Effectiveness of complementary therapies for the management of symptom clusters in palliative care in pediatric oncology: a systematic review

Abstract

Objective: To evaluate the effectiveness of complementary therapies in the management of symptom clusters in children and adolescents with cancer undergoing palliative care. Method: Systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, resorting to the databases MEDLINE, Web of Science, Central Cochrane, and PsycINFO. The identification, selection, inclusion, extraction, and methodological assessment were conducted by two independent reviewers. Results: Five quasi-experiments met the eligibility criteria. The heterogeneous characteristics of the studies made meta-analysis impossible. Two studies used therapeutic massage, one used Reiki, one used boswellic acid, and one used Cannabis sativa; three of them (therapeutic massage and Reiki) presented statistically significant results for the management of the cluster pain-anxiety-worry-dyspnea. Most studies presented a moderate risk of bias as per ROBINS-I tool. Conclusion: Therapeutic massage and Reiki may be effective for the symptom clusters management, especially the pain-anxiety-worry-dyspnea cluster in children and adolescents undergoing palliative care.

The Impacts of a Clown Doctor Program on an Adolescent Psychiatric Unit: A Mixed Methods Investigation

“…The present ndings suggest that clown doctor programs can be appropriately implemented in adolescent psychiatric inpatient settings with positive effects similar to those found in paediatric [13,16,[18][19][20][21][22][23][24], adult [25][26][27][28][29], and elderly [30][31][32] research. While tailored clown doctor services for speci c age groups currently exist -for instance, the Humour Foundation has a clown doctor program for children and a program for the elderly -similar tailored services for adolescents and or adults do not currently exist in Australia.…”

Relevância do conhecimento da enfermagem acerca das práticas integrativas e complementares no cuidado paliativo: revisão integrativa

“…Visando, desta forma, a adoção de cuidados integrais ao longo do percurso da doença, contemplando todas as esferas do indivíduo (corpo físico, mente e espírito), independentemente da faixa etária ou do tratamento direcionado à patologia, trazendo a finitude como um processo natural [13][14][15][16][17] .…”

“…Neste cenário, os enfermeiros possuem um papel extremamente relevante, principalmente pela atuação direta no cuidado e pelo forte vínculo construído neste processo de saúde-doença 14 . Sendo assim, é necessário que o enfermeiro direcione a sua atuação para a avaliação e alívio da dor, principalmente por ser um sintoma muito debilitante [13][14] , e para a presença de outros sintomas físicos, como náuseas, vômitos, fadiga e edema em membros inferiores [16][17] .…”

Essential core competencies for scope of practice of paediatric oncology nurses in Latin America: a scoping review protocol

“…Two reviewers (LCL-J and RAGL) will independently extract data from each included study based on previously published extraction forms 31 35 39–42. The expected date of completion of this scoping review will be May 2022.…”