小儿后颅窝肿瘤幸存者：认知结果、干预措施及基于风险的护理
Survivors of pediatric posterior fossa tumors: cognitive outcome, intervention, and risk-based care.
作者信息
Palmer Shawna L, Leigh Laurie
机构信息
Department of Behavioral Medicine, St Jude Children's Research Hospital; Memphis, TN 38105-2794, USA.
出版信息
Eur J Oncol Nurs. 2009 Jul;13(3):171-8. doi: 10.1016/j.ejon.2008.09.002. Epub 2008 Nov 18.
Abstract
Adolescent and young adult survivors of posterior fossa tumors face a wide variety of functional challenges following treatment. The concept of survival needs to include plans to regularly monitor and effectively respond to those patients considered at risk for continued morbidities associated with cancer and its treatment. The nature of impairment experienced by survivors is discussed, including predominant patient- and treatment-related risk factors. A model to respond to the cognitive needs of survivors, including risk-based evaluation and intervention, is proposed. It is imperative for the success of the survivor that a team approach is taken to care. This approach must include improving the awareness and education of teachers and other education specialists who interact with this population of survivors. There is also an obligation to put forth effort in developing and validating efficacious intervention programs.
摘要
后颅窝肿瘤的青少年和青年幸存者在治疗后面临各种各样的功能挑战。生存的概念需要包括对那些被认为有患与癌症及其治疗相关的持续疾病风险的患者进行定期监测和有效应对的计划。文中讨论了幸存者所经历的损伤的性质，包括主要的患者相关和治疗相关风险因素。提出了一个应对幸存者认知需求的模型，包括基于风险的评估和干预。对于幸存者的成功而言，采取团队护理方法至关重要。这种方法必须包括提高与这群幸存者互动的教师和其他教育专家的意识和教育水平。还有义务努力开发和验证有效的干预项目。
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