Age differences in perceived social support by paediatric haematopoietic progenitor cell transplant patients: a longitudinal study
Age differences in perceived social support by paediatric haematopoietic progenitor cell transplant patients: a longitudinal study
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DOI：
10.1111/j.1365-2214.2007.00785.x
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发表时间：
2008-01-01
影响因子：
1.9
通讯作者：
Atenafu, E.
中科院分区：
文献类型：
--
作者：
Barrera, M.;Andrews, G. S.;Atenafu, E.
目的探讨儿童青少年造血祖细胞移植(HPCT)后不同社会支持的纵向来源。方法对36例(男20例，女16例)8~18岁(平均11.73岁)的儿童HPCT存活者在HPCT前、HPCT后6个月、1年和2年进行测评。在最后一次评估中，幸存者与兄弟姐妹(n=22)进行了比较。自编的儿童社会支持量表(SSSC)提供了来自父母、老师、朋友和同学的社会支持感分。结果在HPCT后的2年中，幸存者从所有来源感受到的社会支持普遍高于常模。随着时间的推移，儿童和青少年都报告来自父母的社会支持高于标准价值观。随着时间的推移，儿童感受到的来自老师的支持比青少年更高，而青少年感受到的来自同学的社会支持增加了，但儿童的社会支持减少了。幸存者和兄弟姐妹在BMT后2年感受到的社会支持没有显著差异。结论这项探索性研究表明，感受到的父母支持对儿童和青少年同样重要，但同学和教师的社会支持随着年龄的增长而不同。这些发育差异对这些患者的护理具有重要的临床意义。
Objectives To describe longitudinally different sources of perceived social support by children and adolescents who undergo haematopoietic progenitor cell transplant (HPCT).Methods Thirty-six (20 males, 16 females) survivors of paediatric HPCT aged 8-18 years (Mean = 11.73), were assessed pre-HPCT and 6 months, I year and 2 years post-HPCT. Survivors were compared with siblings (n = 22) during the last assessment. The Social Support Scale for Children (SSSC), a self-report measure, provided scores on perceived social support from parents, teachers, friends and classmates.Results Throughout the 2 years post-HPCT, perceived social support from all sources was generally higher for survivors than for population norms. Over time, both children and adolescents reported higher social support from parents than the normative values. Over time, children perceived higher support from teachers than did adolescents, whereas adolescents' perceived social support from classmates increased but children's decreased. Survivors and siblings did not differ significantly in their perceived social support 2 years post-BMT.Conclusions This exploratory study suggests that perceived parental support is equally important for children and adolescents but classmate and teacher social support varies with age. These developmental differences have important clinical implications for the care of these patients.