Rauch Paula K, Muriel Anna C
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, WACC 725, 15 Parkman Street, Boston, MA 02114-2696, USA.
Crit Rev Oncol Hematol. 2004 Jan;49(1):37-42. doi: 10.1016/s1040-8428(03)00095-7.
Almost one quarter of all cancer patients in the United States is estimated to have children under 18-years-old living with them. However, there is limited research on how children's functioning is affected by parental cancer, and the impact of parenting concerns on treatment decisions. This paper will review the literature and hypothesize about why addressing the needs of the children has not been part of routine cancer care. In addition, we will make a case for the importance of including parenting issues in cancer care, and in assessments of treatment decision-making and quality of life. We also describe a clinical program that is attempting to address these issues, and offer practical recommendations for oncologists who want to help parents with cancer and their partners support their children through the challenges of cancer treatment.
据估计，美国几乎四分之一的癌症患者有18岁以下的子女与他们同住。然而，关于父母患癌如何影响孩子的机能，以及育儿问题对治疗决策的影响，相关研究有限。本文将回顾文献，并推测为何关注儿童需求尚未成为癌症常规护理的一部分。此外，我们将阐明在癌症护理以及治疗决策和生活质量评估中纳入育儿问题的重要性。我们还描述了一个试图解决这些问题的临床项目，并为那些希望帮助患癌父母及其伴侣支持孩子应对癌症治疗挑战的肿瘤学家提供实用建议。
