[在儿科中坚持医疗瘤治疗的风险因素]
Cecilia Prieto B1, Gloria Ibarra B2, Pablo Guzmán V3
1Usher Institute, University of Edinburgh, Edinburgh, United Kingdom.
Andes pediatrica : revista Chilena de pediatria
|June 26, 2023
概括
社会经济和家庭因素,包括住房和支持网络,对智利儿科癌症治疗的坚持存在风险. 解决这些社会不平等问题对于改善患者治疗结果至关重要.
科学领域:
- 儿科瘤学 儿科瘤学
- 健康的社会决定因素
- 癌症护理差异 癌症护理差异
背景情况:
- 每年,智利诊断出450-500例儿童和青少年癌症病例.
- 虽然治疗是国家资助的,但非金融因素可能会阻碍治疗的坚持.
- 了解这些障碍对于有效的儿科癌症护理至关重要.
研究的目的:
- 确定影响治疗坚持的家庭,社会经济,住房和支持网络风险因素.
- 在智利诊断出患有癌症的儿童和青少年中探索这些因素.
主要方法:
- 在国家儿科瘤中心进行了一项描述性观察性研究.
- 一个"社会护理表格"调查了儿童癌症患者的104名护理人员 (2019年8月 - 2020年3月).
- 收集的数据涵盖了个人/家庭/健康,工作/教育/社会经济,住房/环境以及支持网络维度.
主要成果:
- 99%的患者使用公共卫生系统;69%来自最低收入五分之一.
- 母亲提供初级护理 (91%);家庭是主要的支持网络 (84%).
- 虽然住房质量一般很好,但27%的人缺乏Wi-Fi接入,这表明潜在的数字沟.
结论:
- 在患有癌症儿童的家庭中观察到重大的社会经济和性别相关的不平等现象.
- 这些因素代表了治疗坚持的潜在风险.
- 建议进行纵向研究,以评估这些因素对随时间的坚持的影响.
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