Strategy of medical, psychological and social rehabilitation for children with haematological and oncological diseases

Володин, Н. Н.; Kasatkin, Vladimir; Цейтлин, Г. Я.; Сидоренко, Л. В.; Mironova, Elena; Митраков, Н. Н.; Miroshkin, Roman B.; Щеглова, Д. Д.; Румянцев, А. Г.

doi:10.17650/1818-8346-2015-1-7-15

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…Тем не менее, в части семей подобные серьёзные испытания приводят к достижению нового уровня взаимоотношений, сплочению, взаимоподдержке и пониманию. Так, 25,7% семей в описываемой нами когорте консолидировались, преодолели кризис и адаптировались в чрезвычайной ситуации [22], однако большинству из них требуется психологическая и социальная поддержка [23][24][25]. Одновременно с этим приходится признавать, что уровень психолого-социальной помощи в нашей стране остаётся явно недостаточным и не соответствует потребностям семей в помощи такого рода [24][25][26][27][28].…”

Section: основные результаты исследованияunclassified

Multiple losses in families of children with cancer: A retrospective sociological analysis

Guseva

Жуковская

Lebed

2023

Sociology of Medicine

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BACKGROUND: Current advances in medicine determine the higher survival rate of children with various nosological forms of malignant tumors, which shifts the focus of attention of specialists from the development of treatment protocols to the study of early and long-term effects of antitumor therapy in children and their families. One of the urgent problems of psychological and social rehabilitation in pediatric oncology is the analysis of the psycho-traumatic factors of treatment and the long-term medical and social consequences for the childs family when developing a strategy for effective psychological support for this observation group at the treatment stage. OBJECTIVE: We aimed to study the specifics of living with losses in families raising a child with oncopathology and the features of the childs re-adaptation and resocialization after overcoming an oncological disease (at the remission stage). MATERIALS AND METHODS: A retrospective analysis of data obtained in the course of a sociological study of parents (n=1298) whose children completed treatment for various malignant tumors is presented. The study, carried out by a questionnaire survey of mothers (n=1131) and fathers (n=167) living in 78 regions of Russia, made it possible to qualify the problems of family members of a child with cancer in terms of multiple loss and grief and substantiate the strategy of psychological assistance to this group. RESULTS: During the establishment of the oncological diagnosis of the child and their antitumor treatment, the family experiences some traumatic events associated with drastic changes in their lives. According to the findings of the study, the deterioration in normal life concerns health (in total, a third of the respondents: 12.9% of mothers noted a deterioration in their general health and in 15.2% of women, serious reproductive health disorders); work (leaving and dismissal from work affected 25.3% of mothers and 2% of fathers, 11.4% of mothers and 9.6% of fathers were forced to change their job or place of work); and a drop in the level of family income (the proportion of low-income families in the sample was significantly higher than in the Russian population as a whole 41.8 and 31.4%, respectively, social benefits and pensions accounted for a significant share of income in 57.3% of female respondents and 26.3% of men, and there were changes in life prospects due to graduation, relocation, divorce, and severance of relations with relatives and friends). Each of these events is perceived as stress/loss and triggers a grieving process in family members (primarily parents) that requires the professional help of a clinical psychologist. In general, the range of events triggering the grieving process in the families of the study group is much wider, but the quality and volume of psychological care in domestic cancer hospitals are still extremely low. CONCLUSION: The dynamics of the development of psychological and social rehabilitation in domestic pediatric oncology determine the need to develop strategies and methods of psychological support for family members of a sick child at the treatment stage, taking into account the early and long-term medical and social consequences of antitumor therapy.

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Section: основные результаты исследованияunclassified

Multiple losses in families of children with cancer: A retrospective sociological analysis

Guseva

Жуковская

Lebed

2023

Sociology of Medicine

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“…Костная ткань является живой динамической структурой,котораяучаствуетвгомеостазекальция, фосфора,карбоната,другихмикроэлементов,атакже в регуляции кислотно-основного равновесия. Также онатесноконтактируетсгемопоэтическойсистемой (красным костным мозгом), имея с ней общий пул клеток-предшественников и местных регуляторных факторов.Крометого,минеральныйматрикскостей скелетаобладаетспособностьюсвязыватьнекоторые токсиныиионыметаллов(кактяжелых,такилегких), чтоимеетзначениевминимизацииихтоксического воздействиянаклеткидругихорганов [19].…”

