Psychosocial Care of the Pediatric Oncology Patient Undergoing Surgical Treatment

Abstract

Objective: To review the psychosocial aspects experienced by children with cancer undergoing surgical and procedural treatments.

Data sources: CINAHL, PubMed, and PsycINFO resources.

Conclusion: The diagnosis of cancer is a threatening experience for the pediatric patient with cancer leading to anxiety and distress, which is elevated with a surgical or procedural approach to treatment. Assessing the child's developmental level and previous experiences are fundamental in identifying the appropriate interventions to reduce anxiety and distress to support effective coping.

Implications for nursing practice: Nurses are instrumental in assessing the child's level of anxiety related to surgical procedures. Suggested evidence-based interventions for anxiety and distress include therapeutic play, structured educational preparation, and art-based programs (ie, Hope Bead program).

Keywords: anxiety; art-based coping; coping; educational preparation; pediatric oncology; surgery; therapeutic play.