri, S., & Khazaeli, K. (2018). Occupational performance in children aged 6 to 13 years with cancer. Function and Disability Journal, 1(1), 49–57. https://doi.org/10.30699/fdisj.01.1.49CrossRef

51.

Alizadeh Zarei, M., Mohammadi, A., Mehraban, A. H., Ansari Damavandi, S., & Amini, M. (2017). Participation in daily life activities among children with cancer. Middle East Journal of Cancer, 8(4), 213–222

52.

Önal, G., & Huri, M. (2020). Relationships between executive functions and occupational performance of children with medulloblastoma. British Journal of Occupational Therapy. https://doi.org/10.1177/0308022620939859CrossRef

53.

Nerli, R. B., Sanikop, A. C., Sharma, M., & Ghagane, S. C. (2020). COVID-19 pandemic: A challenge to a child with cancer. Pediatric Blood & Cancer, 67(9), e28512. https://doi.org/10.1002/pbc.28512CrossRef

54.

Slone, J. S., Ozuah, N., & Wasswa, P. (2020). Caring for children with cancer in Africa during the COVID-19 crisis: Implications and opportunities. Pediatric Hematology and Oncology, 37(7), 549–553. https://doi.org/10.1080/08880018.2020.1772913CrossRefPubMed

55.

Pahl, K., & Barrett, P. (2007). The development of social-emotional competence in preschool-aged children: An introduction to the fun FRIENDS program. Australian Journal of Guidance and Counselling, 17(1), 81–90. https://doi.org/10.1375/ajgc.17.1.81CrossRef

56.

Herbert, C., Meixner, F., Wiebking, C., & Gilg, V. (2020). Regular physical activity, short-term exercise, mental health, and well-being among University students: The results of an online and a laboratory study. Frontiers in Psychology, 11, 509. https://doi.org/10.3389/fpsyg.2020.00509CrossRefPubMedPubMedCentral

57.

Nieman, D. C., & Wentz, L. M. (2019). The compelling link between physical activity and the body’s defense system. Journal of Sport and Health Science, 8(3), 201–217. https://doi.org/10.1016/j.jshs.2018.09.009CrossRefPubMed

58.

Dwyer, M. J., Pasini, M., De Dominicis, S., & Righi, E. (2020). Physical activity: Benefits and challenges during the COVID-19 pandemic. Scandinavian Journal of Medicine & Science in Sports, 30(7), 1291–1294. https://doi.org/10.1111/sms.13710CrossRef

59.

Robinson, K. E., Gerhardt, C. A., Vannatta, K., & Noll, R. B. (2007). Parent and family factors associated with child adjustment to pediatric cancer. Journal of Pediatric Psychology, 32(4), 400–410. https://doi.org/10.1093/jpepsy/jsl038CrossRefPubMed

Titel: Quality of life and occupational performance of children with cancer in the era of the COVID-19 pandemic in terms of rehabilitation
verfasst von: Gözde Önal
Güleser Güney
Meral Huri
Publikationsdatum: 03.05.2021
Verlag: Springer International Publishing
Schlagwörter: COVID-19
Rehabilitation
COVID-19
Rehabilitation
Anxiety
Erschienen in: Quality of Life Research / Ausgabe 10/2021
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-021-02857-7

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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