Monitoring and Alleviation of Symptom Occurrence and Severity Among Thai Children and Adolescents During Cancer Treatments

作者：Williams Phoebe D^*; Piamjariyakul Ubolrat; Shanberg Rachel; Williams Arthur R

来源：Journal of Pediatric Oncology Nursing, 2015, 32(6): 417-428.

DOI：10.1177/1043454214563754

• pediatric cancer treatments
• symptom monitoring and alleviation
• Therapy-Related Symptom Checklist for Children
• TRSC-C
• parental care
• complementary care
• culture

Background: Symptom monitoring and alleviation are important during pediatric cancer treatments. Aims: To examine the use of the Therapy-Related Symptom Checklist for Children (TRSC-C; Thai version) for reported occurrence, severity, and management of treatment-related symptoms within a cohort of Thai pediatric oncology patients/parents Method: Cross-sectional study; convenience sample: 100 parents of 71 male children/29 females, 63% with leukemia, 37%, other diagnoses; age-groups: <5 years, n = 33; 5 to 11 years, n = 44; 12 to 17 years, n = 25. Parents reported children's symptom occurrence/severity on the TRSC-C; and complementary care methods on the Symptom Alleviation: Self-Care Methods and their symptom alleviation methods. All tools had good psychometric properties. Results: 18 symptoms on the 30-item TRSC-C occurred in 42% to 95% of children. Mean severity of symptoms was between 1.0 (a bit) and 2.0 (quite a bit); 5-month to 11-year-old children had higher (worse) TRSC-C total scores. Complementary care was used and reported. Conclusions: Monitoring of multiple symptoms with the TRSC-C and parental symptom alleviation helped children. Clinical Implications: Thai parents/patients need and accept assistance in monitoring/managing side effects of pediatric cancer therapy.

• 出版日期2015-12