Brinquedo terapêutico instrucional: preparando a criança para a quimioterapia endovenosa.

Abstract

The unintended harmful responses of the chemotherapy treatment in the oncolog1cal child causes it to experience ruptures in its lifestyle. Y ou can move away from your fiiends, your school, your family, changing your eating habits and your body image. Therefore, it is understood that there is a need to play as a way to reduce the stress and suffering generated by the disease and the therapy. The use ofthe Instructional Therapeutic Toy (JTT) can represent an effective intervention to deal with the impacts arising from the chemotherapy treatment. Objective: To compare the behaviors expressed by children during intravenous chemotherapy before and after tbe application of the instructionaJ therapeutic toy. MateriaJs and Methods: This is an exploratory, quantitative, uncontrolled quantitative, "before and after" approach to pediatric oncology in a public hospital. The research sample consisted of I O children undergoing chemotherapy intravenous A specific questionnaire was used for the data collection, divided in two parts. Part I, collected from the medicai record and Part li of the instnunent that presented the checklist format, dealt with behavioral aspects and reactions sketched during chemotherapy treatment before and after the ITT session. It was also used blank sheet with colored pencils and pens (drama ti c therapeutic toy - DTT) before and after the session of the ITT so that the child exteriorized their emotions and soon to be submitted to the intravenous (chemotherapy) CT procedure. The data analysis was performed using the SPSS program (Statistica1 Package for the Social Sciences), and the Me Nemar test was performed, considering a 95% confidence interval. Results: The most common childhood cancer was acute lymphoid leukemia (LL) with 40% ofthe diagnoscs. Ofthe analyzed behaviors, a significant reduction was observed after the use o f ITT of the behavior "retracted posture. As regards DTT, there was a 40% adherence after ITT. Conclusion: ITT was an important tool to control the anxiety and suffering generated by the intravenous chemotherapy treatment, since it significantly reduced the retracted posture behavior, makring the procedure less unpleasant~ minimizing pain sensation.