The Child with Malignant Disease and Clinical Assessment of Effects of Complementary Supportive-Therapeutic Programmes

Abstract

U okviru populacije osoba s motoričkim poremećajima i/ili kroničnim bolestima jedno od brojnih problemskih područja su i tumori dječje dobi. U ovom istraživanju definiran je uzorak od 11 pacijenta (8 dječaka i 3 djevojčice), kronološke dobi od 6 do 15 godina, hospitaliziranih na Odjelu za onkologiju i hematologiju Klinike za dječje bolesti u Zagrebu. U okviru protokola za kliničko istraživanje primijenjeni su terapijsko disanje, vježbe opuštanja i glazbeni podražaji u funkciji poticanja pažnje i psihoemocionalne responzivnosti u pacijenta. Također je korišten TEMAS (Tell-Me-A-Story/Pričaj mi priču) multikulturalni test tematske apercepcije i oblik terapijskog pristupa. Program PROM (Nikolić, 1997) korišten je u analizi kvalitativnih i kvantitativnih promjena za kontrolirane varijable tijekom tretmana, a metodom Jöreskog, Karl G. (1966) testirane su razlike između matrica korelacija u dvije točke procjene za područja kognitivnih funkcija, funkcija osobnosti i afektivnih funkcija. Prikazani rezultati istraživanja proizašli su iz znanstvenog projekta „Komplementarne suportivne terapije i razvoj životnih potencijala“ podržanog od Ministarstva znanosti Republike Hrvatske. Na osnovu rezultata istraživanja uz primjenu TEMAS modela kao komplementarnog dijagnostičkog i suportivno terapijskog pristupa, posebice su konstatirane promjene u verbalnoj fluentnosti kao i u oslobađanju spontanosti i kreativnosti u djeteta. Također je istaknuta potreba daljnjih istraživanja u ovom području.Children\u27s tumours are one of numerous problem fields within the population of persons with motor disorders and/or chronic diseases. In this study, a sample of 11 patients (8 boys and 3 girls) of chronological age between 6 and 15 years, who were hospitalised at the Oncology and Haematology Department of the Children\u27s Hospital in Zagreb, was defined. According to the clinical study protocol, therapeutic breathing, relaxation exercises and music stimuli were applied for the purpose of arousing attention and psycho-emotional responsiveness of patients. The TEMAS (Tell-Me-A-Story) multicultural test of thematic apperception and a form of therapeutic approach was also applied. The programme PROM (Nikolić, 1997) was used in the analysis of qualitative and quantitative changes for controlled variables during the treatment, and the method by Jöreskog, Karl G. (1966) was used for testing the differences among matrices of correlation in two assessment points for the fields of cognitive functions, personality functions and affective functions. The presented results arise from the scientific research project "Complementary Supportive Therapies and Development of Life Potentials", supported by the Ministry of Science, Education and Sports of the Republic of Croatia. Based on the research results, it was established that the TEMAS model as a complementary diagnostic and supportive-therapeutic approach; in particular, changes were established in verbal fluency, as well as in encouraging and releasing the child\u27s spontaneity and creativity. The need for further research in this field has been noted as well

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