Browse > Article
http://dx.doi.org/10.7314/APJCP.2014.15.8.3593

Parents' and Health-Care Providers' Perspectives on Side-Effects of Childhood Cancer Treatment in Indonesia  

Gunawan, Stefanus (Department of Pediatric Oncology-Hematology, Prof Dr RD Kandou Hospital)
Wolters, Emma (Department of Pediatric Oncology-Hematology, VU University Medical Center)
Dongen, Josephine Van (Department of Pediatric Oncology-Hematology, VU University Medical Center)
De Ven, Peter Van (Department of Epidemiology and Biostatistics, VU University Medical Center)
Sitaresmi, Mei (Department of Pediatrics, Dr Sardjito Hospital, Gadjah Mada University)
Veerman, Anjo (Department of Pediatric Oncology-Hematology, VU University Medical Center)
Mantik, Max (Department of Pediatric Oncology-Hematology, Prof Dr RD Kandou Hospital)
Kaspers, Gertjan (Department of Pediatric Oncology-Hematology, VU University Medical Center)
Mostert, Saskia (Department of Pediatric Oncology-Hematology, VU University Medical Center)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.15, no.8, 2014 , pp. 3593-3599 More about this Journal
Abstract
Background: Efficacy of childhood cancer treatment in low-income countries may be impacted by parents' and health-care providers' perspectives on chemotherapy-related side-effects. This study explores prevalence and severity of side-effects in childhood cancer, and compares health beliefs about side-effects between parents and health-care providers, and between nurses and doctors in Indonesia. Materials and Methods: Semi-structured questionnaires were filled in by 40 parents and 207 health-care providers in an academic hospital. Results: Parents exporessed a desire to receive more information about side-effects (98%) and worried about this aspect of treatment (90%), although side-effects were less severe than expected (66%). The most frequent was behavior alteration (98%) and the most severe was hair loss. Only 26% of parents consulted doctors about side-effects. More parents, compared to health-care providers, believed that medicines work better when side-effects are more severe (p<0.001), and accepted severe side-effects (p=0.021). More health-care providers, compared to parents, believed that chemotherapy can be stopped or the dosage altered when there are side-effects (p=0.011). More nurses, compared to doctors, stated that side-effects were unbearable (p=0.004) and made them doubt efficacy of treatment (p<0.001). Conclusions: Behavior alteration is the most frequent and hair loss the most severe side-effect. Apparent discrepancies in health beliefs about side-effects exist between parents and health-care providers. A sustainable parental education program about side-effects is recommended. Health-care providers need to update and improve their knowledge and communication skills in order to give appropriate information. Suchmeasures may improve outcome of childhood cancer treatment in low-income countries, where adherence to therapy is a major issue.
Keywords
Childhood cancer; side-effects; low-income countries; adherence to therapy;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Poder U, von Essen L (2009). Perceptions of supports among Swedish parents of children on cancer treatment: a prospective, longitudinal study. Eur J Cancer Care, 18, 350-7.   DOI   ScienceOn
2 Poder U, Ljungman G, von Essen L (2010). Parents’ perception of their children’s cancer related symptoms during treatment: a prospective, longitudinal study. J Pain Symptom Manage, 40, 661-70.   DOI   ScienceOn
3 Rohani-Rasaf M, Moradi-Lakeh M, Ramezani R, Asadi-Lari M (2012). Measuring socioeconomic disparities in cancer incidence in Tehran, 2008. Asian Pac J Cancer Prev, 13, 2955-60.   과학기술학회마을   DOI   ScienceOn
4 Sitaresmi MN, Mostert S, Purwanto I, et al (2009). Chemotherapyrelated side effects in childhood acute lymphoblastic leukemia in Indonesia: parental perceptions. J Pediatr Oncol Nurs, 26, 198-207.   DOI
5 Sitaresmi MN, Mostert S, Schook RM, Sutaryo, Veerman AJ (2010). Treatment refusal and abandonment in childhood acute lymphoblastic leukemia in Indonesia: an analysis of causes and consequences. Psychooncology, 19, 361-7.   DOI   ScienceOn
6 Wang YR, Jin RM, Xu JW, Zhang ZQ (2011). A report about treatment refusal and abandonment in children with acute lymphoblastic leukemia in China, 1997-2007. Leuk Res, 35, 1628-31.   DOI   ScienceOn
7 William PD, Schmideskam J, Ridder EL, William AR (2006). Symptom monitoring and dependent care during cancer treatment in children: pilot study. Cancer Nurs, 29, 188-97.   DOI
8 Mostert S, Arora RS, Arreola M, et al (2011). Abandonment of treatment for childhood cancer: position statement of a SIOP PODC Working Group. Lancet Oncol, 12, 719-20.   DOI   ScienceOn
9 De Oliveira BM, Viana MB, De Mattos-Arruda L, Ybarra MI, Romanha AJ (2005). Evaluation of compliance through specific interviews: a prospective study of 73 children with acute lymphoblastic leukemia. J Pediatr, 81, 245-50.   DOI
10 Hedstrom M, Haglund K, Skolin I, von Essen L (2003). Distressing events for children and adolescents with cancer: child, parent, and nurse perceptions. J Pediatr Oncol Nurs, 20, 120-32.   DOI   ScienceOn
11 Hinds PS (2008). Attending to patients’ cancer-related symptoms requires committed relationships. Cancer Nurs, 31, 87.   DOI   ScienceOn
12 Howard SC, Metzger ML, Wilimas JA, et al. (2008) Childhood Cancer Epidemiology in Low-Income Countries. Cancer, 112, 461-72.   DOI   ScienceOn
13 Indonesian Statistics Central Body (2010). Population census -Indonesia. available at: http://sp2010.bps.go.id/index.php
14 Israels T, Chirambo C, Caron H, (2008). The guardians’ perspective on pediatric cancer treatment in Malawi and factors affecting adherence. Pediatr Blood Cancer, 51, 639-42.   DOI   ScienceOn
15 Kinahan KE, Gandhi M, Lacouture ME, et al (2009). Dermatologic issues in adult survivors of childhood cancer. J Cancer Surviv, 3, 158-63.   DOI   ScienceOn
16 Liang HF, Chiang LY, Yeh CH (2008). A comparison of emotional/behavioral problems between Taiwanese children with cancer and healthy controls. J Clin Nurs, 17, 304-11.
