Impact of radiation therapy on the heart Dewi, Siti Utami; Allenidekania, Allenidekania
Media keperawatan Indonesia (Online),
08/2022, Volume:
5, Issue:
3
Journal Article
Peer reviewed
Open access
Radiation therapy is the most important part of a modality in the management of patients with malignancy. The incidence of heart disease caused by radiation has increased in recent decades, due to ...the increased survival rate of patients with malignancies in the chest area receiving radiation therapy. Purpose To determine the impact on the heart due to radiation therapy in cancer patients. This study is a literature review, articles were collected using Google Scholar, ScienceDirect, and PubMed databases with the keywords radiation, heart disease, cancer patients, and radiotherapy. Inclusion criteria included articles published from 2013-2022. Based on a review of 10 articles discussing the effect of radiation therapy on the heart. Some cardiovascular complications due to radiation therapy can affect the pericardial, myocardial, vascular, heart valves, and conduction disturbances. Radiation-induced heart disease is a growing concern because it is associated with increased survival in cancer patients. It is important for clinicians to understand the impact of radiation therapy on the heart for the purposes of education, consideration of therapy and dose, monitoring of therapy, and early detection.
This study aims to determine the correlation between parents’ self-efficacy and the quality of life of children with cancer aged 8- 12 years. Quantitative research using a crosssectional design was ...carried out on 39 parents and 39 children with cancer. The participants were selected using a consecutive sampling method. The measurement instruments used were the Self-Efficacy for Parenting Task Index (SEPTI), the Pediatric Quality of Life InventoryTM (PedsQLTM) 4.0 Generic Core Scale, and the PedsQLTM 3.0 Cancer Module in the Indonesian version. Data analysis was performed using Pearson’s correlation coefficient. The results showed that parents’ self-efficacy and the quality of life of children were strongly correlated and that the direction of the correlation was positive (r= 0.680). Parents’ self-efficacy and quality of life children with cancer were also strongly correlated, and the direction of the correlation was positive (r = 0.715). It is recommended that parents and children with cancer ensure the adequate management of cancer treatment.
Introduction: Neutropenic fever is commonly found in children with leukemia after chemotherapy. Fever occurs when children's immunity decreases after chemotherapy, and they are prone to infection. ...This study aims to describe the cultural care behaviors of multidisciplinary health workers in preventing neutropenic fever among hospitalized children with leukemia after chemotherapy. Methods: An ethnonursing study was conducted at a cancer referral hospital in Central Java, Indonesia. Data were collected through observation in two Pediatric ward and chemotherapy unit for three months and FGDs and in-depth interviews with health workers who provided care services to leukemia patients post-chemotherapy. Data were collected from 14 informants: six nurses, four doctors, two clinical pharmacists, and two nutritionists. This study employed four phases of Leininger analysis for qualitative data to develop its thematic structures. Results: The analysis of the entire data has revealed five themes: (1) performing antiseptic and aseptic techniques consistently, (2) nurse and dietician collaboration in handling eating difficulties post-chemotherapy, (3) collaborative interactions interdisciplinary in handling medication, (4) patient placement in an isolation room adjusted to patients' conditions, and (5) nurse’s challenge to educate patients and their families. Conclusions: Health workers from multiple disciplines play essential roles in preventing neutropenic fever by involving patients, parents, and other family members. It is necessary for the nurses to collaborate with other healthcare professionals and educate patients, and families to participate in the care interventions for these patients in minimizing the occurrence of infection among leukemia patients.
Previous studies have examined physical exercise as a way to lower the fatigue of children with cancer in a hospital setting, but there have been no such studies in a home setting. Therefore, this ...study identifies the relationship between physical activity and fatigue in children undergoing chemotherapy at home. The design of this study is a cross-sectional correlation analysis. Forty-five children aged 3-16 years with acute lymphocytic leukemia residing in the greater Jakarta area in Indonesia were recruited using consecutive and snowball sampling methods. The relationship between physical activity and level of fatigue was assessed using the Spearman test. A statistically significant relationship was found between physical activity and fatigue in the children studied (p < 0.001). The active children had lower fatigue than the less active children. This study finds that higher physical activity is associated with lower fatigue in children with leukemia in a home setting. Nurses should educate children and their parents to promote physical activities at home in-between chemotherapy cycles.
Background
Violence committed by adolescents is a serious public health problem. More than ten percent of youth violence have been subjected to violence and more than fifty percent attacks and ...serious violence.
Design and Methods
A qualitative study with a phenomenological study design in which semi-structured interviews were conducted with participants who were once challenged by violence and are now kept in LPKA Class II Jakarta.
Results
This qualitative study explores adolescent motivation to become violent perpetrators. This study discusses four major themes, namely, i) Unsafe environmental conditions; ii) Unpleasant past experiences; iii) Childhood trauma; and iv) Peer group solidarity or friendship.
Conclusions
Adolescent motivational advice provides protection for students in Indonesia to participate in discussions about children related to challenges or assistance that can be given to adolescents so as not to offend again.
