儿童和青少年癌症长期幸存者的社会参与。

IF 2.3 3区 医学 Q2 HEMATOLOGY
Clarissa E Schilstra, Sarah J Ellis, Andrew Sedger, Mary A Burns, Kimberley Miller, Claire E Wakefield, Richard J Cohn, Suncica Lah, Ursula M Sansom-Daly, Antoinette C Anazodo, Joanna E Fardell
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引用次数: 0

摘要

背景:癌症治疗对儿童和青少年癌症幸存者社会参与的影响仍未得到充分研究。社会参与是长期社会结果的重要决定因素。因此,本研究旨在描述澳大利亚儿童和青少年长期癌症幸存者在治疗后经历社会参与挑战的比例。方法:从儿童癌症幸存者诊所招募年龄在8-25岁(治疗后1-10年)的幸存者。自我报告调查评估了临床/人口学特征,以及癌症治疗前后社会参与的感知水平。幸存者被邀请参加一个可选的、半结构化的访谈,内容是关于他们的癌症经历对他们的社会参与的影响。结果:共有52名儿童/青少年(年龄= 11.9±2.7岁)和21名青壮年(年龄= 20.5±2.1岁)参与。大约16%-36%的儿童/青少年和14%-43%的年轻人认为治疗后社会参与减少(大多数儿童/青少年没有报告诊断前的参与情况)。在采访中,幸存者讨论了癌症治疗期间发生的影响其社会参与的身心健康挑战,但很少提及治疗后的挑战。结论:儿童和青少年癌症幸存者的一部分经历社会参与挑战。然而,从质量上讲,幸存者对社会挑战的描述集中在他们治疗期间的经历,而不是治疗后的经历。这表明,即使没有当前的挑战,一些幸存者认为他们的癌症经历对他们的社会参与产生了持久的影响。这些发现强调需要更大规模的纵向混合方法研究,涉及量身定制的、基于证据的社会参与措施,以记录治疗后幸存者社会参与挑战的流行程度和过程的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Social Participation Among Long-Term Survivors of Childhood and Adolescent Cancer.

Background: The impact of cancer treatment on the social participation of childhood and adolescent cancer survivors remains understudied. Social participation is an important determinant of long-term social outcomes. Therefore, this study aimed to describe the proportion of a cohort of Australian childhood and adolescent long-term cancer survivors experiencing social participation challenges post-treatment.

Methods: Survivors aged 8-25 years (1-10 years post-treatment) were recruited from a childhood cancer survivorship clinic. Self-report surveys assessed clinical/demographic characteristics, and perceived levels of social participation before/after cancer treatment. Survivors were invited to an optional, semi-structured interview about the impact of their cancer experience on their social participation.

Results: A total of 52 children/adolescents (Mage = 11.9 ± 2.7 years) and 21 young adults (Mage = 20.5 ± 2.1 years) participated. Approximately 16%-36% of children/adolescents and 14%-43% of young adults perceived a decrease in social participation post-treatment (most children/adolescents did not report on pre-diagnosis participation). In interviews, survivors discussed physical and mental health challenges that occurred during their cancer treatment that affected their social participation, with limited mention of challenges after treatment.

Conclusion: A subset of survivors of childhood and adolescent cancer experiences social participation challenges. However, qualitatively, survivors' descriptions of social challenges centered on their experiences during treatment, rather than after. This suggests that even in the absence of current challenges, some survivors perceive a lasting impact of their cancer experience on their social participation. These findings highlight need for larger, longitudinal mixed-methods studies involving tailored, evidence-based measures of social participation to document changes in the prevalence and course of social participation challenges for post-treatment survivors.

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来源期刊
Pediatric Blood & Cancer
Pediatric Blood & Cancer 医学-小儿科
CiteScore
4.90
自引率
9.40%
发文量
546
审稿时长
1.5 months
期刊介绍: Pediatric Blood & Cancer publishes the highest quality manuscripts describing basic and clinical investigations of blood disorders and malignant diseases of childhood including diagnosis, treatment, epidemiology, etiology, biology, and molecular and clinical genetics of these diseases as they affect children, adolescents, and young adults. Pediatric Blood & Cancer will also include studies on such treatment options as hematopoietic stem cell transplantation, immunology, and gene therapy.
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