To understand the experiences, needs, and preferences for supportive care, among children and adolescents (0-19 years) diagnosed with cancer: a systematic review of qualitative studies.

IF 3.1 2区 医学 Q2 ONCOLOGY
Journal of Cancer Survivorship Pub Date : 2025-06-01 Epub Date: 2023-12-27 DOI:10.1007/s11764-023-01508-9
C Paterson, P S Kavanagh, R Bacon, M Turner, M Moore, M Barratt, M Chau
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引用次数: 0

Abstract

Purpose: This study aimed to understand the experiences, needs, and preferences for supportive care, among children and adolescents (0-19 years) diagnosed with cancer.

Methods: A qualitative systematic review has been reported according to PRISMA guidelines. A comprehensive search was conducted across multiple databases (APA PsycINFO, CINAHL, and Medline) and citation searches. Studies were screened according to pre-determined inclusion and exclusion criteria. Methodological quality was evaluated. Findings were extracted in relation to the context of interest of experiences, needs, and preferences of supportive care. Each finding was accompanied by a qualitative verbatim illustration representing the participant's voice.

Results: 4449 publications were screened, and 44 studies were included. Cancer populations represented in the included studies included lymphoma, leukaemia, brain cancer, sarcomas, and neuroblastoma. Two overarching synthesised findings were identified as (1) coping, caring relationships, communication, and impact of the clinical environment, and (2) experiences of isolation, fear of the unknown, restricted information, and changing self. Children and adolescents articulated that cancer care would be enhanced by developing a sense of control over their body and healthcare, being involved in communication and shared decision-making, and ensuring the clinical environment is age-appropriate. Many experienced a sense of disconnection from the rest of the world (including peers, school, and experiences of prejudice and bullying), and a lack of tailored support and information were identified as key unmet care needs that require further intervention.

Conclusions: Children and adolescent who are diagnosed with cancer are a unique and understudied group in oncological survivorship research, with the slowest progress in improvement of care over time. This review will facilitate the development of future interventions and promote the importance of tailored support for children and adolescents at all stages of the cancer journey.

Implications for cancer survivors: Children and adolescents continue to experience a range of difficulties despite routine contact with cancer healthcare professionals. Children and adolescents should be carefully assessed about their individual circumstances and preferences for support given the clear implications from this review that "one size" does not fit all.

Abstract Image

了解确诊癌症的儿童和青少年(0-19 岁)在支持性护理方面的经验、需求和偏好:定性研究的系统性回顾。
目的:本研究旨在了解被诊断患有癌症的儿童和青少年(0-19 岁)在支持性护理方面的经验、需求和偏好:根据 PRISMA 指南报告了一项定性系统综述。在多个数据库(APA PsycINFO、CINAHL 和 Medline)和引文检索中进行了全面检索。根据预先确定的纳入和排除标准对研究进行了筛选。对研究方法的质量进行了评估。根据支持性护理的经验、需求和偏好等相关背景提取研究结果。每项研究结果均附有代表参与者心声的逐字定性说明:结果:共筛选出 4449 篇出版物,其中包括 44 项研究。纳入研究的癌症包括淋巴瘤、白血病、脑癌、肉瘤和神经母细胞瘤。综合研究结果发现了两个主要问题:(1) 应对、关爱关系、沟通和临床环境的影响;(2) 隔离、对未知的恐惧、信息受限和改变自我的经历。儿童和青少年明确表示,通过培养对自己身体和医疗保健的控制感、参与沟通和共同决策,以及确保临床环境与年龄相适应,可以加强癌症护理。许多人都有一种与世界脱节的感觉(包括同龄人、学校、偏见和欺凌经历),缺乏有针对性的支持和信息被认为是需要进一步干预的未满足的关键护理需求:被诊断出患有癌症的儿童和青少年是肿瘤幸存者研究中一个独特且研究不足的群体,随着时间的推移,他们在改善护理方面的进展最为缓慢。本综述将促进未来干预措施的发展,并宣传在癌症病程的各个阶段为儿童和青少年提供量身定制的支持的重要性:尽管与癌症医护人员有日常接触,但儿童和青少年仍会遇到一系列困难。鉴于本综述明确指出 "一刀切 "并不适合所有人,因此应仔细评估儿童和青少年的个人情况和对支持的偏好。
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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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