Author(s): Nunes, Michelle Darezzo Rodrigues ; Nascimento, Lucila Castanheira ; Fernandes, Ananda Maria ; Batalha, Luís Manuel da Cunha ; Batalha, Luís Manuel Cunha ; Campos, Diana Catarina Ferreira de ; Gonçalves, Ana ; Leite, Ana Carolina Andrade Biaggi ; Alvarenga, Willyane de Andrade ; Lima, Regina Aparecida Garcia de ; Jacob, Eufemia
Date: 2019
Origin: Repositório Científico da Escola Superior de Enfermagem de Coimbra
Subject(s): Adolescents; pain; sleep; cancer; quality of life
Purpose: To compare sleep and healthâ€Ârelated quality of life (HRQOL) in children and adolescents with cancer who had pain, with those who had no pain during hospitalisation. Method: A prospective comparative study was used to collect data from paediatric oncology units in three countries (Portugal, Brazil, USA). Participants (n = 118; 8-18 years) completed the Quality of Life Inventory (PedsQL) Cancer module, which includes a pain subscale, and wore a wrist actigraph for at least 72 hr. Results: Almost half of the participants (48.3%) reported having pain. Sleep patterns were not affected by pain. Girls, adolescents and patients diagnosed with leukaemia/ lymphoma who reported pain, had significantly lower HRQOL scores. Low sleep duâ€Â ration and HRQOL were found, irrespectively of pain status. Conclusions: The low sleep duration and HRQOL score in children and adolescents with cancer highlight the importance of physical and psychosocial nursing intervenâ€Â tions during hospitalisation. The mediating effect of gender, age and diagnoses on the relation between pain and HRQOL needs to be further understood.
