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Telecommunication system for children undergoing stem cell transplantation.

Kazumi Higuchi¹, Yozo Nakazawa, Nobuhiro Sakata

¹Department of Pediatrics, Shinshu University School of Medicine, Matsumoto, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society

|September 22, 2011

Summary

A web-based telecommunication system helped pediatric patients undergoing hematopoietic stem cell transplantation (HSCT) stay connected with school and home. This technology is feasible and may improve quality of life during isolation.

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Area of Science:

Pediatric Hematology/Oncology
Medical Informatics
Child Psychology

Background:

Isolation during hematopoietic stem cell transplantation (HSCT) causes significant psychological distress in pediatric patients.
A novel web-based telecommunication system was developed to mitigate this distress.

Purpose of the Study:

To evaluate the feasibility of a telecommunication system for pediatric HSCT patients during the acute phase of transplantation.
To assess the system's impact on maintaining connections with the hospital school and home environments.

Main Methods:

A telecommunication system connected the laminar air flow (LAF) isolation room to the hospital school and patients' homes via the internet.
Fifteen pediatric patients undergoing allogeneic HSCT were enrolled.
Feasibility was assessed by the proportion of days patients utilized the system for communication.

Main Results:

Patients telecommunicated with the hospital school on 64.6% of days, facilitating continued education.
Patients telecommunicated with their homes on 68.0% of days, connecting with family and pets.
Telecommunication use was not affected by the presence of HSCT-related symptoms.

Conclusions:

The developed telecommunication system is feasible for pediatric HSCT patients.
The system may enhance health-related quality of life by maintaining social connections.
Further prospective studies are needed to confirm benefits for psychological and psychiatric symptoms.