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白血病患儿的生物心理社会需求——一项系统综述

Biopsychosocial needs of leukemic children - A systematic review.

作者信息

Kasinathan Kannan, Rajkumar Rajamanickam, Rajendran Shankar Shanmugam, Anbalagan Marudan, Ramasamy Revathi, Ramu Bama

机构信息

Research Scholar, Meenakshi Academy of Higher Education & Research(DU), Chennai & Department of Child Health Nursing, College of Nursing, Madras Medical College, Chennai , India.

Department of Community Medicine, Meenakshi Medical College & Research Institute & MAHER(DU), Kanchipuram, Tamil Nadu, India.

出版信息

Bioinformation. 2024 Dec 31;20(12):1678-1682. doi: 10.6026/9732063002001678. eCollection 2024.

Abstract

Leukaemia, particularly Acute Lymphoblastic Leukaemia (ALL) and Acute Myeloblastic Leukaemia (AML), is the second leading cause of death among children aged 0-14, with survival rates of 80-90% achieved through improved treatment. Despite these advancements, challenges persist in early detection, as most cases are identified through non-standardized methods, highlighting the need for better adherence to guidelines for early recognition. A systematic review following PRISMA guidelines explored the biopsychosocial needs of children with leukaemia, focusing on mental health, emotional well-being and quality of life. The review identified significant gaps in post-treatment care, emphasized the importance of parent education and underscored the necessity for comprehensive approaches to address psychosocial and emotional challenges. Tailored interventions that address medical, emotional and social needs are crucial to improving symptom control and quality of life. In contrast, further research is needed to standardise assessment methods for pediatric leukaemia patients.

摘要

白血病,尤其是急性淋巴细胞白血病(ALL)和急性髓细胞白血病(AML),是0至14岁儿童的第二大死因,通过改进治疗,生存率达到了80%至90%。尽管取得了这些进展,但早期检测仍存在挑战,因为大多数病例是通过非标准化方法确诊的,这凸显了更好地遵循早期识别指南的必要性。一项遵循PRISMA指南的系统综述探讨了白血病患儿的生物心理社会需求,重点关注心理健康、情绪健康和生活质量。该综述发现治疗后护理存在重大差距,强调了家长教育的重要性,并强调了采用综合方法应对心理社会和情绪挑战的必要性。针对医疗、情感和社会需求的量身定制干预措施对于改善症状控制和生活质量至关重要。相比之下,需要进一步研究以标准化儿科白血病患者的评估方法。

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