从父母的角度来看,在B型急性淋巴细胞白血病治疗期间描述困难和生活中断:一项调查研究
Kellee N Parker1, Sarah W Alexander2, Lisa M Jacola3
1Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Pediatric blood & cancer
|September 9, 2025
概括
父母发现儿童B型急性淋巴细胞白血病 (B-ALL) 治疗很困难,原因是恶心和吐等副作用,以及医院访问等护理方面. 了解这些挑战是改善儿童癌症护理的关键.
科学领域:
- 儿科瘤学 儿科瘤学
- 儿童癌症幸存率 儿童癌症幸存率
- 患者报告的结果
背景情况:
- 儿童B型急性淋巴细胞白血病 (B-ALL) 治疗是漫长和有毒的,尽管在发达环境中治愈率高.
- 了解父母对治疗负担的看法对于提高儿科癌症护理至关重要.
- 以前的研究还没有完全捕捉到父母在B-ALL治疗期间所面临的具体困难.
研究的目的:
- 为了识别儿童的副作用,化疗剂,以及父母在B-ALL治疗期间认为最困难或最具破坏性的护理方面.
- 根据孩子或父母的特征来探索这些感知的变化.
- 为未来改善B-ALL治疗方案和支持性护理提供信息.
主要方法:
- 一项在线调查对被诊断患有B-ALL.的儿童 (1-19岁) 的父母进行了调查.
- 参与者是Momcology儿科癌症支持和倡导组织的成员.
- 数据被描述性地分析,并使用推断统计来检查基于特征的差异.
主要成果:
- 恶心/吐,能量下降和神经病变在维持前治疗期间是常见的困难副作用.
- 情绪变化是维持治疗期间最困难的副作用.
- 口服皮质类固醇,计划外的住院和免疫力受损被评为护理中最困难/最具破坏性的方面.
结论:
- 儿童B-ALL的治疗给儿童及其家人带来了重大困难.
- 父母报告的挑战突出了优化治疗方案和支持性护理策略的关键领域.
- 解决与治疗相关的毒性和后勤负担对于改善B-ALL儿童的生活质量至关重要.
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