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癌症及其治疗对儿科患者生长发育的影响。

The Impact of Cancer and its Treatment on the Growth and Development of the Pediatric Patient.

作者信息

Brand Sarah, Wolfe Joanne, Samsel Chase

机构信息

Dana-Farber Cancer Institute, 450 Brookline Avenue, SW360E, Boston, MA 02115. United States.

Department of Medicine, Boston Children`s Hospital, MA. United States.

出版信息

Curr Pediatr Rev. 2017;13(1):24-33. doi: 10.2174/1573396313666161116094916.

Abstract

BACKGROUND

Cancer treatment can have profound effects on the growth and development of pediatric patients. Different models of psychosocial development and behavioral treatment approaches aid children receiving medical treatment. Providing education, anticipatory guidance, and individualized support to child and their families is a psychosocial standard.

OBJECTIVE

Clarify the different models of psychosocial development and applicable psychosocial interventions to better prepare and tailor cancer treatment to pediatric patients.

METHODS

Authors reviewed existing evidenced-based literature in oncology, psychology, developmental, and psychiatric while drawing on case examples and expert knowledge to illustrate the impact of cancer treatment on pediatric patients, analyze developmentally individualized needs, and describe facilitative interventions.

RESULT

Pediatric patients of all ages cope and adjust better to all phases of treatment when their care is delivered in a developmentally-informed and psychosocially thoughtful way.

CONCLUSION

Providers can comprehensively prepare their patients and families for treatment better by utilizing a psychosocially- and developmentally-informed framework while meeting individualized unique needs of patients. An integrated multidisciplinary psychosocial support team is facilitative in anticipating and meeting the needs of pediatric cancer patients and has recently become a psychosocial standard of care.

摘要

背景

癌症治疗会对儿科患者的生长发育产生深远影响。不同的心理社会发展模式和行为治疗方法有助于接受治疗的儿童。为儿童及其家庭提供教育、预期指导和个性化支持是一项心理社会标准。

目的

阐明不同的心理社会发展模式和适用的心理社会干预措施,以便更好地为儿科患者准备和调整癌症治疗方案。

方法

作者回顾了肿瘤学、心理学、发育学和精神病学领域现有的循证文献,同时借鉴案例和专家知识来说明癌症治疗对儿科患者的影响,分析个性化的发育需求,并描述促进性干预措施。

结果

当以符合发育特点且考虑心理社会因素的方式提供护理时,各年龄段的儿科患者对治疗的各个阶段都能更好地应对和适应。

结论

通过利用一个考虑心理社会和发育因素的框架,同时满足患者的个性化独特需求,医疗服务提供者可以更好地全面为患者及其家庭做好治疗准备。一个综合的多学科心理社会支持团队有助于预测和满足儿科癌症患者的需求,并且最近已成为心理社会护理标准。

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