Simon Arne, Siebald Benjamin, Stamm Walther, Graf Norbert, Meier Stephan, Schrappe Martin, Groll Andreas H, Laws Hans-Jürgen, Lehrnbecher Thomas
Pediatric Hematology and Oncology, Children's Hospital Medical Center, University Clinics, Homburg, Germany.
Division for Pediatric Hematology and Oncology, Hospital for Children and Adolescents, University Hospital, Goethe University Frankfurt am Main, Frankfurt, Germany.
GMS Hyg Infect Control. 2021 Mar 5;16:Doc10. doi: 10.3205/dgkh000381. eCollection 2021.
In this multicenter survey (July 07 to August 08, 2020) in pediatric oncology centers (POCs) belonging to the German Society for Pediatric Oncology and Hematology (GPOH), 36 POCs participated (response rate 70.6%). Home schooling practice was judged as satisfying by 79% prior to and by 38% during the pandemic (=0.0007). The individual risk of a SARS-CoV-2 infection and the risk of transmission to other patients/caregivers were arguments against attendance. Most POCs recommended regular social participation/school attendance after the end of intensive therapy. 81% stated that persisting restrictions result in serious negative psychosocial consequences for the patients and their families. In-hospital school education, home schooling and re-attendance of school and kindergarten among pediatric cancer patients have suffered a severe setback during the SARS-CoV-2 pandemic. Continuous communication and education concerning protective measures as well as an individual risk assessment are required to avoid the detrimental exclusion of pediatric oncology patients from kindergarten and school.
在2020年7月7日至8月8日于德国儿科肿瘤学和血液学协会（GPOH）下属的儿科肿瘤中心（POC）开展的这项多中心调查中，36个POC参与其中（回复率为70.6%）。疫情之前，79%的人认为在家上学的做法令人满意，而在疫情期间这一比例为38%（P = 0.0007）。感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的个人风险以及传染给其他患者/护理人员的风险是反对上学的理由。大多数POC建议在强化治疗结束后让患者定期参与社交活动/返校上课。81%的人表示，持续存在的限制给患者及其家庭带来了严重的负面心理社会后果。在SARS-CoV-2疫情期间，儿科癌症患者的院内学校教育、在家上学以及重返学校和幼儿园都遭受了严重挫折。需要就防护措施持续进行沟通和教育，并进行个人风险评估，以避免儿科肿瘤患者被幼儿园和学校不利地排除在外。
