Quillen Joanne, Li Yimei, Demski Michele, Carlson Claire, Bradley Holli, Schwartz Lisa, Ginsberg Jill P, Hobbie Wendy
1 Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
2 Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J Pediatr Oncol Nurs. 2018 Jan/Feb;35(1):56-64. doi: 10.1177/1043454217735828. Epub 2017 Nov 2.
This study underscores the importance of the survivor/parent dynamic in understanding the knowledge level of childhood cancer survivors and their parents with regard to cancer diagnosis, treatments, and potential late effects, and to assess the impact of parental knowledge on survivor's knowledge.
A convenience sample (N = 219 dyads) consisting of childhood cancer survivors with a parent match was used. Survivors 2 years out from completion of therapy, aged 16 to 25 years, and fluent in English or Spanish completed 2 questionnaires to assess adolescent and young adult and parental knowledge regarding diagnosis, treatment, and long-term risks.
Data from the survivor/parent dyad confirm that parents are more knowledgeable than their child regarding treatment specifics. However, survivors are more accurate when assessing second tumor and fertility risk. More knowledgeable parents led to more knowledgeable survivors.
Although parents were well-informed about treatment specifics, they were not as accurate in identifying risks appropriately. Therefore, education must be directed at both parent and survivors to maximize knowledge.
本研究强调了幸存者/父母关系在理解儿童癌症幸存者及其父母对癌症诊断、治疗和潜在晚期效应的知识水平方面的重要性,并评估父母知识对幸存者知识的影响。
采用了一个便利样本(N = 219对),由与父母匹配的儿童癌症幸存者组成。治疗结束两年后、年龄在16至25岁之间、英语或西班牙语流利的幸存者完成了两份问卷,以评估青少年和年轻成年人以及父母对诊断、治疗和长期风险的知识。
来自幸存者/父母对的数据证实,父母在治疗细节方面比他们的孩子更有知识。然而,幸存者在评估二次肿瘤和生育风险时更准确。知识更丰富的父母会使幸存者知识更丰富。
尽管父母对治疗细节了解充分,但他们在正确识别风险方面并不那么准确。因此,必须针对父母和幸存者进行教育,以最大限度地提高知识水平。