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香港儿童癌症幸存者的社会心理幸福感和生活质量描述性研究。

A descriptive study of the psychosocial well-being and quality of life of childhood cancer survivors in Hong Kong.

机构信息

School of Nursing, Lee Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.

出版信息

Cancer Nurs. 2012 Nov-Dec;35(6):447-55. doi: 10.1097/NCC.0b013e31823fcb53.

DOI:10.1097/NCC.0b013e31823fcb53
PMID:22228396
Abstract

BACKGROUND

Research indicates that increased survival rates are accompanied by an increase in associated psychosocial problems. Whereas much of the attention has focused on the physiological care of childhood cancer survivors, the consequences of cancer and its treatments on psychosocial well-being and quality of life remain relatively underexplored.

OBJECTIVE

The aim of this study was to describe the psychosocial well-being and quality of life of Hong Kong Chinese childhood cancer survivors.

METHODS

A cross-sectional study was used. A total of 137 childhood cancer survivors (9- to 16-year olds) who underwent medical follow-up in the outpatient clinic were invited to participate in the study.

RESULTS

A significant number of childhood cancer survivors had low self-esteem and experienced high levels of depression. The study also indicated that greater symptoms of depression in childhood cancer survivors were associated with higher state anxiety, lower self-esteem, and poor quality of life.

CONCLUSIONS

Cancer and its treatments can have adverse effects on the psychosocial well-being and quality of life of survivors.

IMPLICATIONS FOR PRACTICE

It is essential for nurses to develop and evaluate interventions with the aim of promoting psychosocial well-being and quality of life for childhood cancer survivors. Knowing the self-esteem and coping behavior of survivors can help design appropriate and effective psychosocial interventions to promote their psychosocial well-being.

摘要

背景

研究表明,存活率的提高伴随着相关心理社会问题的增加。虽然人们对儿童癌症幸存者的生理护理给予了大量关注,但癌症及其治疗对心理社会健康和生活质量的影响仍相对未得到充分探索。

目的

本研究旨在描述香港华裔儿童癌症幸存者的心理社会健康和生活质量。

方法

采用横断面研究。共邀请了 137 名在门诊接受医疗随访的 9 至 16 岁儿童癌症幸存者参与研究。

结果

相当数量的儿童癌症幸存者自尊心较低,经历了较高水平的抑郁。研究还表明,儿童癌症幸存者的抑郁症状越严重,状态焦虑越高,自尊心越低,生活质量越差。

结论

癌症及其治疗会对幸存者的心理社会健康和生活质量产生不利影响。

实践意义

护士必须制定和评估干预措施,以促进儿童癌症幸存者的心理社会健康和生活质量。了解幸存者的自尊心和应对行为有助于设计适当和有效的心理社会干预措施,以促进他们的心理社会健康。

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