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The Effect of a Musical Starry Sky Projector on Fatigue, Sleep, and Quality of Life in Pediatric Oncology Patients: A Randomized Controlled Trial

Remziye Semerci Şahin, Tuba Eren, Aycan Kucukkaya, Polat Goktas, G. Avcı, Filiz Savran

Seminars in Oncology Nursing, 2025

60 participants · 2 citations

Abstract

OBJECTIVES

This study aimed to evaluate the effect of an Ocean Wave and LED Starry Sky Projector on fatigue, sleep, and quality of life (QoL) in pediatric oncology patients.

METHODS

This randomized controlled trial included 60 pediatric oncology patients aged 8 to 18 years who were newly diagnosed with cancer and undergoing chemotherapy. Participants were randomly allocated into two groups: intervention (n = 30) and control (n = 30). The intervention group received standard care plus nightly exposure to an Ocean Wave and LED Starry Sky Projector for 30 minutes before sleep, over a period of 1 week. The control group received standard care only. Data were collected using the Adolescent Information Form, Pediatric Quality of Life Scale, Visual Sleep Scale, and Fatigue Intensity Scale. Fatigue and sleep quality were assessed daily, while QoL was evaluated on the first and seventh days.

RESULTS

The descriptive characteristics of children in the intervention and control groups were found to be homogeneously distributed. Although no statistically significant difference was observed in sleep quality between the groups on the first day (P > .05), significant differences favoring the intervention group were found from the second to the seventh day (P .05). There was no statistically significant difference in the mean scores of the "Pediatric Quality of Life Scale" between the groups (P > .05).

CONCLUSIONS

This study found that the ocean wave and LED starry sky projector significantly…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 60 participants or records.

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