The Effect of Combination of Healthy Sleep Education and Music Therapy on the Functional Status of Children with Cancer

Abstract

Introduction:Cancer refers to the uncontrolled growth and reproduction of abnormal cells in the body as a whole. Sufferers will experience physical and psychological disorders in the form of feelings of sadness and depression, which cause a loss of ability to live daily life. The prevalence of cancer patients on chemotherapy at Dr. M. Djamil Padang Hospital has increased from 135 in 2019 to 170 in 2020 (21% increase). The side effects of chemotherapy are sleep disturbances, fatigue, and decreased functional status. Objective:This study aims to determine the effect of the combination of providing healthy sleep education and music therapy on the functional status of children with cancer to minimize the side effects of chemotherapy. Methods:The research design was a quasi-experimental pre-post-test with the control group. The sample consisted of 60 children, who were divided into a control group (n = 30) and an intervention group (n = 30). Three consecutive days were devoted to the intervention. Measurement of functional status scores using the Activity Daily Living Barthel Index questionnaire. Differences in functional status scores of each group were tested with a dependentT-test, and differences in functional status between the control and intervention groups were tested with independent T-tests used in this study. Results:The results of statistical tests showed that there was a significant difference in the mean score of functional status before and after giving sleep education and music therapy between the intervention group and the control group (p= 0.0005). Conclusion:Combining healthy sleep therapy and music therapy can be an option for independent nursing care for children with cancer as a way to combat the side effects of chemotherapy