The Effect of Music Intervention on Anxiety, Fear, and Pain in Pediatric Patients Receiving Intrathecal Chemotherapy

Ondokuz Mayıs University

Status: Completed

Conditions: Nurse's Role

Treatments: Behavioral: Music intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06424587

IT

Details and patient eligibility

About

Intrathecal chemotherapy is often used to prevent the spread of cancer to the central nervous system in pediatric patients and is one of the most invasive procedures. It is believed that the way it is administered and the complications experienced after treatment negatively affect the comfort of the pediatric patient, leading them to refuse the treatment.

Full description

Receiving sedation is one of the pharmacological procedures for intrathecal chemotherapy which creates a particularly difficult situation for the child. However, since pharmacological methods increase the cost and cause toxicity in children, in recent years, the symptoms that occur in cancer treatment have been tried to be controlled with non-pharmacological methods. Music intervention facilitates a sense of control in patients and provides mental distraction, emotional smoothness, and relaxation, which have been found to have pain relief effects.

Enrollment: 50 patients

Sex: All

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• To be between 6-12 years old,
• Being treated in the Hematology and Oncology Clinic,
• About to receive intrathecal chemotherapy treatment,
• The child not having pain before intrathecal chemotherapy treatment

Exclusion criteria were,

• Refusing to participate in the study,
• Being under 6 years of age and over 10 years of age,
• The child having pain prior to intrathecal chemotherapy treatment,
• Having any physical or mental disability,
• Not being able to speak Turkish.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Music intervention group

Experimental group

Description:

In addition to the routine practice of the clinic, the pediatric patients in this group listened to music through headphones for 20 minutes just before the procedure to reduce the child's anxiety and fear. The therapeutic effect of music was used. Before the study, children between the ages of 6 and 12 who were inpatients at the clinic were asked what music they most liked to listen to, what kind of music they liked, and what their favorite artists and songs were. The music was selected based on the children's answers. In addition, the researcher added children's songs by a musician named Banu Kanıbelli.

Treatment:

Behavioral: Music intervention

Control Group

No Intervention group

Description:

Children were verbally informed about the treatment process and invasive procedures from the day they were diagnosed with the disease. The children in this group were verbally informed by the nurse in charge of the clinic about the intrathecal chemotherapy treatment and why it was performed