Hypnoparenting Effects Towards Fatigue as an Impact of Chemotherapy Among Pediatric Patients With Acute Lymphoblastic Leukemia

Abstract

The management of fatigue among pediatric patients with lymphoblastic leukemia does not become a priority apart from the cancer management itself. Hence, it is necessary to put an attention towards this issue by giving another complementary therapy for the patient called hypnoparenting. By implementing hypnoparenting will decrease the level of fatigue because of the chemotherapy process. Therefore the purpose of study was to investigate the effect of hypnoparenting towards fatigue prevalence as an impact of chemotherapy among pediatric patients with Acute Lymphoblastic Leukemia. This research utilized quasi experiment before after study. The population of the study was pediatric patients (5-12 years old) who suffered by Acute Lymphoblastic leukemia under chemotherapy treatment at RSUD Ulin Banjarmasin. The study was started on Mei 2016 until June 2016 with the total participants were 30 pediatrics patients. The data analysis used dependent t-test with 95% CI and p value <0.05. According to the mean score of 30 patients in the range of age 5-12 years revealed ; before and after hypnoparenting implementation, The mean score was different 5.30 and p value 0.0003, 95% CI (2.681-7.919). There was a significant difference on fatigue level among the patients before and after hypnoparenting implementation.

Literature Review: Effectivity of Complementary Therapies in Children with Acute Lymphoblastic Leukemia

“…The next research is about the effect of HypnoParenting on fatigue in ALL children due to chemotherapy. The study was conducted at Ulin Banjarmasin Hospital by researcher Anggraini [14]. From this study, it was concluded that HypnoParenting intervention was effective in reducing the effects of chemotherapy, which is fatigue.…”

Issues Related to Children with Leukemia in Indonesia: An Integrative Review

“…In the 25 studies in this review, 23 studies were quantitative design, and two studies were qualitative design. The quantitative studies comprised 7 cross sectional study (Agnes et al, 2019;Devi & Allenidekania, 2019;Fadhilah & Allenidekania, 2019;Mostert et al, 2008;Novrianda & Khairina, 2015;Rata et al, 2017;, 10 descriptive retrospective cohort study (Alfina et al, 2011;Hapsari et al, 2013;Mostert et al, 2013;Permatasari et al, 2009;Simanjorang et al, 2013;Tehuteru, 2011;Widiaskara et al, 2016;Wijayanti & Supriyadi, 2017), 2 retrospective Case Control Study (Agnes et al, 2019;Hapsari et al, 2013), 3 quasiexperimental study (Anggraini, 2018;Kulsum et al, 2017;Novrianda & Khairina, 2015), and one randomized clinical trial (Sitaresmi et al, 2013) (table. 1).…”

“…For example, some studies reported that the survival rate as the outcome of treatment was low in all hospitals setting (Alfina et al, 2011;Mostert et al, 2010;Permatasari et al, 2009;Simanjorang et al, 2013;Sitaresmi et al, 2013;Tehuteru, 2011;Wijayanti & Supriyadi, 2017;Yakin et al, 2017). The most common adverse effects of chemotherapy and experienced by more than 50% of children, including fever, infection, bleeding alopecia, loss of appetite, fatigue, pain, fatigue, and mucositis (Agnes et al, 2019;Anggraini, 2018;Devi & Allenidekania, 2019;Fadhilah & Allenidekania, 2019;Widiaskara et al, 2016). Based on the side effects of chemotherapy experienced by children, infection is the most common cause of child deaths .…”

“…Malnutrition was associated with the febrile neutropenia (Agnes et al, 2019), emotional support had been related to the pain level (Rata et al, 2017), oral care was correlated with mucositis (Devi & Allenidekania, 2019), and physical activity influenced fatigue (Fadhilah & Allenidekania, 2019), for instance. Additionally, several intervention studies found that the medication diary book program affected lowering survival rate (Sitaresmi et al, 2013), Swedish massage affected QoL (Kulsum et al, 2017), and hypno-parenting affected children's fatigue (Anggraini, 2018). Finally, based on the qualitative studies, the experiences of Indonesian adolescent revealed several themes such as the following: (a) disappointed and hopeless during diagnosis, (b) psychological distress, (c) be closer to God, (d) perceived life is meaningful, (e) more spirit to make other happy (Suryani & Syafiq, 2016;Widianita et al, 2009).…”

Pelatihan Penerapan Hypnoparenting dalam Pengasuhan Anak Usia Dini

“…Hal ini sesuai dengan pendapat (Astuti, Sofiyanti, & Setyowati, 2019) yang mengatakan bahwa hypnoparenting merupakan teknik yang sangat bermanfaat untuk meningkatkan kecerdasan spiritual dan kualitas komunikasi orang tua dan anaknya. (Anggraini, 2018) menambahkan bahwa hypnoparenting dapat meningkatkan tingkat relaksasi seseorang. Hypnoparenting bertujuan untuk memberi kemudahan kepada orang tua dalam memberikan arahan (pembinaan) kepada anakanya tanpa adanya paksaan.…”