User

The Effect of Chest Physiotherapy on Children's Quality of Life with Acute Lymphoblastic Leukemia and Pneumonia at Dr. Moewardi Hospital, Surakarta

Aisya Fikritama, Ismiranti Andarini, Sri Lilijanti Widjaya

Abstract

Background: Acute lymphoblastic leukemia (ALL), a malignancy that is the most common form of leukemia found in children, accounting for about 30 percent of all pediatric cancer. The incidence of pneumonia is often found in children undergoing treatment for ALL. Complications of ALL and the side effects of its treatment can affect children’s quality of life. This study aimed to the effect of chest physiotherapy on  children's quality of life with acute lymphoblastic leukemia and pneumonia.

Subjects and Method: This was a quasi-experiment study conducted at the pediatric ward of Dr. Moewardi Hospital Surakarta, from February to August 2021. A number of 60 children aged 2-18 years with lymphoblastic leukemia and pneumonia was selected for this study. These children were divided into two groups, (1) 30 children with chest physiotherapy (intervetion group) and (2) 30 children received standard care (control group). Patients and parents were asked to fill out a quality of life assessment using the PedsQLTM 4.0 generic module. Mean difference of quality of life before and after chest physiotherapy between intervention and control group was examined using independent t test.

Results: After intervention of chest physio­therapy, quality of life score in the intervention group (Mean= 68.91; SD= 12.30) was higher than control group (Mean= 60.12; SD= 7.72), with p= 0.002.

Conclusion: Chest physiotherapy improves the quality of life in children with acute lymphoblastic leukemia and pneumonia.

Keywords: quality of life, chest physiotherapy, pneumonia.

CorrespondenceAisya Fikritama Aditya. Department of Pediatrics, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital. Jl. Kolonel Sutarto 132, Surakarta, Central Java, Indonesia. Mobile: 081325139992. Email: fikritamaaisya@gmail.com

Journal of Maternal and Child Health (2022), 07(02): 203-213
https://doi.org/10.26911/thejmch.2022.07.02.09

 

Full Text:

PDF

References

Arslan FT, Basbakkal Z, Kantar M (2013). Quality of life and chemotherapy-related symptoms of Turkish cancer children undergoing chemotherapy. Asian Pac J Cancer Prev. 14(3): 1761–1768. doi: 10.7314/APJCP.2013.14.3.-1761.

Choo CC, Chew PKH, Tan P, Choo JQ, Choo AMH, Ho RC, Quah TC (2019). Health-related quality of life in pediatric patients with leukemia in Singa-pore: A cross-sectional pilot study. Int J Environ Res Public Health. 16(12): 1–9. doi: 10.3390/ijerph16122069.

Duymaz T, Karabay O, Ural IH (2020). The effect of chest physiotherapy after bariatric surgery on pulmonary functions, functional capacity, and quality of life. Obes Surg. 30(1): 189–194. https://doi.org/10.1007/s11695-019-04165-z.

Earle EA, Eiser C (2007). Children’s behaviour following diagnosis of acute lymphoblastic leukaemia: A qualitative longitudinal study. Clin Child Psychol Psychiatry. 12(2): 281–293. https://doi.org/10.1177/1359104507075935.

Göngör S, Gencer-Atalay K, Bahar-Özdemir Y, Keniş-Coşkun O, Karadağ-Saygı E (2021). The clinical effects of combining postural exercises with chest physiotherapy in cystic fibrosis: A single-blind, randomized-controlled trial. Turk J Phys Med Rehabil. 67(1): 91–98. https://doi.org/10.5606/tftrd.2021.5214.

Khan W, Arsh A, Hammad SM, Shah SA, Haq A (2018). Effectiveness of Chest physical therapy in improving quality of life and reducing patient hospital stay in chronic obstructive pulmonary disease. J Dow University Health Sci. 12(2): 38–41. doi: 10.36570/jduhs.2018.2.579.

