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儿科癌症的症状体验:当前的概念化和未来方向。

The Symptom Experience in Pediatric Cancer: Current Conceptualizations and Future Directions.

机构信息

Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, M5T 1P8, Toronto, Canada.

Child Health Evaluative Sciences, Hospital for Sick Children, 686 Bay Street, Toronto, M5G 0A4, Canada.

出版信息

Curr Oncol Rep. 2022 Apr;24(4):443-450. doi: 10.1007/s11912-022-01222-2. Epub 2022 Feb 12.

DOI:10.1007/s11912-022-01222-2
PMID:35150393
Abstract

PURPOSE OF REVIEW

We aimed to review the recent research on the childhood cancer symptom experience pertaining to socioeconomic factors, biology and genetics, growth and development, family psychosocial dynamics, and social and treating environments to begin to formulate recommendations for a personalized approach to symptom management.

RECENT FINDINGS

Cancer symptoms are common and distressing in children and negatively impact child and family quality of life. Many interacting factors influence children's cancer symptoms experiences, including the assessment and management of such symptoms. This paper highlights several gaps in the research related to the cancer symptom experience including routine symptom assessment, the impact of socioeconomic, biological, and genetic factors on symptoms, and the establishment of effective symptom management partnerships with families. Based on our findings, we provide recommendations related to that research which is ready to be implemented into clinical practice and areas for needed future efforts.

摘要

目的综述

本研究旨在综述与社会经济因素、生物学和遗传学、生长发育、家庭心理社会动态以及社会和治疗环境相关的儿童癌症症状体验的最新研究,以期为症状管理的个性化方法制定建议。

最近的发现

癌症症状在儿童中很常见且令人痛苦,并对儿童及其家庭的生活质量产生负面影响。许多相互作用的因素影响儿童的癌症症状体验,包括对这些症状的评估和管理。本文强调了与癌症症状体验相关的研究中的几个空白,包括常规症状评估、社会经济、生物学和遗传学因素对症状的影响,以及与家庭建立有效的症状管理伙伴关系。基于我们的发现,我们提出了与该研究相关的建议,这些建议已经准备好被应用于临床实践,并为未来需要努力的领域提供了方向。

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本文引用的文献

1
Disparities in pediatric psychosocial oncology utilization.儿科心理肿瘤学利用的差异。
Pediatr Blood Cancer. 2021 Nov;68(11):e29342. doi: 10.1002/pbc.29342. Epub 2021 Sep 14.
2
Patients, caregivers, and clinicians differ in performance status ratings: Implications for pediatric cancer clinical trials.患者、照料者和临床医生在表现状态评估上存在差异:对儿科癌症临床试验的影响。
Cancer. 2021 Oct 1;127(19):3664-3670. doi: 10.1002/cncr.33740. Epub 2021 Jul 1.
3
The Physical Health of Caregivers of Children With Life-Limiting Conditions: A Systematic Review.
超越症状存在:门诊青少年癌症及其他生命终末期患者的自我报告心理社会困扰干扰。
Pediatr Blood Cancer. 2024 Dec;71(12):e31273. doi: 10.1002/pbc.31273. Epub 2024 Sep 24.
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Exploring Inflammation and Stress as Biological Correlates of Symptoms in Children With Advanced Cancer: A Longitudinal Feasibility Study.探讨炎症和应激作为晚期癌症儿童症状的生物学相关因素:一项纵向可行性研究。
J Pediatr Hematol Oncol Nurs. 2024 May-Jun;41(3):157-171. doi: 10.1177/27527530231214544. Epub 2024 Apr 8.
5
Analysis of the factors influencing moderate to poor performance status in patients with cancer after chemotherapy: a cross-sectional study comparing three models.分析化疗后癌症患者中中重度表现状态不良的影响因素:三种模型比较的横断面研究。
Sci Rep. 2024 Feb 9;14(1):3336. doi: 10.1038/s41598-024-53481-7.
6
How we approach sharing child-caregiver PRO disagreement.如何处理亲子照料者意见不合的问题。
Pediatr Blood Cancer. 2024 Feb;71(2):e30783. doi: 10.1002/pbc.30783. Epub 2023 Nov 27.
7
A Randomized Controlled Trial of Animal-assisted Activities for Pediatric Oncology Patients: Psychosocial and Microbial Outcomes.一项针对儿科肿瘤患者的动物辅助活动随机对照试验:心理社会和微生物学结果。
J Pediatr Health Care. 2024 May-Jun;38(3):354-364. doi: 10.1016/j.pedhc.2023.09.010. Epub 2023 Nov 4.
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