Effectiveness of complementary therapies for the management of symptom clusters in palliative care in pediatric oncology : a systematic review

Article indépendant

LOPES-JUNIOR, Luis Carlos | URBANO, Isadora Rangel | PIMENTEL DE CARVALHO SCHUAB, Sara Isabel | PESSANHA, Raphael Manhaes | ABREU, Gabriela Travassos | APARECIDA GARCIA DE LIMA, Regina

OBJECTIVE: To evaluate the effectiveness of complementary therapies in the management of symptom clusters in children and adolescents with cancer undergoing palliative care. METHOD: Systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, resorting to the databases MEDLINE, Web of Science, Central Cochrane, and PsycINFO. The identification, selection, inclusion, extraction, and methodological assessment were conducted by two independent reviewers. RESULTS: Five quasi-experiments met the eligibility criteria. The heterogeneous characteristics of the studies made meta-analysis impossible. Two studies used therapeutic massage, one used Reiki, one used boswellic acid, and one used Cannabis sativa; three of them (therapeutic massage and Reiki) presented statistically significant results for the management of the cluster pain-anxiety-worry-dyspnea. Most studies presented a moderate risk of bias as per ROBINS-I tool. CONCLUSION: Therapeutic massage and Reiki may be effective for the symptom clusters management, especially the pain-anxiety-worry-dyspnea cluster in children and adolescents undergoing palliative care.

http://dx.doi.org/10.1590/S1980-220X2020025103709

Voir la revue «Revista Da Escola De Enfermagem Da U S P, 55»

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