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Methods 10 th International Symposium on Pediatric Pain (May 31 – June 4, 2015) Seattle, Washington, USA Batalha LMC, PhD 1 ; Fernandes A, PhD 1 ; Campos C, Bs 1 ; Perdigão A, Msc 1 ; Oliveira A, PhD 2 1. Nursing School of Coimbra; Health Sciences Research Unit - Nursing, Coimbra, Portugal 2. Institute of Cognitive Psychology, University of Coimbra, Coimbra, Portugal batalha@esenfc.pt Poster: 1-19 The study was funded by the Fundação para a Ciência e Tecnologia (FCT) - PTDC/PSI-PCL/114652/2009 Currently, over 79% of children with cancer survive 1 due to more aggressive treatments. This poses serious challenges in ensuring a good quality of health-related life (HRQOL) of these children and their families who face an uncertain future, aggressive treatment and repeated hospitalizations. The assessment of HRQOL for health professionals is crucial to a valid and accurate diagnosis can sustain an effective intervention in its improvement. 2 This study aimed at correlating pain experiences in children with cancer and their health-related quality of life (HRQOL). Descriptive cross-sectional study that included children aged between 8 and 17 years who had been admitted to two Portuguese pediatric oncology units. Children were selected consecutively and randomly between April, 2013, and May, 2014. Data were collected on the first day of admission and pain was measured through the use of the Adolescent Pediatric Pain Tool 3 and the HRQOL using the Pediatric Quality of Life Inventory - Cancer Module 3.0 4. A total of 75 children with a median age of 15 years and an interquartile range (IQR) of 4 years participated in the study. Most of them were boys (n=54; 72%), with a leukemia diagnosis (n=38; 50.7%). The mean time of diagnosis was four months (±10 months). Table 1- Presence, intensity of pain and number of painful body sites n=75 Nº patients reporting pain, n (%)38 (50,7) Pain intensity (0-10), median (IQR); Range1,0(4,0); 0,0-7,9 Number of painful body sites, median (IQR); range2,0 (2,3); 0-16 Table 2 - Scores for total and sub-scales of PedsQL 3.0 Cancer Module Children’s report (Mean ± SD) Total66,0 ± 13,3 Pain and hurt65,8 ± 25,9 Nausea53,8 ± 22,2 Procedural anxiety67,8 ± 26,9 Treatment anxiety79,0 ± 27,2 Worry39,2 ± 28,1 Cognitive problems69,6 ± 20,7 Perceived physical appearance79,0 ± 21,2 Communication76,6 ± 25,2 The correlation between pain intensity and HRQOL was statistically not significant (r sp =-0.12; p>0.05), similar to the correlation between the number of sites of pain and HRQOL (r sp =-0.09; p>0.05). Although pain is a frequent symptom in children with cancer, this experience did not seem to affect their HRQOL. However, further studies are needed to find health care-sensitive areas of intervention that influence the HRQOL of children with cancer. 1. Gatta G, Botta L, Rossi S, Aareleid T, Bielska-Lasota M, Clavel J, et al. Childhood cancer survival in Europe 1999-2007: results of EUROCARE-5--a population-based study. Lancet Oncol. janeiro de 2014;15(1):35–47. 2. Speyer E, Herbinet A, Vuillemin A, Chastagner P, Briançon S. Agreement between children with cancer and their parents in reporting the child’s health-related quality of life during a stay at the hospital and at home. Child Care Health Dev. julho de 2009;35(4):489–95. 3. Savedra, M. C., Holzemer, W. L., Tesler, M. D., & Wilkie, D. J. (1993). Assessment of postoperation pain in children and adolescents using the adolescent pediatric pain tool. Nursing Research, 42(1), 5–9. 4. Varni JW, Burwinkle TM, Katz ER, Meeske K, Dickinson P. The PedsQL TM in pediatric cancer. Cancer 2002;94(7):2090–106. Results Conclusion References
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