Johnson Ann, Rice Marti, Turner-Henson Anne, Haase Joan E, Azuero Andres
Texas Christian University.
University of Alabama in Birmingham.
Oncol Nurs Forum. 2018 Nov 1;45(6):775-785. doi: 10.1188/18.ONF.775-785.
To explore and estimate relationships among the elements of the symptom cluster in survivors of brain tumors aged 8-12 years during early survivorship.
SAMPLE & SETTING: Child participants completed treatment at least six months and less than six years prior to enrollment at Children's Hospital of Alabama in Birmingham or Cook Children's Medical Center in Fort Worth, Texas.
METHODS & VARIABLES: With cross-sectional methods, the authors measured child-perceived stress, sleep-wake disturbance (SWD) (parent report), and fatigue. Children also provided saliva samples for cortisol measurement (stress response) and completed actigraphy sleep monitoring.
Mild to moderate stress, SWD, and fatigue were reported, and a wide range of sleep times and cortisol levels were noted. Meaningful effect sizes in relationships between variables were found.
The stress, SWD, and fatigue symptom cluster in survivorship necessitates routine nursing assessment.
探讨并评估8至12岁脑肿瘤幸存者在早期生存期间症状群各要素之间的关系。
儿童参与者在阿拉巴马州伯明翰市的阿拉巴马儿童医院或德克萨斯州沃思堡市的库克儿童医疗中心登记入学前至少六个月且不到六年完成治疗。
采用横断面方法，作者测量了儿童感知到的压力、睡眠-觉醒障碍（SWD）（家长报告）和疲劳。儿童还提供唾液样本用于皮质醇测量（应激反应）并完成活动记录仪睡眠监测。
报告了轻度至中度的压力、SWD和疲劳，且记录到广泛的睡眠时间和皮质醇水平。发现变量之间的关系中有显著的效应量。
生存期间的压力、SWD和疲劳症状群需要进行常规护理评估。
