School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Division of Pediatric Hematology-Oncology, Department of Pediatrics, Mackay Children's Hospital and Mackay Medical College, Taipei, Taiwan.
J Pediatr Nurs. 2022 Nov-Dec;67:e1-e8. doi: 10.1016/j.pedn.2022.10.012. Epub 2022 Nov 4.
This study aimed to understand the difference in psychosocial adaptation among childhood cancer survivors, their healthy siblings and peers, and the factors affecting the psychosocial adaptation of these cancer survivors.
A total of 222 children (ages 8-17) including childhood cancer survivors, their siblings, and healthy peers participated in this cross-sectional study. All the children completed the anxiety and quality of life scales for their age groups.
Anxiety levels and quality of life were similar among the childhood cancer survivors, their siblings, and their peers. The anxiety of elementary school-age survivors of acute leukemia was higher than that of those with solid tumors. Elementary school-age survivors who completed three or more years of treatment had lower anxiety than those who completed treatment within the three years. For adolescent survivors, the higher their body mass index, the higher their anxiety, which was associated with low quality of life. Those diagnosed with anxiety and at an older age had lower quality of life.
Although there were no differences in survivors' psychosocial adaptation compared to their siblings and healthy peers, more than half of these adolescents had moderate to severe anxiety. Future study may need to explore the causes of their anxiety.
During the follow-ups of the childhood cancer survivors, age-specific adaptive strategies can be discussed to reduce their anxiety and improve their quality of life.
本研究旨在了解儿童癌症幸存者及其健康兄弟姐妹和同龄人之间的心理社会适应差异，以及影响这些癌症幸存者心理社会适应的因素。
共有 222 名儿童（8-17 岁）参与了这项横断面研究，包括儿童癌症幸存者、他们的兄弟姐妹和健康同龄人。所有儿童都完成了适合其年龄组的焦虑和生活质量量表。
癌症幸存者及其兄弟姐妹和同龄人之间的焦虑水平和生活质量相似。小学年龄急性白血病幸存者的焦虑程度高于实体瘤幸存者。完成三年以上治疗的小学年龄幸存者的焦虑程度低于三年内完成治疗的幸存者。对于青少年幸存者，其体重指数越高，焦虑程度越高，生活质量越低。被诊断患有焦虑症和年龄较大的幸存者生活质量较低。
尽管幸存者的心理社会适应与他们的兄弟姐妹和健康同龄人相比没有差异，但这些青少年中有一半以上有中度至重度焦虑。未来的研究可能需要探讨他们焦虑的原因。
在儿童癌症幸存者的随访期间，可以讨论特定年龄的适应策略，以降低他们的焦虑并提高他们的生活质量。