Kızılocak H, Okcu F (2019). Late effects of therapy in childhood acute lympho-blastic leukemia survivors. Turk J Haematol. 36(1): 1–11. https://dx.doi.org/10.4274%2Ftjh.galenos.2018.2018.0150.

Stark LJ, Miller ST, Plienes AJ, Drabman RS (2015). Behavioral Contracting to Increase Chest Physiotherapy. Theory & Psychology, 12(6): 825–853.

Mantadakis E (2020). Pneumocystis jirovecii pneumonia in children with hematological malignancies: Diag-nosis and approaches to management. J Fungi. 6(4): 1–18. https://doi.org/10.3390/jof6040331.

Ozalevli S, Ilgin D, Karaali HK, Bulac S, Akkoclu A (2010). The effect of in-patient chest physiotherapy in lung cancer patients. Supportive Care in Cancer. 18(3): 351–358. doi: 10.1007/s00520-009-0659-6.

Ozalevli S (2013). Impact of physiotherapy on patients with advanced lung cancer. Chronic Respiratory Disease. doi: 10.1177/1479972313508965.

Pehlivan E, Turna A, Gurses A, Gurses HN (2011). The effects of preoperative short-term intense physical therapy in lung cancer patients: A randomized controlled trial. Ann Thorac Cardio-vasc Surg. 17(5): 461–468. https://-doi.org/10.5761/atcs.oa.11.01663.

Schmidt AM, Jacobsen U, Bregnballe V, Olesen HV, Ingemann-Hansen T, Thastum M, Schiøtz PO (2011). Exercise and quality of life in patients with cystic fibrosis: A 12-week inter-vention study. Physiother Theory Pract. 27(8): 548–556. https://doi.org/10.3109/0-9593985.2010.545102.

Skevington SM, Lotfy M, O'Connell KA, WHOQOL Group (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial A Report from the WHOQOL Group. Qual Life Res. 13(2): 299–310. doi: 10.1097/01.-AOG.0000157207.95680.6d.

Sitaresmi MN, Mostert S, Gundy CM, Sutaryo, Veerman AJP (2008). Health-related quality of life assess-ment in Indonesian childhood acute lymphoblastic leukemia. Health Qual Life Outcomes. 6: 1–8. https://dx.doi.org/10.1186%2F1477-7525-6-96.

Sulastriana, SMJ (2016). Karakteristik anak yang menderita leukimia akut rawat inap di RSUP H. Adam Malik Medan tahun 2011-2012. Jurnal Universitas Sumatera Utara, (2002): 1–30. doi: https://doi.org/10.1101/102780.

Sung L, Yanofsky R, Klaassen RJ, Dix D, Pritchard S, Winick N, Alexander S, Klassen A (2011). Quality of life during active treatment for pediatric acute lymphoblastic leukemia. Int J Cancer. 128(5): 1213–1220. https://doi.org/10.1002/ijc.25433.

Wardin I (2016). The validity and reliability test of the pediatric quality of life inventory multidimentional fatigue scale versions of Indonesia (Pedsql Mfs-I) in children who are through chemotherapy. Jurnal Ilmu Kesehatan.

WHO (2014) Revised WHO Classification and Treatment of Childhood Pneumonia at Health Facilities: Evidence Summaries, World Health Organization. Available at: https://apps.who.int/iris/bitstream/handle/10665/137319/9789241507813_eng.pdf;jsessionid=2089DD8EDCA2FD8BFBF8678DB27578FA?sequence=1.

Xavier MAF, Ceneviva R, Filho JT, Sankarankutty AK (2010). Pulmonary function and quality of life in patients with morbid obesity six months after bariatric surgery. Acta Cirurgica Brasileira, 25(5): 407–415. doi: 10.1590/S0102-86502010000500005.

Zach MS, Oberwaldner B (2008). Chest Physiotherapy. Pediatric Respiratory Medicine. doi: 10.1016/B978-03230-4048-8.50022-0.

Refbacks

  • There are currently no refbacks.