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Year : 2017  |  Volume : 4  |  Issue : 2  |  Page : 168-172

Effect of play-based occupational therapy on symptoms of hospitalized children with cancer: Asingle-subject study

1 Department of Occupational Therapy, Iran University of Medical Sciences, Tehran, Iran
2 Department of Pediatric Oncology, Ali-Asghar Hospital, Iran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Afsoon Hassani Mehraban
Associate Professor, Occupational Therapy Department, Rehabilitation Research Center School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/apjon.apjon_13_17

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Objective: Cancer is one of the four leading causes of death in children. Its courses of diagnosis and treatment can cause physiologic symptoms and psychological distress that secondarily affect children's quality of life and participation in daily activities. The aim of this study was to investigate the effect of play-based occupational therapy on pain, anxiety, and fatigue in hospitalized children with cancer who were receiving chemotherapy. Methods: Two hospitalized children with acute lymphoblastic leukemia at least 4months after diagnoses who received two courses of chemotherapy participated in this pilot study. Takata Play History and Iranian Children Participation Assessment Scale were used to develop intervention protocol. Nine, 30–45min play-based occupational therapy sessions took place for each child. Children filled out the Faces Pain Scale, Visual Fatigue Scale, and Faces Anxiety Scale before and after each intervention session. Results: Pain, anxiety, and fatigue levels decreased in both participants. Furthermore, the results showed a relationship between pain, anxiety, and fatigue variables in these children. Conclusions: Play-based occupational therapy can be effective in improving pain, anxiety, and fatigue levels in hospitalized children with cancer receiving chemotherapy.

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