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      Crecimiento postraumático en pacientes sobrevivientes de cáncer infantil Translated title: (Posttraumatic growth in pediatric oncologic patients)

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          Abstract

          Resumen Objetivo: Estudiar el crecimiento postraumático en sobrevivientes pediátricos de linfoma o tumores sólidos, tratados en el Servicio de Oncología del Hospital Nacional de Niños, de enero de 1990 a diciembre 2013. Métodos: Este es un estudio descriptivo con pacientes sobrevivientes de cáncer quienes se encontraban en remisión, por un tiempo mayor o igual a 5 años. Se analizó las características clínicas de los pacientes (sexo, lugar de residencia, edad, tipo y localización del tumor, tratamiento recibido, presencia de metástasis o recaída), así como se efectuó una entrevista sobre la condición psicosocial de los sobrevivientes, con énfasis en las consecuencias de la enfermedad en su vida actual. Resultados: Se analizaron las características clínicas de 30 pacientes sobrevivientes. Se encontró que el tipo de tumor más común en el grupo entrevistado fue el linfoma no Hodgkin (30 %), seguido de sarcomas (20 %). Las localizaciones tumorales mayormente observadas en estos pacientes fueron en cabeza y cuello (46,7 %), seguidas por abdomen y pelvis (26,7 %). El tratamiento más frecuente fue la combinación de quimioterapia, radioterapia y cirugía (37,7 %). Pero cabe resaltar que el 80 % de los pacientes tratados recibió quimioterapia como parte de su tratamiento y la mayoría reportó efectos adversos y dificultades relacionadas. El procedimiento quirúrgico más empleado fue la biopsia (53,3 %). La mayoría de los pacientes no presentó recaídas (83,3 %) ni metástasis (93,3 %). Con respecto a su condición actual, la edad promedio al momento de la entrevista fue de 15,9 años, y la mayoría residía en la provincia de San José (40 %), con sus padres y hermanos (36,7 %). La mayoría señaló reacciones positivas ante el diagnóstico, con actitudes buenas y cooperadoras. El mayor vínculo socioafectivo descrito corresponde a la familia y los amigos; un grupo importante de los pacientes recalca el apoyo institucional. Conclusiones: A pesar de que con este trabajo no se pueden realizar generalizaciones sobre los pacientes en remisión de cáncer infantil, la información obtenida permite conocer de manera indirecta el impacto psicosocial de la enfermedad oncológica en la condición actual de un grupo de pacientes, y resalta una actitud positiva en los sobrevivientes.

          Translated abstract

          Abstract Objective: To study resilience (post-traumatic growth) in pediatric cancer survivors who were treated in the Oncology Service of the National Children’s Hospital, from January 1990 to December 2013. Methods: descriptive study with cancer survivors who were in remission, for a time greater tan or equal to 5 years. The clinical characteristics of the patients (sex, place of residence, age, type and location of the tumor, treatment received, presence of metastasis or relapse) were analyzed, as well as an interview on the psychosocial condition of the survivors, with emphasis on the consequences of the disease in their current life. Results: 30 survivors of childhood cancer were interviewed and the clinical characteristics were analized. Among the results, the most common type o tumor found was non Hodgkin lymphoma (30%), followed by sarcomas (20%). The tumor locations mostly observed in these patients were in the head and neck (46.7%), followed by the abdomen and pelvis (26.7%). The most frequent treatment was the combination of chemotherapy, radiotherapy and surgery (37.7%). But it should be noted that 80% of treated patients received chemotherapy as part of their treatment and the majority reported adverse effects and related difficulties. The most widely used surgical procedure was biopsy (53.3%). The majority of patients had no relapses (83.3%) or metastases (93.3%). Regarding their current condition, the average age at the time of the interview was 15.9 years, and the majority resided in the province of San José (40%), with their parents and siblings (36.7%). The majority indicated positive reactions to the diagnosis, with good and cooperative attitudes. The greatest socio-affective link described during their disease corresponds to family and friends and hospital health workers. Conclusions: Although, with this work, generalizations cannot be made about patients in remission of childhood cancer, the information obtained allows us to indirectly know the psychosocial impact of the oncological disease in the current condition of a group of patients in our country, and highlights a positive attitude in survivors.

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          Most cited references13

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          Promoting resilience among parents and caregivers of children with cancer.

          Promoting resilience is an aspect of psychosocial care that affects patient and whole-family well-being. There is little consensus about how to define or promote resilience during and after pediatric cancer.
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            Psychological resilience in adolescent and young adult survivors of lower extremity bone tumors.

            The psychosocial outcomes of young adult survivors of childhood bone tumors are not well known. This study: (a) examined perceived social support (SS) and benefit-finding (BF) with respect to surgical intervention, gender, and age; (b) compared SS and psychological outcomes to normative values; and (c) examined the relationship between these social and psychological outcomes and sexual functioning.
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              Profiles of Resilience and Growth in Youth With Cancer and Healthy Comparisons.

              Inconsistent links between posttraumatic stress symptoms (PTS) and posttraumatic growth (PTG) in youth following a stressful life event have been observed in previous literature. Latent profile analysis (LPA) provides a novel approach to examine the heterogeneity of relations between these constructs.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                amc
                Acta Médica Costarricense
                Acta méd. costarric
                Colegio de Médicos y Cirujanos de Costa Rica (San José, San José, Costa Rica )
                0001-6012
                0001-6002
                December 2019
                : 61
                : 4
                : 172-176
                Affiliations
                [1] orgnameHospital Nacional de Niños “Dr. Carlos Sáenz Herrera” Costa Rica
                [2] orgnameCaja Costarricense de Seguro Social orgdiv1Hospital “Dr. Rafael Ángel Calderón Guardia”
                Article
                S0001-60022019000400172 S0001-6002(19)06100400172
                b9bcf57b-ac33-4516-964c-41eebc814b74

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 22 October 2018
                : 19 September 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 16, Pages: 5
                Product

                SciELO Costa Rica

                Categories
                Originales

                childhood cancer,solid tumors,clinical characteristics,resiliencia,posttraumatico growth,Costa Rica,cáncer infantil,tumores sólidos,características clínicas,crecimiento posttraumático

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