The Effect of Cancer Therapy and Music Concert Applied to Children on Sleep
Condition: Pediatric Cancer; Sleep
Study type: Interventional

Summary: 
      The actigraph device continuously records the occurrence of limb movements and then collects
      the number of movements in a given time interval. Compared to polysomnography Actigraphy is a
      reliable and valid method for monitoring sleep in infants.
    

Detailed description: 
      Cancer is a disease characterized by rapid proliferation and uncontrollable growth of
      abnormal cells . According to the tumor statistics data of the Turkish Pediatric Oncology
      Group (TPOG), the incidence of cancer in children aged 10-14 in Turkey is 22.80 per million
      (n= 2756), while this rate is 7.35 per million in children aged 15-19 years (n= 2756). 886).
      Despite the high incidence of cancer, it has started to be seen as a life-threatening chronic
      disease rather than a terminal disease with the treatment methods developed in the field of
      pediatric oncology However, early initiation of treatment, effective treatment use, and high
      treatment success have made increasing the quality of life and psychosocial approach even
      more important. However, both cancer diagnosis and treatment reduce the child's quality of
      life and cause many psychosocial and physical problems.

      Sleep plays a role in many important functions such as growth and development, tissue
      regeneration, energy conservation, and strengthening of the immune system in childhood.

      Inadequate sleep quality and sleep disorders are frequently observed in children diagnosed
      with cancer . Sleep problems are seen in approximately half of children with cancer.
      Difficulty falling asleep, waking up suddenly during sleep, difficulty waking up, and
      excessive daytime sleepiness are symptoms that indicate inadequate sleep quality in children
      with cancer .

      Sleep problems begin with the diagnosis of children with cancer, and the amount and quality
      of sleep of the child is negatively affected due to reasons such as unfamiliar environment,
      deterioration of sleep habits, and staying away from their own bed at the first admission to
      the clinic. In addition, symptoms such as side effects related to the treatment initiated,
      disruption of sleep routine due to treatment, and pain due to illness cause sleep problems .
      These sleep problems make it difficult for children to comply with treatment and reduce their
      quality of life.

      Alternative pharmacological and non-pharmacological methods can be used in the management of
      cancer-related sleep disorders . Aromatherapy and listening to music are among the
      recommended non-pharmacological methods .

      Arometherapy is a therapy method that is used frequently all over the world and that explores
      the use of essential oils to treat and protect the health of individuals .

      Music concert is one of the methods aimed at improving the health and well-being of
      individuals. Although it has a positive effect on children physically, psychologically,
      socially and emotionally, it is an economical and side-effect-free method. No studies have
      been found in the literature evaluating the sleep status of children with cancer with music
      therapy.

      There are studies in which aromatherapy and music therapy are applied in children with
      cancer.

      Although there are studies reporting that aromatherapy and music therapy are effective in
      relieving the symptoms of children with cancer. In this direction, there is a need for
      studies that compare these methods with each other and have a high level of evidence, as well
      as the effectiveness of aromatherapy and music therapy in children with cancer.
    

Intervention name(s): Aromatherapy; music concert
Intervention type(s): Other; Other
Intervention description(s): Aromatherapy: It will be applied to each child three times, three days in a row. Each application will be 20 minutes. The application time will be decided together with the patient. At the end of the three-day practice.; Music Concert: In this study, a music (lullaby, classical music) to be preferred by the patient or family Children are played for 20 minutes once a day. (morning or afternoon) for three days to help the child sleep. The volume of the music being played will be preserved. Aromatherapy: To be applied each child three times for three consecutive days. Each one The application will take 20 minutes. It will be time to implement The decision is made with the patient. Finally The patient's sleep quality will increase in three days of application. measured by actigraphy.
Allocation: Randomized
Intervention model: Sequential Assignment
Intervention model description: NAfter the pre-test is applied to the experimental group, music therapy and aromatherapy will be given to the experimental groups by the researcher.
Masking: Single (Care Provider)
Primary purpose: Supportive Care
Keywords: Pediatric cancer; sleep; aromatherapy; music concert