The Clinical Value of Psychological Intervention in Preparing Young Children with Neurological Tumors for Radiotherapy

IF 6.5 1区 医学 Q1 ONCOLOGY International Journal of Radiation Oncology Biology Physics Pub Date : 2025-03-01 Epub Date: 2025-02-03 DOI:10.1016/j.ijrobp.2024.11.030
X. Zhang , F. Zhang , M. Lai , R. Luo , R. Al
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Abstract

Objective

To explore the clinical utility of psychological intervention during the radiotherapy of young children aged 3-5 years old with neuro-oncological tumors.

Methods

A total of 105 children aged 3-5 years with neuro-oncological diseases who underwent radiotherapy at Sanjiu Brain Hospital in Guangdong from January 2016 to December 2018 were selected. Fifty-two children who were admitted in 2016 served as the control group and received standard nursing care. Fifty-three children who were hospitalized from 2017 to 2018 were assigned to the experimental group and received psychological interventions in addition to regular care. The psychological interventions included evaluating medical fear ratings and providing pre-radiotherapy psychological interventions such as radiotherapy education, game simulation, systematic desensitization, and other techniques.

Results

The proportions of children who actively completed radiotherapy in the control and experimental groups were 30.77% and 86.79%, respectively. The percentage of children who cried was 28.85% in the control group and 3.77% in the experimental group. The experimental group had a considerably lower rate of sedative drug usage compared to the control group. Children in the experimental group had significantly higher compliance than those in the control group.

Conclusion

The implementation of psychological intervention could significantly reduce the need for sedative drugs during radiotherapy for children aged 3-5 years, thus preventing unnecessary expenditure of medical resources.
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心理干预在幼儿神经系统肿瘤放疗准备中的临床价值
目的探讨心理干预在3 ~ 5岁幼童神经肿瘤放疗中的临床应用。方法选取2016年1月至2018年12月在广东省三九脑科医院行放射治疗的3-5岁神经肿瘤患儿105例。2016年入院患儿52例作为对照组,接受标准护理。将2017年至2018年住院的53名儿童分配到实验组,在常规护理的基础上接受心理干预。心理干预包括评估医疗恐惧等级和提供放疗前心理干预,如放疗教育、游戏模拟、系统脱敏等技术。结果对照组和实验组患儿积极完成放疗的比例分别为30.77%和86.79%。对照组患儿哭闹比例为28.85%,实验组患儿哭闹比例为3.77%。实验组镇静药物的使用率明显低于对照组。实验组患儿的依从性明显高于对照组。结论实施心理干预可显著减少3 ~ 5岁儿童放疗期间镇静药物的需用,避免不必要的医疗资源耗费。
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来源期刊
CiteScore
11.00
自引率
7.10%
发文量
2538
审稿时长
6.6 weeks
期刊介绍: International Journal of Radiation Oncology • Biology • Physics (IJROBP), known in the field as the Red Journal, publishes original laboratory and clinical investigations related to radiation oncology, radiation biology, medical physics, and both education and health policy as it relates to the field. This journal has a particular interest in original contributions of the following types: prospective clinical trials, outcomes research, and large database interrogation. In addition, it seeks reports of high-impact innovations in single or combined modality treatment, tumor sensitization, normal tissue protection (including both precision avoidance and pharmacologic means), brachytherapy, particle irradiation, and cancer imaging. Technical advances related to dosimetry and conformal radiation treatment planning are of interest, as are basic science studies investigating tumor physiology and the molecular biology underlying cancer and normal tissue radiation response.
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