17 Atay S, Conk Z, Bahar Z (2012). Identifying symptom clusters in paediatric cancer patients using the memorial symptom assessment scale. Eur J Cancer Care, 21, 460-8.
18 Bonilla M, Rossel N, Salaverria C, et al (2009). Prevalence and predictor of abandonment therapy among children with cancer in El savador. Int J Cancer, 125, 2144-6.   DOI   ScienceOn
19 Yeh CH, Lin CF, Tsai JL, Lai YM, Ku HC (1999). Determinants of parental decisions on ‘drop out’ from cancer treatment for childhood cancer patients. J Adv Nurs, 30, 193-99.   DOI
20 Sitaresmi MN, Mostert S, Gundy CM, Sutaryo, Veerman AJ (2008). Health-care providers’ compliance with childhood acute lymphoblastic leukemia protocol in Indonesia. Pediatr Blood Cancer, 51, 732-6.   DOI   ScienceOn
21 Mostert S, Gunawan S, Wolters EE, et al (2012). Socio-economic status plays important role in childhood cancer treatment outcome. Asian Pac J Cancer Prev, 13, 6491-6.   DOI   ScienceOn
22 Liau CT, Chu NM, Liu HE, (2005) Incidence of chemotherapy induced nausea and vomiting in Taiwan: physicians’ and nurses’ estimation vs. patients’ reported outcomes. Support Care Cancer, 13, 277-86.   DOI
23 Moore JB, Kaffenberger C, Goldberg P, Oh KM, Hudspeth R (2009) School reentry for children with cancer: perceptions of nurses, school personnel, and parents. J Pediatr Oncol Nurs, 26, 86-99.   DOI
24 Mostert S, Sitaresmi MN, Gundy CM, Sutaryo, Veerman AJ (2008). Attitude of health-care providers toward childhood leukemia patients with different socio-economic status. Pediatr Blood Cancer, 50, 1001-5.   DOI   ScienceOn
25 Mostert S, Njuguna F, Kemps L, et al (2012). Epidemiology of diagnosed childhood cancer in Western Kenya. Arch Dis Child, 97, 508-12.   DOI   ScienceOn
26 Mulders M, Vingerhoets A, Breed W (2008). The impact of cancer and chemotherapy: perceptual similarities and differences between cancer patients, nurses and physicians. Eur J Oncol Nurs, 12, 97-102.   DOI   ScienceOn
27 Parsay S, Mosavi-Jarrahi A, Arabgol F, Kiomarcy A (2011). Intellectual and behavioral impairment after chemotherapy and radiotherapy among children with cancer in Iran. Asian Pac J Cancer Prev, 12, 1329-32.
28 Patistea E, Babatsikou F (2003). Parents’ perception of the information provided to them about their child’s leukemia. Eur J Oncol Nurs, 7, 172-81.   DOI   ScienceOn
29 Howard SC, Pedrosa M, Lins M, et al (2004). Establishment of a pediatric oncology program and outcomes of childhood acute lymphoblastic leukemia in a resource-poor area. JAMA, 291, 2471-5.   DOI   ScienceOn
30 Carelle N, Piotto E, Bellanger A, et al (2002). Changing patient perceptions of the side effects of cancer chemotherapy. Cancer, 95, 155-63.   DOI   ScienceOn
31 Collins JJ, Byrnes ME, Dunkel IJ, et al (2000). The measurement of symptoms in children with cancer. J Pain Symptom Manage, 19, 363-77.   DOI   ScienceOn
32 Demirbağ BC, Kurtuncu M, Guven H (2013). Knowledge of Turkish mothers with children in the 0-13 age group about cancer symptoms. Asian Pac J Cancer Prev, 14, 1031-5.   과학기술학회마을   DOI   ScienceOn
33 Kim IR, Cho J, Choi EK, et al (2012). Perception, attitudes, preparedness and experience of chemotherapy-induced alopecia among breast cancer patients: a qualitative study. Asian Pac J Cancer Prev, 13, 1383-8.   과학기술학회마을   DOI   ScienceOn
34 Sikorskii A, Wyatt G, Tamkus D, et al (2012). Concordance between patient reports of cancer related symptoms and medical record documentation. J Pain Symptom Manage, 44, 362-72.   DOI   ScienceOn