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| Psychological intervention in alleviating anxiety for radiation treatment of pediatric central nervous system (CNS) tumor patients |
| WANG Lichao1, WANG Lizhi2, ZHANG Xing1, XIAO Xiao1, LI Juan1, LAI Mingyao1, WEN Lei1, ZHOU Zhaoming1, CAI Linbo1 |
1. Department of Oncology, Guangdong Sanjiu Brain Hospital, Guangzhou 510510 China;
2. School of Health Services Management, Southern Medical University |
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Abstract Objective To study the potential impacts of psychological intervention on anxiety relief of pediatric patients receiving radiotherapy.Methods Ninety children with brain tumors who admitted to our hospital from 2016 to 2018 were randomly divided into intervention group and control group, 45 cases in each group. The indicators of the two groups were comparable. The control group was not given psychological intervention. Anesthesia were performed directly when the children in control group did not cooperate with radiotherapy. The intervention group was given psychological intervention on the basis of the control group. Anesthesia were performed after the psychological intervention was ineffective. SCL-90 score, SAS scale score, heart rate, diastolic pressure, systolic pressure, blood sugar, cortisol, and the rate of anesthetic use were observed before and after treatment.Results The difference of hostility, anxiety, and fear before and after treatment in SCL-90 score of intervention group was significantly higher than that of control group (P<0.05). After intervention, the SAS score of intervention group was 42.5+7.6, which was significantly lower than that of control group (51.4+9.2). The heart beats, diastolic blood pressure, systolic blood pressure, blood sugar and cortisol in the intervention group were significantly lower than those in the control group, at 2, 4 and 6 weeks afterwards (P<0.05). In comparing to non-intervention group, the experimental group saw a clearly lower rate of anesthetic use (88.9% vs. 26.7%, P<0.05).Conclusion Psychological intervention is found to significantly improve the anxiety and fear of children with brain tumors during radiation treatments, indicating more widely clinical use in the near future.
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Received: 14 August 2019
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