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在患者教育发展中发挥患者及家属的作用:支持儿童肿瘤治疗体验

Leveraging the Patient and Family Voice in the Development of Patient Education: Supporting the Pediatric Oncology Experience.

作者信息

Jones Anna M, Marchetta Alyssa, Parris Kendra R, Heidelberg R Elyse, Jurbergs Niki

机构信息

St. Jude Children's Research Hospital, Memphis, TN 38105, USA.

出版信息

Cancers (Basel). 2025 Apr 1;17(7):1201. doi: 10.3390/cancers17071201.

DOI:10.3390/cancers17071201
PMID:40227762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11988127/
Abstract

Given the understandable patient and caregiver distress that often fluctuates across treatment, especially at diagnosis and with major disease milestones, it is important to prioritize interventions that are known to best support families during these key times of transition. Individualized and time-sensitive psychoeducation and anticipatory guidance are effective interventions in reducing distress and fostering adaptive coping across the cancer trajectory and are a standard for the psychosocial care of children with cancer and their families. Patient education materials have proven to be a flexible, accessible, cost-effective, and easily adaptable tool for delivering these interventions to this population. Moreover, within the field, there has been a call to action for the inclusion of patients and families in the development of research study design and clinical programming, recognizing them as the experts of their own experiences. This commentary aims to explore how patients and families can be actively involved in the creation, assessment, and implementation of patient education materials, fostering a collaborative partnership between families and clinicians. We provide detailed examples of this collaboration in the creation of patient education materials focused on promoting coping at diagnosis, supporting siblings and assisting with social reintegration at the end of treatment, promoting responsive caregiving for young children, and supporting caregiver coping through the creation of a podcast. Ultimately, this commentary seeks to emphasize the importance of partnering with patients and families to ensure their voices remain central to intervention development and implementation.

摘要

鉴于患者及其照料者在整个治疗过程中,尤其是在诊断时和重大疾病节点,经常会出现明显的痛苦情绪波动,因此在这些关键的过渡时期,优先考虑那些已知能为家庭提供最佳支持的干预措施非常重要。个性化且时效性强的心理教育和预期指导是减轻痛苦、促进患者在整个癌症病程中适应性应对的有效干预措施,也是癌症患儿及其家庭心理社会护理的标准做法。事实证明,患者教育材料是向这一群体提供这些干预措施的一种灵活、便捷、经济高效且易于调整的工具。此外,在该领域,人们呼吁让患者及其家庭参与研究设计和临床规划的制定,将他们视为自身经历的专家。本评论旨在探讨患者及其家庭如何积极参与患者教育材料的创建、评估和实施,促进家庭与临床医生之间的合作伙伴关系。我们提供了详细示例,展示了在创建患者教育材料过程中的这种合作,这些材料聚焦于促进诊断时的应对、支持兄弟姐妹、协助治疗结束时的社会重新融入、促进对幼儿的响应性照护,以及通过创建播客来支持照料者应对。最终,本评论旨在强调与患者及其家庭合作的重要性,以确保他们的声音在干预措施的开发和实施中始终处于核心地位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1947/11988127/c42599817160/cancers-17-01201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1947/11988127/c42599817160/cancers-17-01201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1947/11988127/c42599817160/cancers-17-01201-g001.jpg

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本文引用的文献

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Integrated Psychological Services in Pediatric Oncology: Caregiver Perspectives at Diagnosis.儿科肿瘤学中的综合心理服务:诊断时照顾者的观点
Cancers (Basel). 2024 Sep 12;16(18):3137. doi: 10.3390/cancers16183137.
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Diversity, Equity, and Inclusion in Patient and Family Advisory Councils: Advancing Best Practice in Children's Hospitals.患者和家属咨询委员会中的多样性、公平性和包容性:推进儿童医院最佳实践。
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Cancer statistics, 2024.2024年癌症统计数据。
CA Cancer J Clin. 2024 Jan-Feb;74(1):12-49. doi: 10.3322/caac.21820. Epub 2024 Jan 17.
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Pediatric psychosocial preventative health model: Achieving equitable psychosocial care for children and families.儿科心理社会预防性健康模式:为儿童和家庭提供公平的心理社会关怀。
Fam Syst Health. 2024 Mar;42(1):76-89. doi: 10.1037/fsh0000856. Epub 2023 Nov 27.
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Gamification: a Novel Approach to Mental Health Promotion.游戏化:一种促进心理健康的新方法。
Curr Psychiatry Rep. 2023 Nov;25(11):577-586. doi: 10.1007/s11920-023-01453-5. Epub 2023 Oct 6.
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Nothing About Us Without Us: Involving Youth Living With HIV in a Virtual Advisory Board.没有我们的参与,就没有我们的权益:让感染艾滋病毒的青年参与虚拟顾问委员会。
J Adolesc Health. 2023 Dec;73(6):1158-1161. doi: 10.1016/j.jadohealth.2023.06.028. Epub 2023 Sep 4.
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Effectiveness of psychoeducation interventions in reducing negative psychological outcomes and improving coping skills in caregivers of children with cancer: A systematic review and meta-analysis.心理教育干预对降低癌症患儿照料者负面心理结果及提高应对技能的有效性:一项系统评价与荟萃分析。
Psychooncology. 2023 Oct;32(10):1514-1527. doi: 10.1002/pon.6208. Epub 2023 Aug 28.
8
Pediatric patient engagement in clinical care, research and intervention development: a scoping review.儿科患者参与临床护理、研究和干预措施制定:范围综述。
J Patient Rep Outcomes. 2023 Mar 29;7(1):32. doi: 10.1186/s41687-023-00566-y.
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Stakeholder engagement to inform evidence-based treatment implementation for children's mental health: a scoping review.利益相关者参与为儿童心理健康提供循证治疗实施的信息:一项范围综述。
Implement Sci Commun. 2022 Jul 29;3(1):82. doi: 10.1186/s43058-022-00327-w.
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J Particip Med. 2018 Feb 1;10(1):e5. doi: 10.2196/jopm.8957.