Objectives

To provide a summary of the emerging and ongoing survivorship challenges facing childhood, adolescent, and young adult cancer survivors and their families.

Data Sources

Research and review articles, websites, and clinical guidelines specific to childhood cancer survivorship were used.

Conclusion

Many challenges exist in assuring quality long-term follow-up and risk-based screening for childhood cancer survivors. Although many childhood cancer survivors survive well into adulthood, they are at risk for a vast number of later complications of their cancer treatment necessitating annual cancer surveillance. In addition, many childhood cancer survivors are not engaging in long-term follow-up recommendations for clinic attendance, risk-based surveillance, and screening for potentially life-ending events. Pediatric oncology nurses and advanced practice nurses have played an enormous role in the design of childhood cancer survivorship programs and are an integral member of the multidisciplinary health care team who care for this population. Nurses have an obligation to continue to advance the survivorship care of childhood cancer survivors and lead interventional opportunities to improve the lifelong health-related quality of life and overall physical health.

Implications for Nursing Practice

Pediatric oncology nurses and advanced practice registered nurses must have a working knowledge of the many late effects that childhood cancer treatment has on the long-term health of childhood cancer survivors. Nurses are well-placed in positions to continue the efforts begun more than 2 decades prior by pediatric oncology nurses who saw the value and necessity of designated survivorship programs.

中文翻译：

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儿童癌症幸存者面临的新出现和持续的生存挑战，并提供基于风险的重点随访护理

目标

概述儿童、青少年和年轻成人癌症幸存者及其家人面临的新出现和持续的生存挑战。

数据源

使用了针对儿童癌症幸存者的研究和评论文章、网站和临床指南。

结论

在确保对儿童癌症幸存者进行高质量的长期随访和基于风险的筛查方面存在许多挑战。尽管许多儿童癌症幸存者能活到成年，但他们面临着癌症治疗后出现大量并发症的风险，因此需要每年进行癌症监测。此外，许多儿童癌症幸存者并没有参与关于就诊、基于风险的监测和潜在终止生命事件筛查的长期随访建议。儿科肿瘤科护士和高级执业护士在儿童癌症幸存者计划的设计中发挥了巨大作用，并且是照顾这一人群的多学科医疗保健团队不可或缺的成员。

对护理实践的影响

儿科肿瘤科护士和高级执业注册护士必须了解儿童癌症治疗对儿童癌症幸存者长期健康的许多后期影响。护士们处于有利位置，可以继续 20 多年前儿科肿瘤科护士开始的努力，他们看到了指定生存计划的价值和必要性。