Parents of newly diagnosed cancer children often experience significant concerns about the implications of the diagnosis. They find themselves in challenging decision-making situations, navigating ...through uncertain conditions following the disclosure. Uncertainty is a prevailing issue in healthcare, yet its interpretation and application within the context of health and nursing practice exhibit multiple meanings and variations.
This study aimed to clarify the concept of parental uncertainty arising from having children with cancer.
The concept analysis followed the steps outlined by Walker and Avant. A thorough literature search was conducted using the Embase, CINAHL, and MEDLINE databases to identify articles published between 1980 and 2022.
The literature search yielded 147 articles from various disciplines, including health, nursing, medicine, psycho-oncology, and management. After analysis, 20 articles were selected for inclusion. This study identified four key attributes of parental uncertainty associated with having a child with cancer: (1) emotional disturbance, (2) unpredictability, (3) insufficient information, and (4) problems with decision-making. The antecedents of parental uncertainty encompassed the complexity of the disease, the diagnostic and treatment processes, the hospital environment, communication, and support from credible authorities. The consequences of parental uncertainty included the pursuit of new information, parental adaptability to their role, and parental distress.
Understanding the four attributes of parental uncertainty, along with their antecedents and consequences, can facilitate the future development and operational translation of the concept of uncertainty in nursing practice. This concept is valuable in the evidence-based provision of nursing care to parents of children with cancer, enabling comprehensive recognition and assessment of parental uncertainty and the implementation of appropriate interventions that are sensitive to parental experiences. Ultimately, this approach promotes the adaptation of both the child and the parent.
During the COVID-19 pandemic, it had a fairly heavy psychological impact, so resilience or resilience was needed, especially for people with HIV/AIDS (PLWHA). This study is to determine the role of ...social support on resilience in people with HIV/AIDS. Resilience is a person's ability to adapt, survive and thrive in difficult situations. This study used a systematic literature review, which was carried out by means of a systematic review of several articles discussing social support and resilience in people with HIV/AIDS. Article criteria include international publication in English and full text. Article searches were carried out in February 2022 through 4 databases, namely PubMed, Wiley, Proquest, and Springer. Search using keyword ("PLWHA" AND "Social Support" OR "Perceived Social Supports" AND "Resilience" OR "Resiliences"). Articles were analyzed using JBI and Prisma tables. Based on the search for articles in the database, 217 articles were found, then selected through systematic stages so that eight selected journals were obtained. This systematic literature review found that social support was an important factor in increasing resilience in PLWHA. The most influential source of support was support from the family, namely: 30.4%, with (P=0.001). The perceived social support can reduce the impact of stress experienced. With high social support, it can reduce the use of harmful substances and increase ART adherence and contribute to improving the patient's health condition. In conclusion, perceived social support can play an important role, especially in increasing resilience, so it impacts the physical and psychological well-being of people living with HIV/AIDS.
Background: Cancer is one of the main causes of death in the world, especially in developing countries. Cancer is not only a problem for adults but also a major health problem in children. Cancer in ...children is a chronic disease and responds to parents/caregivers. Psychological and emotional responses cause psychological problems and stress in parents/caregivers. One of the interventions to reduce psychological problems is psychoeducation. Family psychoeducation is a modality of therapy with the focus of treatment on the family. Objectives: To know various psycho-educational techniques and their impact on increasing caregiver psychological support Methods: The research method used is a literature review using the Proquest, Pubmed, Google Scholar, and Science Direct databases, with the keywords caregiver or parent or family and pediatric cancer or childhood cancer and psychoeducation or psychosocial and psychological support. Results: This study provides diversity in providing psychoeducation to caregivers with cancer children. Various techniques are used in the form of positive thinking, cognitive therapy, and brief therapy, educational and psychosocial techniques. The various techniques used have a positive impact on reducing anxiety, depression, stress, and trauma, improving coping strategies and quality of life, and increasing family resilience.Conclusions: Psychoeducation is a nursing intervention that can be given to caregivers with childhood cancer. Psychoeducation is given to caregivers to improve the ability to care for patients and increase psychological support.
Mucositis is a common and devastating side effect of chemotherapeutic agents in children undergoing chemotherapy. The prevention and management of mucositis are necessary to improve these children's ...quality of life. Oral care is a recommended strategy for preventing and managing oral mucositis. Thus, the objective of this study was to identify the relationship between oral care practice and mucositis incidence. A cross-sectional analytical design was used in this study. A total of 34 children from 3 to 12 years of age with acute lymphoblastic leukemia who were in the last cycle of chemotherapy were recruited through a snowball sampling method. The Oral Assessment Guide (OAG) was administered to assess the severity of mucositis. A majority of the participants (51.5%) had mucositis after completing the last cycle of chemotherapy. Furthermore, there was a statistically significant relationship between their oral care practice at home and mucositis incidence. These results show that oral care at home is linked with the incidence and severity of mucositis. Nurses should educate children with leukemia and their parents regarding good oral hygiene practice.
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