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癌症儿童重返学校的教育经历和需求:系统评价(#护理SCI文献解读)

科研一对一指导 

提示:

1. 重返学校与重返社会的类比;

2. 本研究中纳入了13篇文献,如果是我们要做重返工作的主题,则这其中的13篇文章都可以作为我们设计的一个参考。

Martinez-Santos, A-E, Fernandez-De-La-Iglesia, JdC, Sheaf, G, Coyne, I. A systematic review of the educational experiences and needs of children with cancer returning to school. J Adv Nurs. 2021; 77: 2971– 2994. https://doi.org/10.1111/jan.14784

癌症儿童重返学校的经历和需求:系统评价

Aims To critically review and synthesize empirical studies on childhood cancer survivors' experiences and needs on returning to school after treatment.

研究目的:评判性系统回顾关于癌症儿童幸存者重返学校经历和需求的实证研究

Design A mixed-method systematic review.

研究设计:一项混合方法的系统评价

Data Sources A search of CINAHL, PsycINFO, EMBASE, MEDLINE, ERIC and Web of Science was conducted for studies published in English, Spanish and Portuguese languages between January 2010 and May 2020.

数据来源:在2010年1月至2020年5月期间,我们在CINAHL、PsycINFO、EMBASE、MEDLINE、ERIC和Web of Science上对以英语、西班牙语和葡萄牙语发表的研究进行了检索。

Review Methods Twenty-one studies were eligible for inclusion (13 qualitative studies, 6 quantitative and 2 mixed-method studies). The quality of the studies was assessed using the Critical Appraisal Skills Programme and the Mixed Methods Appraisal Tool. Findings were synthesized using data-based convergent synthesis design.

评价方法:21项研究符合纳入标准(其中,13项定性研究、6项定量研究和2项混合方法研究)。文献质量评价采用采用Critical Appraisal Skills Programme(CASP)进行。

Results Findings were synthesized under four themes: academic continuity and school re-entry; physical and psychological well-being; school life and participation and stakeholders' responses to childhood cancer. Findings indicated that prolonged/recurring absences, physical and mental changes, personal/health factors impacted children's social participation, peer relationships and school re-integration. Factors which contributed to a more positive experience included maintaining contact with peers and teachers throughout treatment, peer relationships, understanding and support from school community. Sharing information about cancer was an ongoing challenging issue for children, that needed to be handled sensitively.

研究结果:(1)纳入的文献结果汇总为4个主题:①学业连续性和重返学校;②身心健康;③学校生活和参与性;④利益相关者对患儿癌症疾病的反应。(2)调查结果表明,长期/反复缺席、身体和心理变化、个人/健康因素影响儿童的社会参与、同伴关系和重返学校。(3)有助于获得更积极体验的因素包括在治疗过程中与同伴和老师保持联系、同伴关系、来自学校社区的理解和支持。(4)对于儿童来说,分享关于癌症的信息是一个持续的挑战,需要谨慎处理。

Conclusion It is evident that re-entry to school was very challenging for most children due to treatment side effects, prolonged absences, disrupted peer relationships, lack of preparation and lack of communication between schools, families and healthcare professionals.

研究结论:显然,由于治疗的副作用、长期缺勤、同伴关系中断、缺乏准备以及学校、家庭和保健专业人员之间缺乏沟通,大多数儿童重返学校非常具有挑战性。

Impact Despite the growing number of childhood cancer survivors worldwide, there is a deficit of studies about children's re-entry experiences and educational needs. This review illustrates the considerable challenges that children face on school re-entry and the critical importance of better care, support and collaboration from healthcare professionals, parents and school personnel. Nurses could help by raising awareness and leading on preparation for school re-entry.

研究意义:尽管世界范围内的儿童癌症幸存者越来越多,但关于儿童重返社会的经历和教育需求的研究仍然不足。这一综述说明了儿童在重返学校方面面临的巨大挑战,以及卫生保健专业人员、家长和学校工作人员更好地照顾、支持和协作的至关重要。护士可以通过提高认识和领导重新入学的准备来提供帮助。

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