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“…систем,наличиясопутствующейпатологиивнутренних органов и других экзогенных факторов. Также костная ткань способна приспосабливаться к внешнимвоздействиям,подвлияниемкоторыхпроисходит изменениевнутреннейструктурыивнешнейформы кости.Этовозможноблагодарянепрерывнымпроцессамразрушениястаройипостроенияновойкости(ее ремоделированию) [19].…”

unclassified

“…Алкилирующиеагенты,такиекакциклофосфамид иифосфамид,вызываютгипогонадизм,который,всвою очередь, ведет к нарушению формирования кости. Эстрогениграетключевуюрольвдостижениииподдержаниинадолжномуровнепикакостнойпрочности,предохраняяотрезорбцииистимулируяростовые факторыкостнойткани.Андрогеныважныдлянаращиваниянадкостницы.Практическивсепротивоопухолевыепрепаратыоказываютнефротоксическоедействие, результатом которого может быть гипофосфатемия инекоторыеметаболическиеболезникостей [19].…”

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Impact of malignant neoplasms on musculoskeletal system in children (literature review)

Тихонова¹,

Крутикова²,

Karelin³

et al. 2019

Onkogematologiâ

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Because of the successful implementation of modern treatment technologies at any stage of therapy of children with oncohematological diseases, their overall and disease-free survival has increased significantly. According to recent observations, 80 % of children after the completion of a special antitumor treatment continue to have changes of different organs. Almost all patients are at risk for late complications from the musculoskeletal system but little attention is paid to this issue. Evaluation of long-term complications from the musculoskeletal system and mineral metabolism in patients, development of their complex rehabilitation and prevention is an actual problem of pediatric oncology and hematology. This review summarizes data on long-term complications from the musculoskeletal system after special therapy. The necessity of diagnostics approaches harmonization and correction of not only the most common complications, but also little studied conditions, such as reduction of bone mineralization, is shown. It is noted that multidisciplinary rehabilitation treatment of children in remission can not only correct the consequences of the underlying disease, concomitant pathology and the consequences of special therapy but also reduce the disability of children.

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Substantiation of the additional prescription of magnetotherapy in the complex of rehabilitation of children with concomitant diseases of the nervous system during remission of cancer

Шаповалова

Шмакова

Mokiienko

et al. 2021

Balneo and PRM Research Journal

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Introduction. The increase in the number of children with oncological diseases requires development of effective methods of medical rehabilitation. Purpose: To determine the effectiveness of the use of low-frequency magnetotherapy (LFMT) in children with diseases of the nervous system, manifested in the period of remission of oncological diseases (OD) in the complex of sanatorium rehabilitation (SRR). Methods: Children with OD at the stage of rehabilitation in a sanatorium underwent a clinical examination: medical history, concomitant pathology, complaints, clinical examination, assessment of neurological status; instrumental studies: electroencephalography (EEG) - assessment of the bioelectrical activity of the brain; echoencephalography (EchoEG) - assessment of CSF dynamics; Doppler ultrasound (USDG) - assessment of cerebral circulation. For 25 children with concomitant diseases of the nervous system during the period of OD remission (17 people) and solid tumors (8 people), in addition to the general complex of SRR, magnetotherapy was prescribed for the cervical-collar zone according to the following method: magnetic induction 20 - 30 mT, exposure 10 - 15 minutes, every other day, for a course of 5 procedures. Results: The use of the therapeutic complex TFR with the additional prescription of magnetotherapy can reliably reduce childrenʹs complaints in remission of the OD for the impaired activity of the nervous system. According to the USDG indicators, statistically significant positive changes in cerebral hemodynamics were established. The results of ultrasound echoEG indicate the improvement of CSF dynamics. According to the EEG data, positive changes in the state of brain electrogenesis were established. Conclusion: The effectiveness of LFMT in children in the period of remission of oncohematological diseases with concomitant diseases of the nervous system has been substantiated. Keywords: children, oncological diseases, sanatorium rehabilitation, low-frequency magnetic therapy,

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Strategy of medical, psychological and social rehabilitation for children with haematological and oncological diseases

Cited by 9 publications

References 4 publications

Multiple losses in families of children with cancer: A retrospective sociological analysis

Multiple losses in families of children with cancer: A retrospective sociological analysis

Impact of malignant neoplasms on musculoskeletal system in children (literature review)

Substantiation of the additional prescription of magnetotherapy in the complex of rehabilitation of children with concomitant diseases of the nervous system during remission of cancer

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