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3rd Edition of

Singapore Nursing Research Conference

March 16-18, 2023 | Singapore

Nursing 2023

Fateme Rezaei Kahkhaei

Speaker at Singapore Nursing Research Conference 2023 - Fateme Rezaei Kahkhaei
Zahedan University of Medical Sciences, Iran (Islamic Republic of)

Title : The impact of sandplay therapy on anxiety and sleep habits of children with cancer undergoing chemotherapy in ali ibn abi talib (as) hospital of iran (zahedan) in 2019

Abstract:

Background: Cancer is considered a common and painful disease in children. Chemotherapy is one of the most important treatments for cancer, which may lead to complications such as anxiety and changes in children's sleeping habits. Sandplay therapy is a type of play therapy that has received a lot of attention. The present study aimed to examine the effectiveness of sandplay therapy in improving the anxiety and sleep habits of children with leukemia undergoing chemotherapy.

Methods: This quasi-experimental study was conducted on children aged 8 to 12 years with leukemia undergoing chemotherapy who visited the hematology department of Ali Ibn Abi Talib (AS) Hospital of Zahedan in 2019. The children enrolled in the study were selected using convenience sampling. The participants in the study were 80 children who were randomly assigned to the two experimental and control groups (each with 40 participants). The children in the intervention group attended a sandplay intervention program for 5 weeks and two sessions each week, each session lasting 45 minutes. The sessions were held in the playroom of the oncology department. The children in the control group only received routine care. The data in the study were collected using the demographic information questionnaire, Revised Children's Manifest Anxiety Scale (RCMAS), and Children's Sleep Habits Questionnaire (CSHQ). The questionnaires were completed through interviews with the children before and one week after the end of the intervention. The data were analyzed using the Kolmogorov-Smirnov test, Levene’s test, chi-square test, paired samples t-test, independent samples t-test, and analysis of covariance (ANCOVA) with SPSS software (version 26).

Results: The mean anxiety scores before sandplay therapy for the participants in the intervention and control groups were 24.45±5.09 and 25.25±5.53, respectively. The corresponding post-intervention values for the children in the intervention and control groups were 15.58±3.80 and 25.15±5.44, respectively. These data indicate that sandplay therapy significantly reduced anxiety in the children in the intervention group (P<0.001). Moreover, mean scores of sleep habits before sandplay therapy for the participants in the intervention and control groups were 61.78±8.35 and 60.58±8.75, respectively. The corresponding values for the participants in the intervention and control groups after the intervention were 46.40±4.91 and 60.65±8.78, respectively, indicating that sandplay therapy significantly reduced poor sleep habits in the children in the intervention group (P<0.001).

Conclusion: The findings showed that sandplay therapy has a significant effect on reducing anxiety and also reducing poor sleeping habits in children with cancer undergoing chemotherapy. Thus, sandplay therapy can be used as a non-pharmacological and effective treatment method to reduce the complications caused by chemotherapy in children with cancer.

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