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探究父母对其患癌后康复的年幼子女饮食习惯的看法。

Exploring the views of parents regarding dietary habits of their young cancer-surviving children.

作者信息

Cohen Jennifer, Wakefield Claire E, Tapsell Linda C, Walton Karen, Fleming Catharine A K, Cohn Richard J

机构信息

Kids Cancer Centre, Sydney Children's Hospital, High Street, Randwick, 2031, NSW, Australia,

出版信息

Support Care Cancer. 2015 Feb;23(2):463-71. doi: 10.1007/s00520-014-2394-x. Epub 2014 Aug 17.

Abstract

PURPOSE

Adult survivors of childhood cancer have a poor dietary intake. These habits may be manifesting themselves soon after treatment completion. This qualitative study aimed to assess parental views regarding the dietary habits of young child cancer survivors.

METHODS

The parents/carers of 18 young child cancer patients (YCCP) treated at Sydney Children's Hospital, Australia (<5 years since treatment completion and <13 years of age), participated in this study. Eighteen age- and sex-matched healthy controls were recruited from Sydney-based community organizations. The interview schedule was semi-structured, and the interview was conducted over the telephone. Interviews were conducted until thematic saturation was reached. Coding and analysis was facilitated by qualitative analysis software.

RESULTS

Three main themes emerged regarding parental perceptions of YCCP current intake as compared with their pre-diagnosis eating habits: (1) decreased fruit and vegetable intake, (2) increased consumption of "junk food," and (3) increased portion sizes. Parents also described a continuation of poor eating habits that were established during their cancer treatment. The eating habits of YCCP were substantively different to that described by parents of the control group.

CONCLUSION

This exploratory project revealed parental concern regarding their child's dietary intake once the cancer treatment had been completed. The varying habits of YCCP are likely multifactorial and may be related to treatment-related side effects and food habits established during the cancer treatment.

摘要

目的

儿童癌症成年幸存者的饮食摄入情况不佳。这些习惯可能在治疗结束后不久就会显现出来。这项定性研究旨在评估家长对儿童癌症幸存者饮食习惯的看法。

方法

澳大利亚悉尼儿童医院治疗的18名儿童癌症患者(YCCP)的父母/照料者(治疗结束后<5年且年龄<13岁)参与了本研究。从悉尼的社区组织招募了18名年龄和性别匹配的健康对照者。访谈提纲为半结构化,通过电话进行访谈。访谈持续进行直至达到主题饱和。借助定性分析软件进行编码和分析。

结果

与诊断前的饮食习惯相比,家长对YCCP当前摄入量的看法出现了三个主要主题:(1)水果和蔬菜摄入量减少,(2)“垃圾食品”消费增加,(3)食量增加。家长们还描述了在癌症治疗期间养成的不良饮食习惯仍在持续。YCCP的饮食习惯与对照组家长描述的有很大不同。

结论

这个探索性项目揭示了家长在癌症治疗结束后对孩子饮食摄入情况的担忧。YCCP不同的饮食习惯可能是多因素造成的,可能与治疗相关的副作用以及癌症治疗期间养成的饮食习惯有关。

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