The The impact of nursing interventions on improving the quality of palliative care in children with leukemia: A narrative review palliative care in children with leukemia
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Abstract
Background and Objective: Leukemia is one of the most common types of childhood cancer that is associated with numerous physical, psychological, and emotional challenges for patients and their families. Palliative care plays a key role in the management of this disease, aiming to improve the quality of life and reduce the suffering of patients. Nursing interventions, as an important part of the treatment team, can have a significant impact on improving the quality of this care. The aim of this review study is to investigate and analyze the role and impact of nursing interventions on improving the quality of palliative care in children with leukemia.
Methods and Materials: Valid databases including PubMed, Scopus, Web of Science, SID, and Google Scholar were searched to identify relevant studies published between 2015 and 2025. Keywords such as “Palliative Care”, “Nursing Interventions”, “Children" Leukemia” "and their Persian equivalents were used.
Results: Nursing interventions, such as family education, psycho-emotional support, pain and symptom management, effective communication, and spiritual care, have played an effective role in reducing anxiety, improving psychological adjustment of the child and family, and increasing satisfaction with palliative care. Also, the active presence of nurses in treatment planning and participation in decision-making has improved the coordination of the treatment team and improved the quality of care.
Conclusion: Targeted and structured nursing interventions can have a significant impact on improving the quality of palliative care in children with leukemia. Training, empowering, and supporting nurses in this field can help improve treatment outcomes and improve the quality of life of children. It is suggested that nursing interventions be included in palliative care programs in an integrated and team-oriented approach.