1 Discipline of Paediatrics, School of Women's and Children's Health , UNSW Sydney, Kensington, Australia .
2 Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital , Randwick, Australia .
J Adolesc Young Adult Oncol. 2018 Apr;7(2):143-147. doi: 10.1089/jayao.2017.0086. Epub 2017 Nov 10.
Adolescents and young adults (AYAs) with cancer have unique needs around education and vocation during and after treatment. This narrative review series aims at documenting the unique needs of AYAs from the current literature and at providing recommendations to inform an update of the Australian National Service Delivery Framework for AYAs with Cancer. AYAs with cancer may experience impairments to cognitive, physical, and psychological functioning and health, which can adversely affect their academic grades, peer relationships, and likelihood of entering the workforce. Treatment expenses and time off work can stifle AYAs' financial independence from their parents. The combined effect of disrupted education, vocation, and financial dependence can reduce AYAs' sense of identity. Although support is available in some countries, support efficacy is yet to be clearly established. Continued research is required to deliver successful education and work reintegration programs that build the confidence of AYAs with cancer to achieve their best. Educational and vocational support, as well as financial advice, may improve AYAs' financial security and quality of life during survivorship.
青少年和青年癌症患者在治疗期间和治疗后，在教育和职业方面有独特的需求。本系列叙述性评论旨在记录当前文献中青少年和青年癌症患者的独特需求，并提供建议，为更新澳大利亚青少年癌症患者国家服务提供框架提供信息。青少年癌症患者可能会出现认知、身体和心理功能及健康受损的情况，这会对他们的学业成绩、同伴关系和进入劳动力市场的可能性产生不利影响。治疗费用和停工会阻碍青少年癌症患者从父母那里获得经济独立。教育、职业和经济依赖的综合影响会削弱青少年癌症患者的身份认同感。尽管一些国家提供了支持，但支持效果尚未明确确定。需要继续研究，以提供成功的教育和工作重新融入计划，增强青少年癌症患者的信心，使他们能够发挥最佳水平。教育和职业支持以及财务建议可以提高青少年癌症患者在生存期间的经济安全性和生活质量。
