Lönnerblad Malin, Lovio Riikka, Berglund Eva, Van't Hooft Ingrid
1 Neuropediatric Unit, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
2 Department of Special Education, Stockholm University, Stockholm, Sweden.
J Pediatr Oncol Nurs. 2017 Nov/Dec;34(6):397-405. doi: 10.1177/1043454217717237. Epub 2017 Jul 21.
The aim of this study was to investigate the test results of reading speed, reading comprehension, word comprehension, spelling, basic arithmetic skills, and number sense (intuitive understanding of numbers) by children treated for brain tumors. This is a retrospective study based on medical records, including standardized academic tests. In the years of 2010 to 2014, all children in the area of Stockholm between 7 and 18 years (IQ <70) who had no major linguistic or motor difficulties after they had undergone treatment for brain tumors were offered a special education assessment one year after treatment, at school start, or the year before a transition from one stage to another. Our results indicate that children treated for a brain tumor are at risk of having difficulties in spelling, reading speed, and arithmetic and that the test performance may decline over years in arithmetic and spelling. Children diagnosed at age 0 to 6 years may need extra tutoring at school start, especially in basic arithmetic skills. In both reading and mathematics, many children perform better on tests focused on understanding than on tests focused on speed. Continuous special needs assessments including different aspects of literacy and numeracy, are important for understanding each child's specific needs.
本研究的目的是调查接受脑肿瘤治疗的儿童在阅读速度、阅读理解、单词理解、拼写、基本算术技能和数字感（对数字的直观理解）方面的测试结果。这是一项基于医疗记录的回顾性研究，包括标准化的学业测试。在2010年至2014年期间，斯德哥尔摩地区所有7至18岁（智商<70）且在接受脑肿瘤治疗后没有严重语言或运动障碍的儿童，在治疗后一年、入学时或从一个阶段过渡到另一个阶段的前一年，都接受了一次特殊教育评估。我们的结果表明，接受脑肿瘤治疗的儿童在拼写、阅读速度和算术方面有出现困难的风险，并且算术和拼写方面的测试成绩可能会逐年下降。0至6岁被诊断出的儿童在入学时可能需要额外辅导，尤其是在基本算术技能方面。在阅读和数学方面，许多儿童在侧重于理解的测试中比在侧重于速度的测试中表现更好。持续进行包括读写能力和计算能力不同方面的特殊需求评估，对于了解每个孩子的具体需求很重要。
