Susanah Susi, Modjaningrat Ismiana Fatimah, Sari Nur Melani, Suryawan Nur
Hematology Oncology Division, Department of Child Health Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Universitas Padjadjaran, Bandung, Indonesia.
Glob Pediatr Health. 2022 Jul 6;9:2333794X221109767. doi: 10.1177/2333794X221109767. eCollection 2022.
Factors influence a person's health seeking behavior related to abandonment rate on pediatric oncology treatment during this pandemic is unknown. The aim is to identify factors influencing abandonment rates in early pandemic. This was a cross-sectional studies during early pandemic and analyze factors in parents whose children had treatment for malignancy contribute to their children's abandonment treatment rate through guided interview using questionnaire. The characteristic related significantly with treatment abandonment is maternal education. It is found that patients whose mother had education less than secondary school was 1.315 (CI 1.013-1.707) having risk experience abandonment treatment. Parental perception related to impact of COVID-19 was significantly related to treatment abandonment rate with RR 0.202 (CI 0.86-0.471). Patients whose parents have positive perception how abandonment treatment affect their child outcome, believe that doctor has taken step to prevent COVID-19 transmission during treatment, and receive information about COVID-19, having less risk being abandonment treatment.
在此次疫情期间，影响儿童肿瘤治疗期间弃疗率的相关因素尚不清楚。目的是确定疫情早期影响弃疗率的因素。这是一项疫情早期的横断面研究，通过使用问卷进行引导式访谈，分析其子女患有恶性肿瘤且正在接受治疗的父母中导致其子女弃疗率的因素。与治疗弃疗显著相关的特征是母亲的教育程度。研究发现，母亲受教育程度低于中学的患者接受弃疗的风险是1.315（置信区间1.013 - 1.707）。父母对新冠疫情影响的认知与治疗弃疗率显著相关，相对危险度为0.202（置信区间0.86 - 0.471）。父母对弃疗如何影响孩子预后持积极看法、相信医生在治疗期间已采取措施预防新冠病毒传播以及收到有关新冠疫情信息的患者，接受弃疗的风险较低。
