Mesh : Adult Child Humans Cancer Survivors / psychology East Asian People / psychology Neoplasms / ethnology psychology therapy Quality of Life Transition to Adult Care Patient-Centered Care Adolescent Self Efficacy

来  源:   DOI:10.1097/NCC.0000000000001195

Abstract:
Transition readiness is important for pediatric cancer survivors who need to move from pediatric to adult medical care. However, their transition readiness profiles merit further exploration.
The aim of this study was to use a person-centered approach to identify transition readiness profiles of Chinese pediatric cancer survivors aged 12 to 18 years, diagnosed at least 6 months before the study.
Transition readiness was assessed using the Chinese TRANSITION-Q Scale, and latent class analysis was performed to identify the transition readiness profiles as well as demographic and clinical factors associated with profile classification and to examine how self-efficacy and quality of life may differ between these profiles.
A total of 139 pediatric cancer survivors were included. Three different transition readiness profiles were identified: high transition readiness, medium transition readiness, and low transition readiness. Age, treatment status, and parental working status were significantly associated with the transition readiness profile classifications. Those who were in the low transition readiness profile were likely to have lower self-efficacy and mobility scores than those in the high or medium transition readiness profiles.
Three distinct transition readiness profiles existed in a sample of Chinese pediatric cancer survivors, indicating significant heterogeneity in their transition readiness.
Knowledge of transition readiness profiles can assist clinicians in screening pediatric cancer survivors for their profile memberships and provide targeted interventions for those with a low transition profile.
摘要:
背景:对于需要从儿科医疗转为成人医疗的儿科癌症幸存者,过渡准备很重要。然而,他们的过渡准备情况值得进一步探索。
目的:这项研究的目的是使用以人为本的方法来确定12至18岁的中国儿科癌症幸存者的过渡准备情况。在研究前至少6个月被诊断。
方法:使用中文TRANSITION-Q量表评估过渡准备,进行潜在类别分析以确定过渡准备情况以及与情况分类相关的人口统计学和临床因素,并检查这些情况之间的自我效能和生活质量有何差异。
结果:共139名儿科癌症幸存者被纳入。确定了三种不同的过渡准备情况:高过渡准备,中等过渡准备,低过渡准备。年龄,治疗状态,和父母工作状态与过渡准备情况分类显着相关。那些处于低过渡准备状态的人可能比处于高或中过渡准备状态的人具有更低的自我效能感和流动性得分。
结论:中国儿科癌症幸存者样本中存在三种不同的过渡准备情况,表明他们的过渡准备程度存在显著的异质性。
结论:过渡准备情况的知识可以帮助临床医生筛查儿科癌症幸存者的情况,并为低过渡情况的患者提供有针对性的干预措施。
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