Cognitive rehabilitation is advantageous in terms of fatigue and independence in pediatric cancer treatment: a randomized-controlled study


AKEL B. S., ŞAHİN S., HURİ M., AKYÜZ C.

INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, cilt.42, sa.2, ss.145-151, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 42 Sayı: 2
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1097/mrr.0000000000000340
  • Dergi Adı: INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Sayfa Sayıları: ss.145-151
  • Hacettepe Üniversitesi Adresli: Evet

Özet

This study aimed to investigate the effect of task-oriented inpatient cognitive rehabilitation on fatigue perception and independence in daily activities. Forty (22 males, 18 females) children with pediatric cancer were randomized to either study [n=22; 10.81 (1.33) years] or control [n=18; 10.16 (1.24) years] groups. The study group received a cognitive rehabilitation intervention in addition to a routine therapy program, and the control group received a routine therapy program for 15 sessions. Cognitive status, fatigue, and daily life activity outcomes were assessed by blinded assessors in before and after interventions in the hospital setting. The study group showed a significant decrease in fatigue (P values for fatigue before, during, and after activity: P<0.001) and in the control group (P values for fatigue only in during and post activity: P<0.05). A statistically significant improvement was found in functional independence for the study group in all activities of daily living areas areas (P<0.001), whereas no differences were found in the control group. Cognitive rehabilitation appears to provide beneficial effects in decreasing fatigue, improving functional status in activities of daily living, and increasing cognitive skills at the early stages in inpatient rehabilitation of pediatric cancer. Copyright (C) 2019 Wolters Kluwer Health, Inc. All rights reserved.