Maurice-Stam Heleen, Grootenhuis Martha A, Brons Paul P T, Caron Huib N, Last Bob F
Pediatric Psychosocial Department, Emma Children's Hospital, Academic Medical Center, University of Amsterdam, The Netherlands.
J Pediatr Hematol Oncol. 2007 Aug;29(8):540-50. doi: 10.1097/MPH.0b013e3181256b66.
The purpose of the study was to identify psychosocial correlates of Health-Related Quality of Life (HRQoL) in pediatric cancer patients after completion of cancer treatment. Multiple regression analyses were performed to predict self-reported HRQoL of 52 patients aged 8 to 15 years, and parent-reported HRQoL of 54 patients aged 1 to 5 years. Cognitive coping, family functioning, parental emotional reactions, communication about the disease, and several medical variables were included in the regression models. Better HRQoL was especially associated with more positive expectations of the further course of the disease and less frequent parental asking after disease-related emotions of the child. Interventions should include "positive thinking" as a coping strategy. Several other psychosocial variables were indicative of better HRQoL but further research is needed to confirm and to understand the relationship between psychosocial variables and HRQoL.
该研究的目的是确定癌症治疗结束后儿科癌症患者健康相关生活质量(HRQoL)的社会心理相关因素。进行了多元回归分析,以预测52名8至15岁患者自我报告的HRQoL,以及54名1至5岁患者家长报告的HRQoL。回归模型中纳入了认知应对、家庭功能、父母情绪反应、关于疾病的沟通以及几个医学变量。更好的HRQoL尤其与对疾病进一步发展的更积极期望以及父母较少频繁询问孩子与疾病相关的情绪有关。干预措施应包括将“积极思考”作为一种应对策略。其他几个社会心理变量表明HRQoL较好,但需要进一步研究来证实并理解社会心理变量与HRQoL之间的关系。