Spencer Jennifer
Pediatric Oncology Nurse Practitioner Program, University of Pennsylvania, USA.
J Pediatr Oncol Nurs. 2006 Nov-Dec;23(6):321-5. doi: 10.1177/1043454206293270.
With the increasing number of children becoming long-term cancer survivors, it has become evident that these survivors are experiencing long-term neurocognitive deficits. Many of these deficits have been found to be the result of cancer-related therapies including intravenous and intrathecal chemotherapy and cranial radiation. These neurocognitive deficits include learning disabilities, cognitive deficits, attention disorders, and difficulties with memory. Cognitive remediation therapy uses a systematic approach to learning strategies that is aimed to equip these affected children with proper, effective, and proven learning strategies. This article will briefly discuss the neurocognitive deficits experienced by long-term childhood cancer survivors. Cognitive remediation therapy will then be introduced with specific attention to the cognitive remediation program developed by Butler and Copeland. Finally, implications for practice and future research will be discussed.
随着越来越多的儿童成为长期癌症幸存者,显而易见的是,这些幸存者正经历着长期的神经认知缺陷。已发现其中许多缺陷是由癌症相关治疗导致的,包括静脉内和鞘内化疗以及颅脑放疗。这些神经认知缺陷包括学习障碍、认知缺陷、注意力障碍和记忆困难。认知康复疗法采用系统的学习策略方法,旨在为这些受影响的儿童提供适当、有效且经过验证的学习策略。本文将简要讨论长期儿童癌症幸存者所经历的神经认知缺陷。随后将介绍认知康复疗法,并特别关注巴特勒和科普兰开发的认知康复项目。最后,将讨论对实践和未来研究的启示。