EDBEHOS Sleep Therapy on Sleep Quality in Children with Acute Lymphoblastic Leukemia During Chemotherapy

  • Andrye Fernandes Universitas Perintis Indonesia
  • Yessi Andriani Universitas Perintis Indonesia


This study aims to analyze the optimization of meeting children's rest/sleep needs by implementing EdBeHos Sleep Therapy. The method used is quasi-experimental with the application of Evidence-Based Nursing Practice EdBeHos Sleep Therapy. The study's results found a significant difference in sleep quality scores between the intervention and control groups (p<0.001). In conclusion, the EdBeHos Sleep Therapy intervention can be applied to overcome sleep problems so that it can improve the quality of life of children with cancer.

Keywords: Edhebos, Sleep Quality, Acute Lymphoblastic Leukemia, Chemotherapy, Sleep Quality


Castelli, L., Elter, T., Wolf, F., Watson, M., Schenk, A., Steindorf, K., Bloch, W., Hallek, M., Joisten, N., & Zimmer, P. (2022). Sleep Problems and Their Interaction with Physical Activity and Fatigue in Hematological Cancer Patients During Onset of High Dose Chemotherapy. Supportive Care in Cancer, 30(1), 167–176. https://doi.org/10.1007/s00520-021-06377-5

Chan, N. Y., Chan, J. W. Y., Li, S. X., & Wing, Y. K. (2021). Non-Pharmacological Approaches for Management of Insomnia. Neurotherapeutics, 18(1), 32–43. https://doi.org/10.1007/s13311-021-01029-2

Chun, W., Chao, D., Qi, H., Dongliang, Z., Zhenmei, L., & Jia, L. (2021). Pharmacological and Non-Pharmacological Treatments for Insomnia. Medicine, 100(31), e26678. https://doi.org/10.1097/md.0000000000026678

Dun, L., Xian-Yi, W., Si-Ting, H., & Xin-Yuan, Y. (2022). Effects of Sleep Interventions on Cancer-Related Fatigue and Quality of Life in Cancer Patients: A Systematic Review And Meta-Analysis. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 30(4), 3043–3055. https://doi.org/10.1007/s00520-021-06563-5

Fernandes, A. (2020). Kelelahan pada Anak dengan Leukemia Limfoblastik Akut dalam Menjalani Kemoterapi Fase Induksi. Perintis’s Health Journal, 7(1), 69–74. https://jurnal.upertis.ac.id/index.php/JKP/article/view/411

Fernandes, A., & Andriani, Y. (2021). Faktor-Faktor yang Mempengaruhi Terjadinya Gangguan Tidur pada Anak dengan Leukemia Limfoblastik Akut (LLA) yang Menjalani Kemoterapi. Jurnal Keperawatan Silampari, 5(1), 196–206. https://doi.org/10.31539/jks.v5i1.1807

Kaushik, P., Sharma, S., Shah, N., Kutty, P. K., & Ghildiyal, R. (2022). Sleep Disturbances and Childhood Cancer- A Tertiary Care Experience. Pediatric Hematology Oncology Journal, 7(3), 103–107. https://doi.org/10.1016/j.phoj.2022.05.001

Kudubes, A. A., Bektas, M., & Gerceker, G. Ö. (2023). The Predictive Power of Pain Characteristics and Sleep Quality on Fatigue in Adolescents with Cancer. Journal of Pediatric Hematology/Oncology, 45(6), 301–308. https://doi.org/10.1097/MPH.0000000000002707

Li, D. (2023). Characterization of Parental Knowledge on Early Child Sleep and Association with Child Sleep Quality: A Cross-Sectional Pilot Study in Chongqing, China. Risk Management and Healthcare Policy, 16(May), 851–864. https://doi.org/10.2147/RMHP.S408428

Mogavero, M. P., Bruni, O., Delrosso, L. M., & Ferri, R. (2020). Neurodevelopmental Consequences of Pediatric Cancer and Its Treatment: The Role of Sleep. Brain Sciences, 10(7), 1–15. https://doi.org/10.3390/brainsci10070411

Oliveira, E. S., Oliveira, L. M., Oliveira, D. T., Viana, T. R. F., Silva, L. K. C., Bezerra, C. M., & Cardoso, M. (2020). Child Sleep: Assessment of the Knowledge of Parents of Children Aged Zero to Two Years. European Journal of Public Health, 30(Supplement_5), ckaa165.1186. https://doi.org/10.1093/eurpub/ckaa165.1186

