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童年癌症的青少年幸存者:生物心理社会挑战以及从生存到生活质量的转变。

Adolescent Survivors of Childhood Cancer: Biopsychosocial Challenges and the Transition from Survival to Quality of Life.

作者信息

Pawłowski Piotr, Ziętara Karolina Joanna, Zaj Natalia, Samardakiewicz-Kirol Emilia, Samardakiewicz Marzena

机构信息

Student Scientific Association at the Department of Psychology, Faculty of Medicine, Medical University of Lublin, 20-093 Lublin, Poland.

Simulation Laboratory for Patient Safety, Department of Medical Education, Medical University of Lublin, 20-093 Lublin, Poland.

出版信息

Children (Basel). 2025 Jul 25;12(8):980. doi: 10.3390/children12080980.

Abstract

BACKGROUND/OBJECTIVES: The increasing population of childhood cancer survivors presents new challenges for healthcare systems worldwide. While advances in oncological treatments have dramatically improved survival rates, survivors face a broad spectrum of late effects that extend beyond the biological to encompass profound psychological and social dimensions.

METHODS

This quasi-systematic review synthesizes data from recent studies on adolescent survivors, revealing significant disruptions in cognitive function, mental health, social integration, education, romantic relationships, and vocational outcomes.

RESULTS

This review highlights the inadequacy of a solely biomedical model and advocates for a biopsychosocial approach to long-term follow-up care. An emphasis is placed on the necessity of personalized, interdisciplinary, and developmentally informed interventions, especially in countries like Poland, where structured survivorship care models remain underdeveloped.

CONCLUSIONS

The findings underscore the importance of integrating medical, psychological, and social services to ensure adolescent cancer survivors achieve not only physical recovery but also meaningful life participation and emotional well-being.

摘要

背景/目的:儿童癌症幸存者数量的不断增加给全球医疗系统带来了新挑战。虽然肿瘤治疗的进展显著提高了生存率,但幸存者面临着广泛的晚期效应,这些效应不仅涉及生物学方面,还包括深刻的心理和社会层面。

方法

这项半系统综述综合了近期关于青少年幸存者的研究数据,揭示了认知功能、心理健康、社会融入、教育、恋爱关系和职业成果方面的重大干扰。

结果

本综述强调了单一生物医学模式的不足,并提倡采用生物心理社会方法进行长期随访护理。重点强调了个性化、跨学科且基于发育情况的干预措施的必要性,尤其是在波兰等结构化生存护理模式仍不发达的国家。

结论

研究结果强调了整合医疗、心理和社会服务的重要性,以确保青少年癌症幸存者不仅实现身体康复,还能有意义地参与生活并获得情感幸福。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd3e/12384235/875619770283/children-12-00980-g001.jpg

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