Dynamics of Implementation of Humanization in the Pediatric Radiotherapy Service of the National Cancer Institute José Alencar Gomes da Silva, Brazil

• Autor(a) principal: Magalhães, Denise Maria de Araújo
• Data de Publicação: 2022
• Outros Autores: Magalhães, Guilherme Araújo, Grigorovski, Nathalia, Figueiredo Junior, Israel
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1662
• topic: humanização da assistência; pediatria; neoplasias/radioterapia; criança; humanization of assistance; pediatrics; neoplasms/radiotherapy; child; humanización de la atención; pediatría; neoplasias/ radioterapia; niño

Introduction: The treatment of childhood cancer is multidisciplinary and radiotherapy is part of this approach, being, in general, a critical procedure in children. The need to remain unaccompanied and motionless in the treatment apparatus, together with the fear of the nature of this therapy, makes the use of anesthesia common. Humanization measures were introduced in the radiotherapy routine to help children to feel more comfortable and confident with this treatment. Objective: To describe the dynamics of the humanization process. Method: A descriptive study addressing the implementation of humanization measures was developed, between May 2016 and December 2017, in the Radiotherapy Service of the National Cancer Institute José Alencar Gomes da Silva, RJ, Brazil. Result: The customization of the treatment masks, the use of matching costumes, the certificate of courage, the celebrations of festive dates and the improvements in the environment were the main humanization interventions carried out. There was a transformation in coping with the adversities inherent to the treatment, with clear benefits for the environment and the child’s well-being. A trusting relationship was established between the child, his family and the professional team. Greater adherence, reduced absenteeism and an apparent reduction in the use of anesthesia for treatment were found. Conclusion: The actions implemented brought an unambiguous gain in the general well-being of those involved in the humanization process. The necessity of quantitative study on improving the flow of care in the Radiotherapy Service, either by reducing the use of anesthesia for treatment or the daily time spent in the radiotherapy device is highlighted.