将息治疗纳入第一期儿科瘤学试验:家长的观点
Andrea Cuviello1, Harisankeerth Mummareddy2, Kelly Bien3
1Phoenix Children's, Phoenix, Arizona, USA.
Pediatric blood & cancer
|January 7, 2026
概括
父母希望在1期癌症试验的早期整合儿科息护理 (PPC),以控制症状和提供支持. 参与试验被视为PPC转诊的理想时间,改善生活质量.
科学领域:
- 儿科瘤学 儿科瘤学
- 抚慰性护理是一种缓解性护理.
- 临床试验 临床试验
背景情况:
- 早期的儿科瘤学试验提供有限的治疗益处,但带有重大风险.
- 儿科息治疗 (PPC) 可以在这些试验中支持患者和家人.
- 瘤学家对PPC的引用是不一致的.
研究的目的:
- 探索在第一阶段试验中为儿科瘤患者整合PPC的感知好处.
- 确定PPC整合和转介的理想时间点.
主要方法:
- 使用半结构面试对1期试验中儿童的父母进行定性研究.
- 在两个学术癌症中心进行了采访.
- 数据使用诱导性内容分析来分析.
主要成果:
- 大多数家长 (97%) 支持PPC早期整合.
- 大多数 (87%) 认为第一阶段试验招生是理想的转诊时间.
- 父母强调PPC在症状管理,护理协调和一般支持方面的好处.
结论:
- 家长们认为,第一阶段试验的招生是PPC转诊的最佳时间.
- 儿科瘤学子专业支持因其对儿科瘤学患者的好处而得到认可.
- 进一步的研究将评估干预措施,以增加PPC咨询在这个人群中.
相关概念视频
Nursing Ethical Principles II
2.1K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
2.1K
Pharmacokinetics in Pediatric Patients: Drug Metabolism
189
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
189
Continuing Care
1.9K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.9K
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
240
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
240
Clinical Trials
10.1K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
10.1K
Clinical Trials: Overview
4.5K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
4.5K


