Impaired comfort in children and adolescents with cancer

Leandro, Tânia Alteniza; Silva, Viviane Martins da; Lopes, Marcos Venícios de Oliveira; Guedes, Nirla Gomes; Nunes, Marília Mendes; Sousa, Tamires Mesquita de; Araújo, Marília Viana

doi:10.1590/0034-7167-2017-0050

Brasil

home Sumário navigate_before Anterior Atual Seguinte navigate_next

home Sumário

RESEARCH • Rev. Bras. Enferm. 71 (3) • May-Jun 2018 • https://doi.org/10.1590/0034-7167-2017-0050 linkcopy

Impaired comfort in children and adolescents with cancer

Conforto perjudicado en niños y adolescentes con cáncer

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: To determine the strength of the association between the clinical indicators of Impaired Comfort and the evaluation sector in the hospital, age group and sex of patients with cancer.

Method: Cross-sectional study, conducted in a children’s hospital, with 192 children and adolescents. For the collection, we used an instrument developed for the study.

Results: The majority of the sample was male, with mean age of 11 years. The indicators most evidenced among the hospitalized patients were Crying, Report of lack of satisfaction with the situation, Report of feeling cold, and Report of feeling uncomfortable. Crying and Fear were more prevalent in children compared with adolescents, and boys were the ones that verbalized the most the Report of lack of satisfaction with the situation.

Conclusion: This study enabled determining the strength of the association of the indicators of Impaired Comfort expressed by children and adolescents with cancer.

Descriptors: Nursing Diagnosis; Cancer; Child; Adolescent; Nursing

Clinical indicators	Day hospital	Inpatient unit	p value^* * Pearson's Chi-Squared Test
Anxiety
Absent	88	69	0.915
Present	16	12	0.915
Crying
Absent	61	34	0.013
Present	45	52	0.013
Inability to relax
Absent	88	67	0.372
Present	18	19	0.372
Restlessness
Absent	74	52	0.175
Present	32	34	0.175
Irritability
Absent	49	37	0.657
Present	57	49	0.657
Grief
Absent	93	70	0.222
Present	13	16	0.222
Fear
Absent	55	39	0.367
Present	51	47	0.367
Disturbed sleep pattern
Absent	83	63	0.415
Present	23	23	0.415
Report of lack of satisfaction with the situation
Absent	61	23	0.000
Present	45	63	0.000
Report of lack of feeling comfortable with the situation
Absent	54	37	0.274
Present	52	49	0.274
Report of pruritus
Absent	89	65	0.147
Present	17	21	0.147
Report of hunger
Absent	86	60	0.067
Present	20	26	0.067
Report of feeling hot
Absent	79	70	0.256
Present	27	16	0.256
Report of feeling cold
Absent	80	30	0.000
Present	26	56	0.000
Report of feeling uncomfortable
Absent	27	05	0.000
Present	79	81	0.000
Report of symptoms of distress
Absent	94	79	0.463
Present	12	07	0.463

Clinical indicators	Child n	Adolescent n	p value^* * Pearson's Chi-Squared Test
Anxiety
Absent	83	74	0.780
Present	14	14	0.780
Crying
Absent	35	60	0.000
Present	68	29	0.000
Inability to relax
Absent	88	67	0.075
Present	15	22	0.075
Restlessness
Absent	65	61	0.429
Present	38	28	0.429
Irritability
Absent	45	41	0.471
Present	58	48	0.471
Grief
Absent	83	80	0.073
Present	20	09	0.073
Fear
Absent	38	56	0.000
Present	65	33	0.000
Disturbed sleep pattern
Absent	77	69	0.654
Present	26	20	0.654
Report of lack of satisfaction with the situation
Absent	39	45	0.077
Present	64	44	0.077
Report of lack of feeling comfortable with the situation
Absent	43	48	0.092
Present	60	41	0.092
Report of pruritus
Absent	82	72	0.823
Present	21	17	0.823
Report of hunger
Absent	81	65	0.364
Present	22	24	0.364
Report of feeling hot
Absent	81	68	0.711
Present	22	21	0.711
Report of feeling cold
Absent	57	53	0.556
Present	46	36	0.556
Report of feeling uncomfortable
Absent	19	13	0.477
Present	84	76	0.477
Report of symptoms of distress
Absent	90	83	0.174
Present	14	06	0.174

Clinical indicators	Male n	Female n	p value^* * Pearson's Chi-Squared Test
Anxiety
Absent	85	72	0.686
Present	14	14	0.686
Crying
Absent	57	38	0.059
Present	45	52	0.059
Inability to relax
Absent	83	72	0.810
Present	19	18	0.810
Restlessness
Absent	66	60	0.775
Present	36	30	0.775
Irritability
Absent	46	40	0.928
Present	56	50	0.928
Grief
Absent	87	76	0.870
Present	15	14	0.870
Fear
Absent	51	43	0.759
Present	51	47	0.759
Disturbed sleep pattern
Absent	73	73	0.122
Present	29	17	0.122
Report of lack of satisfaction with the situation
Absent	44	40	0.855
Present	58	50	0.855
Report of lack of feeling comfortable with the situation
Absent	41	50	0.033
Present	61	40	0.033
Report of pruritus
Absent	83	71	0.666
Present	19	19	0.666
Report of hunger
Absent	76	70	0.597
Present	26	20	0.597
Report of feeling hot
Absent	84	65	0.093
Present	18	25	0.093
Report of feeling cold
Absent	59	51	0.869
Present	43	39	0.869
Report of feeling uncomfortable
Absent	16	16	0.698
Present	86	74	0.698
Report of symptoms of distress
Absent	91	81	0.964
Present	10	09	0.964

vertical_align_top file_download show_chart

more_horizclose
- image
- translate
- link
- article
- vertical_align_top
- file_download
- show_chart
- image
- translate
- link
- article

location_on

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

rss_feed Acompanhe os números deste periódico no seu leitor de RSS

Acessibilidade / Reportar erro

[TFN1] Note:

[TFN2] ^*
Pearson's Chi-Squared Test