Facilitating care for childhood cancer survivors: integrating children's oncology group long-term follow-up guidelines and health links in clinical practice.

Facilitating care for childhood cancer survivors: integrating children's oncology group long-term follow-up guidelines and health links in clinical practice.
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DOI:
10.1177/1043454204268875
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发表时间:
2004-09-01
期刊:
Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
影响因子:
--
通讯作者:
Hudson, Melissa M
Hudson, Melissa M
中科院分区:
其他
文献类型:
--
作者:
Eshelman, Debra;Landier, Wendy;Hudson, Melissa M

文献摘要

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儿童癌症幸存者是一个不断增长的弱势群体,他们的癌症治疗需要独特的医疗保健。他们可能会经历许多治疗的晚期生理和心理并发症(晚期效应),包括器官功能障碍、不孕症、继发性肿瘤、慢性肝炎、肌肉骨骼问题、认知功能改变和无数心理社会问题。卫生保健提供者可能不知道实际或潜在的幸存者问题。直到最近,还没有明确定义的,容易获得的基于风险的癌症幸存者后续护理指南。本文将使用一个案例研究的方法,以证明如何新开发的儿童肿瘤组长期随访指南和健康链接可以在临床实践中使用,以提高对晚期效应的认识和后续护理的重要性,为儿童癌症幸存者。儿童肿瘤学小组指南和健康链接由医疗保健专家和患者倡导者组成的多学科团队创建,旨在为儿童癌症幸存者的后续护理和癌症连续体的健康教育提供系统计划。
Childhood cancer survivors are a growing, vulnerable group with health care needs unique to their cancer treatments. They may experience many late physical and psychological complications (late effects) of treatment including organ dysfunction, infertility, second neoplasms, chronic hepatitis, musculoskeletal problems, alterations in cognitive function, and myriad psychosocial problems. Health care providers may be unaware of actual or potential survivor problems. Until recently, there were no clearly defined, easily accessible risk-based guidelines for cancer survivor follow-up care. This article will use a case-study approach to demonstrate how the newly developed Children's Oncology Group Long-term Follow-up Guidelines and Health Links can be used in clinical practice to improve awareness about late effects and the importance of follow-up care for childhood cancer survivors. The Children's Oncology Group Guidelines and Health Links were created by a multidisciplinary team of health care experts and patient advocates to provide a systematic plan for pediatric cancer survivor follow-up care and health education across the cancer continuum.