Stavinoha, P. L., Olsthoorn, I. M., Swartz, M. C., Nowakowski, S., Wells, S. J., Hicklen, R. S., Sheikh, I., & Jang, H. J. (2021). Non-Pharmacological Sleep Interventions for Pediatric Cancer Patients and Survivors: A Systematic Review Protocol. Systematic Reviews, 10(1), 1–7. https://doi.org/10.1186/s13643-021-01724-3

Steur, L. M. H., Kaspers, G. J. L., van Someren, E. J. W., van Eijkelenburg, N. K. A., van der Sluis, I. M., Dors, N., van den Bos, C., Tissing, W. J. E., Grootenhuis, M. A., & van Litsenburg, R. R. L. (2020). The Impact of Maintenance Therapy on Sleep-Wake Rhythms and Cancer-Related Fatigue in Pediatric Acute Lymphoblastic Leukemia. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 28(12), 5983–5993. https://doi.org/10.1007/s00520-020-05444-7

Steur, L. M. H., Kaspers, G. J. L., Van Someren, E. J. W., Van Eijkelenburg, N. K. A., Van Der Sluis, I. M., Dors, N., Van Den Bos, C., Tissing, W. J. E., Grootenhuis, M. A., & Van Litsenburg, R. R. L. (2020). Sleep-Wake Rhythm Disruption is Associated with Cancer-Related Fatigue in Pediatric Acute Lymphoblastic Leukemia. Sleep, 43(6), 1–9. https://doi.org/10.1093/sleep/zsz320

Sulistyawati, E., Allenidekania, A., & Gayatri, D. (2021). Effect of Progressive Muscle Relaxation on Sleep Quality and Side Effects of Chemotherapy in Children with Cancer: Randomized Clinical Trial. Open Access Macedonian Journal of Medical Sciences, 9(T4), 300–308. https://doi.org/10.3889/oamjms.2021.5774

Traube, C., Rosenberg, L., Thau, F., Gerber, L. M., Mauer, E. A., Seghini, T., Gulati, N., Taylor, D., Silver, G., & Kudchadkar, S. R. (2020). Sleep in Hospitalized Children with Cancer: A Cross-Sectional Study. Hospital Pediatrics, 10(11), 969–976. https://doi.org/10.1542/hpeds.2020-0101

Tucker, P., Loew, M., Russell, K., Tynes, B. L., Mandrell, B. N., Witcraft, S. M., Schwartz, L. E., & Crabtree, V. M. (2023). Sleep Health Behaviors in Pediatric Patients with Newly Diagnosed Cancer. Journal of Psychosomatic Research, 172, 111413. https://doi.org/https://doi.org/10.1016/j.jpsychores.2023.111413

Van Bindsbergen, K. L. A., van der Hoek, H., van Gorp, M., Ligthart, M. E. U., Hindriks, K. V., Neerincx, M. A., Alderliesten, T., Bosman, P. A. N., Merks, J. H. M., Grootenhuis, M. A., & van Litsenburg, R. R. L. (2022). Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness. Cancers, 14(15). https://doi.org/10.3390/cancers14153792

Van Den Ende, E. S., Merten, H., Van Der Roest, L., Toussaint, B., Van Rijn, Q., Keesenberg, M., Lodders, A. M., Van Veldhuizen, K., Vos, I. E., Hoekstra, S., & Nanayakkara, P. W. B. (2022). Evaluation of Nonpharmacologic Interventions and Sleep Outcomes in Hospitalized Medical and Surgical Patients: A Nonrandomized Controlled Trial. JAMA Network Open, 5(9), E2232623. https://doi.org/10.1001/jamanetworkopen.2022.32623

Xi, L., Wu, G., & Du, X. (2023). Analyzing Sleep Status in Children with Acute Leukemia. Italian Journal of Pediatrics, 49(1), 1–8. https://doi.org/10.1186/s13052-023-01409-8

Zhou, E. S., Valenzuela, A. F., Robbins, R., Page, J. M., & Bona, K. (2023). Gaps in Parental Understanding of Sleep Disturbances During Maintenance Therapy for Pediatric Acute Lymphoblastic Leukemia. Journal of Pediatric Hematology/Oncology Nursing, 40(6), 369–378. https://doi.org/10.1177/27527530231168587
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