EAPH-01. PSYCHOLOGICAL INTERVENTION APPLIED TO MINIMIZING THE USE OF SEDATIVES IN 3–14 YEARS OLD CENTRAL NERVOUS SYSTEM TUMORS UNDERGOING RADIOTHERAPY. Issue 2 (22nd June 2018)

• Record Type: Journal Article
• Authors: Zhang, Xing; Xiang, Yuliang; Lai, Mingyao; Zhou, Qiaomin; Xiao, Qing; Luo, Rishun; Chen, Xiuqiong; Cai, Linbo; Wen, Jinfeng
• Is Part Of: Neuro-oncology. Volume 20:Issue 2(2018)supplement 2
• Page Start: i65
• Page End: i65
• Publication Date: 2018-06-22
• Subjects: Brain Neoplasms -- Periodicals; Brain -- Tumors -- Periodicals; Brain -- Cancer -- Periodicals; Nervous system -- Cancer -- Periodicals; 616.99481
• DOI: 10.1093/neuonc/noy059.170
• Languages: English
• ISSNs: 1522-8517

Abstract

Abstract: OBJECTIVE: This article describes the application evaluation of psychological interventions in 3–14 years old central nervous system tumor children undergoing radiotherapy, furthermore, to promote optimal psychological interventions for local Chinese children. METHODS: Between January 2016 and November 2017, 166 children patients received radiotherapy in Department of Oncology, Guangdong 999 Brain Hospital, 53 children (33 boys and 20 girls) of them with medical fear. Therefore, the medical team conducted psychological interventions to them before radiotherapy. Specially designed psychological intervention program included: Psychological scales, medical games, psychologists participated in the whole course of radiotherapy. The nurse recorded the usage of sedatives and heart rate, and the radiotherapist calculated the positioning setup errors. RESULTS: Psychological interventions worked successfully with 45 (85%)children behaved cooperative (without showing any resistances by crying and screaming) at first radiotherapy and keeping still until the session was completed. For the aged-3-year-old group, 64% (7/11) children was successfully behaved cooperative; 4-year-old children in the success rate of 77% (10/13); 5 and 6-year-old children in the success rate of 100%(16/16);7 -year-old children in the success rate of 80% (4/5), above 8-year-old children in the success rate of 100%. For those failed cases, 1child used anesthesia during the whole radiotherapy sessions; 6 children were take sedatives from the first to third session of radiotherapy. CONCLUSION: There is a notable efficiency of psychological interventions for children diagnosed with CNS tumor across the radiotherapy trajectory. Children, parents and clinical decisions preferred psychological intervention methods. Further research is required to strengthen the evidence base for psychological interventions in minimizing the use of anaesthesia.