Authors:
Nirmala G, Premavathy R, Rumesh Chandar, Joseph Jeganathan

Addresses:
1Department of Nursing, Annamalai University, Chidambaram, Tamil Nadu, India. 1Nursing Department, College of Health and Sports Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain. 2 Department of Nursing, Rani Meyyammai College of Nursing, Annamalai University, Chidambaram, Tamil Nadu, India. 3Department of Medical Oncology, PSG Institute of Oncology, PSG Hospitals, Coimbatore, Tamil Nadu, India. 4Nursing Department, College of Health and Sports Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain. ngangadurai@uob.edu.bh1, premamathi04@gmail.com2, spectrumchandar@gmail.com3, jjeganathan@uob.edu.bh4  

Abstract:

Childhood hematological cancers are relatively rare but are still found to be the major cause of death in children aged 1-18 years. Children diagnosed with hematological Cancer and the survivors face various health issues; hence nurses should be empowered and trained to provide evidence-based nurse-led therapies to the children, which helps them cope with the psychosocial problems due to diagnosis and treatment. Children with Cancer have various physical and psychosocial issues, such as pain, fatigue, anxiety, and low self-esteem. Nurse-led psychological interventions prevent long-term physical, emotional and behavioural problems among children with hematological cancers. The Interventions such as digital storytelling, laughter therapy, and music therapy is conducted by a qualified nurse to help the children to overcome their problems and improve their Quality of life. This case report, obtained from three children, revealed that all of them had moderate to severe pain, higher fatigue, moderate to severe anxiety levels, and low self-esteem. The children who attended digital storytelling and laughter therapy had a reduction in pain from worst to moderate; regarding fatigue, children reported decreased fatigue from higher to moderate, anxiety slightly decreased and increased scores on the self-esteem scale. It was found that innovative nurse-led therapy was beneficial to children with biopsychosocial problems.

Keywords: Children; Hematological Cancer; Innovative Nurse Led Therapy; Digital Storytelling; Laughter Therapy; Biopsychosocial Issues; Pain; Fatigue; Anxiety; Self-Esteem.

Received on: 01/10/2022, Revised on: 07/11/2022, Accepted on: 05/01/2023, Published on: 01/02/2023

FMDB Transactions on Sustainable Health Science Letters, 2023 Vol. 1 No. 1, Pages: 1-10

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