Psychological Burdens and Challenges among Parents of Children Undergoing Chemotherapy
Keywords:
Psychological, Burdens Challenges, Children, ChemotherapyAbstract
Background: A cancer diagnosis and subsequent chemotherapy treatment have significant physical and psychological impacts on both the child and family members. Cancer is recorded as the second leading cause of death in the United States and the third in Iran, further intensifying the situation. Along with emotional and physical challenges, families also face substantial financial burdens to cover the costs of treatment and care. Methodology: This descriptive study used a non-probability sample of 95 families with a child undergoing chemotherapy, conducted from October 9, 2023, to April 10, 2024, at the AL-Najaf Health Directorate / National Oncology Teaching Hospital. The research tool assessed psychological burdens through interviews with one or both parents. Findings revealed that 73.91% of parents experienced moderate burden levels. Contributing factors to higher burden included extended caregiving duration, late-stage diagnosis, multiple chemotherapy courses, large extended family, financial challenges, and high anxiety and depression. The study concluded that most child patients suffered from Acute Myelogenous Leukemia, non-Hodgkin's Lymphoma, and Acute Lymphoblastic Leukemia, with parents experiencing moderate psychological burdens.
Methodology
Study Design
A descriptive study was carried out through the present study in order to achieve the early stated objectives. The study was beginning from October, 9th, 2023 to April, 10th, 2024.
Setting of the study: The study was conducted in the city of Najaf Al-Ashraf/Najaf Health Directorate/National Oncology Teaching Hospital.
The study sample: A convenience sample of (97) parents having children undergone chemotherapy
The Study Instrument: The research tool was used to assess the psychological burdens of families of children who underwent chemotherapy. It consists of two parts, Part One: A: Demographic data for the parents, including (age, gender, level of education, profession, number of children, monthly income, family type, and Family history).
Part One: B: Demographic data for the child, including (age, gender, sequence of the child in the family, type of disease, duration of care, stage of discovery of the disease, number of chemotherapy cycle
Part Two: This part consists of 23 questions to assess the psychological burdens and Challenges of the parents, which is measured on a three-point scale (Always, sometimes, never).
Data collection: Data were collected on a performance system specially designed for this study and using a structured interview technique with one or both parents who were interviewed at the National Oncology Teaching Hospital using the Arabic version of the questionnaire. The data collection process started from February 2024 to March 2024
Statistical analysis: Descriptive data analysis involves the following: Frequency and percentage tables, mean of score. Inferential data analysis: ANOVA: Repeated measures of ANOVA were used to find the relationship between socio-demographics and complications.
References
Ahmadi, M., Rassouli, M., Gheibizadeh, M., Karami, M., & Poormansouri, S. (2019). Predictors of caregiver burden among parents of children with cancer. Iranian Journal of Pediatric Hematology & Oncology.
Castle, P. E. (2024). Looking Back, Moving Forward: Challenges and Opportunities for Global Cervical Cancer Prevention and Control. Viruses, 16(9), 1357.
Warner, E. L., Kirchhoff, A. C., Nam, G. E., & Fluchel, M. (2015). Financial burden of pediatric cancer for patients and their families. Journal of oncology practice, 11(1), 12-18.
Franklin, Q. M. (2020). Utilizing the psychosocial risk assessment in pediatrics to inform child life prioritization for children with cancer undergoing lumbar punctures with nitrous oxide sedation. Texas Woman's University.
Tan, X. W. I., Mordiffi, S. Z., Lopez, V., & Leong, K. (2021). Psychological distress in parents of children with cancer: a descriptive correlational study. Asia-Pacific journal of oncology nursing, 8(1), 94-102.
Fisher, R. S., Perez, M. N., Basile, N. L., Pepper, M., Gamwell, K. L., McNall-Knapp, R., ... & Mullins, L. L. (2021). Childhood cancer physical symptom burden and parent distress: The role of parent rumination. Clinical Practice in Pediatric Psychology, 9(3), 251.
Cheng, L., Reeve, B. B., Withycombe, J. S., Jacobs, S. S., Mack, J. W., Weaver, M., ... & Hinds, P. S. (2023). Profiles of symptom suffering and functioning in children and adolescents receiving chemotherapy. Cancer nursing, 46(2), E129-E137.
Cajete, G. (1999). Native science: Natural laws of interdependence. Clear Light Publishers. O'Keeffe, N. (2022). The Effect of Attending a Virtual Oncology Camp on Childhood Cancer Patient's Pyshcosocial Functioning and Parental Stress: A Pilot Study (Master's thesis, Trent University (Canada)).
MacDonald, J. J. (2022). Psychosocial contributors to psychological and physical health-related outcomes in adults with poor prognosis cancer and their caregivers. University of California, Los Angeles.
Ha, L. (2022). A patient-centred approach to engage childhood cancer survivors in health behaviours using novel digital technologies (Doctoral dissertation, UNSW Sydney).
Shokri, M., Tarjoman, A., Borji, M., & Solaimanizadeh, L. (2020). Investigating psychological problems in caregiver of pediatrics with cancer: A systematic review. Journal of Child and Adolescent Psychiatric Nursing, 33(4), 229-238.
