Effectivess of play therapy on reduction of stress among the leukemic children between the age group of 8-18 years in selected hospitals at Nagercoil, Tamilnadu

Gopi, S S (2012) Effectivess of play therapy on reduction of stress among the leukemic children between the age group of 8-18 years in selected hospitals at Nagercoil, Tamilnadu. Masters thesis, Matha College of Nursing, Manamadurai.

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Abstract

A study to assess the effectiveness of play therapy on reduction of stress among the leukemic children between the age group of 8-18 years in selected hospitals at Nagercoil, Tamilnadu, was conducted in partial fulfillment of the requirement for award the degree in master of science in nursing under the Tamilnadu Dr.M.G.R. Medical university, Chennai. OBJECTIVES: To assess the level of stress among the children before and after giving play therapy between the age group of 8-18 years with leukemia. To evaluate the effectiveness of play therapy on reduction of stress among the leukemic children. To find out the interrelationship between physical, psychological, social and spiritual level of stress. To find out the association between the level of stress and selected demographic variables such as age of the client, gender, educational status of the children, religion, type of family, family monthly income (in rupees), number of children in the family, type of leukemia, duration of illness, frequency of hospitalization, place of residence, method of food preparation, family history of cancer and habit of consuming Jung foods. HYPOTHESIES: There will a be a significant reduction of stress in the post test score than the pretest score. There will be a significant interrelationship between physical, psychological, social and spiritual level of stress. There will be a significant association between the level of stress and selected demographic variables such as age of the client, gender, educational status of the children, religion, type of family, family monthly income (in rupees), number of children in the family, type of leukemia, duration of illness, frequency of hospitalization, place of residence, method of food preparation, family history of cancer and habit of consuming Jung foods. ASSUMPTION: All Leukemic children will have the same level of stress. The play therapy will be an effective means in reduction of stress. Leukemic children will have stress due to the severity of the illness. MAJOR FINDINGS OF THE STUDY: The majority of the age group of the subjects 24 [40%] were between 14-17 years. Regarding sex of the groups 31 [51.7%] majority were females. Regarding the educational status of the groups 16 [71.4%] majority has secondary education. With regard to religion majority of the subjects 26 [43.3%] were Hindu. Regarding the type of family of the subjects, 56 [93.3%] majority were nuclear family, With regard to the monthly income of the family 23 [38.3%] majority were getting Rs/- 3001-5001. Regarding the number of children in the family 27 [45%] majority was the single child in the family. Regarding the type of leukemia 41 [68.3%] majority had Acute Lymphocytic Leukemia ( ALL). In relation to duration of illness 41 [68.3%] majority was having leukemia between one to two years. Regarding the frequency of hospitalization 18 [30%] were visiting the hospital monthly once. Regarding the place of residence 31 [51.7%] were living in urban. Regarding the method of food preparation 53 [88.3%] were preparing food in the gas stove. Regarding the previous history of cancer in the family 54 [90%] had no history of cancer in the family. Regarding the eating of Jung foods 53 [88.3%] majority were not taking Jung foods. Level of stress showed that in the pretest , among the subjects 5 [8.3%] had mild stress, 43 [71.7%] had moderate stress and 12 [20%] had severe stress. In post test among the subjects, 15 [25.0%] had mild stress, 42 [70.0%] had moderate stress and 3 [5.0%] had severe stress. On the effectiveness of play therapy the mean posttest score on the level of stress was 58.8333 which was significantly lower than the pretest value of 63.1333 and the computed value of ‘t’was 7.962 was more than the table value [2.000] at df [59] which was statistically significant at 0.05 level. This data showed that play therapy was effective in reduction of stress level. There was an interrelationship between physical, psychological, social and spiritual level of stress. The physical level of stress was positively correlated with psychological, social and spiritual level of stress [ r=0. 209, 0.044, 0.130]. Psychological level of stress was negatively correlated with Social and spiritual level of stress [r=- 0.210, -0.259*] and the level of social stress was positively correlated with the level of spiritual stress [r=0. 067]. In positive correlation as the level of physical stress increases automatic level of psychological, social and spiritual stress also increases, likewise as the social stress increases spiritual stress also increase. In the negative correlation the increase level of psychological stress did not affect the social and spiritual level of stress. There was an association with demographic variable like habit of taking Jung food was having significant at 0.05 level and the demographic variables such as age, gender, education, religion, type of family, family monthly income (in rupees), number of children in the family, type of leukemia, duration of illness, frequency of hospitalization, place of residence, method of food preparation and family history of cancer were not having association with level of stress and there was no significance. The research hypothesis was accepted. CONCLUSION: The following conclusions were made based on the above findings. Most of the subjects were in moderate and mild level of stress after the intervention. So the play therapy was effective in reducing the level of stress. The study encouraged all the age group of children to reduce their stress. This was free of cost and easily done. It can be integrated into clinical practice, and health education in order to enhance the life span of young children. A play therapy should be focused on modifying the behavior, improving flexibility and recovering from stress. By working closely with the hospitalized children, the nurse can determine which plan will work for the person, based on the individuals needs and preferences.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Play Therapy; Reduction; Stress; Leukemic Children; Age Group of 8-18 Years; Hospitals; Tamilnadu
Subjects: NURSING > Paediatric Nursing
Depositing User: Ramakrishnan J
Date Deposited: 15 Feb 2018 10:54
Last Modified: 15 Feb 2018 10:54
URI: http://repository-tnmgrmu.ac.in/id/eprint/5718

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