Development of family nursing care to prevent from deterioration of physical activities for children with cancer

本研究的目的是为儿童癌症患者制定运动计划，并明确治疗完成后的家庭管理。关于运动项目，文献综述表明，为儿童癌症患者制定运动项目的可行性很重要，日本前期研究表明，在治疗期间和治疗后容易出现平衡和肌肉无力。因此，该方案应具有可行性和促进平衡和肌肉力量。通过与专家的规划会议，该项目被确定为步行项目。在家庭管理方面，进行meta分析。研究结果描述了家庭对幸存者体力不足、幸存者与社会环境的社会联系、幸存者心理问题等身体状况的管理。虽然医疗专业人员的支持减少了，但家属仍在努力处理幸存者的状况。

The aims of this study were to develop exercise program for childhood cancer patients and to clarify family management after completion of the treatment. Regarding exercise program, literature review indicated that feasibility is important to develop program for childhood cancer patients, and previous research in Japan suggested that balance and muscle weakness tend to be occurred during and after the treatment. Therefore, the program should have feasibility and expedite balance and muscle strength. Through the planning conference with specialists, the program decided as walking program.Regarding family management, meta analysis was conducted. The findings described that families manage physical condition including weakness of physical strength of survivors, social connection between survivors and social environment, and mental problems of survivors. Whereas the support from medical professional were decreased, families struggle to manage survivors' conditions.