护研苑 | 儿童听处理&乳腺癌筛查专题
01 儿童听处理评估
标题：
学龄前儿童听处理评估量表
在注意缺陷多动障碍儿童中的应用研究
中国当代儿科杂志
孙钰英 祝慧琴 刘潘婷 林欢喜
肖正路 俞欣悦 钱君 池霞 洪琴
目的:
利用学龄前儿童听处理评估量表（以下称“听处理评估量表”）探讨学龄前注意缺陷多动障碍 （attention deficit hyperactivity disorder，ADHD） 儿童的听处理 （auditory processing，AP） 特征。
结论:
学龄前ADHD儿童存在听处理异常风险，应在早期利用听处理评估量表对儿童的听处理异常进行筛查评估。
洪琴，博士，主任医师，副教授，硕士生导师，主攻方向为发育行为儿科学。任职中华医学会儿科分会发育行为学组青年委员、中国妇幼保健协会儿童心理保健专业委员会委员、中国优生科学协会早产与早产儿管理分会常委会委员、江苏省医学会儿科分会儿童保健学组委员、江苏省妇幼健康研究会儿童早期发展委员。曾获江苏省医学卫生青年人才、江苏省第十五批“六大人才高峰”高层次人才、江苏省妇幼保健协会先进个人等。先后主持和参与多项国家自然科学基金，省市级课题，以第一作者或通讯作者发表学术论文30余篇、其中SCI收录19篇。获江苏省新技术引进奖一、二等奖各1项，获国家软件著作权专利4项。
02 乳腺癌筛查
Effects of interventions on the screening behavior in female first-degree relatives of breast cancer patients: A systematic review
Public Health Nursing (IF=2.1)
史妍妍 马珠月 姚珊珊
陆宁宁 吴雨晴 程芳琴
Background：
Women are more likely to develop breast cancer if their first-degree relatives (FDRs) have the disease, but they are often unaware of their individual risk and conduct screening behaviors.
Objective ：
This study aimed to evaluate the effectiveness of interventions in increasing breast self-examination, clinical breast examination, and mammography rates in FDRs of breast cancer patients.
Methods：
We selected randomized clinical trials and quasi-experimental studies in eight databases. Interventions in each study were categorized as “promising”, or “non-promising” according to whether they led to a positive change in screening behaviors. Interventions were also coded using the Behavioral Change Techniques (BCTs) Taxonomy and a promise ratio calculated for each. BCTs with a promise ratio ≥2 was classified as “promising”.
Results：
Thirteen studies with 21 different BCTs were included. The most frequent BCTs were “Prompts/cues”, “Credible source”, and “Instructions on how to perform the behavior”. Seven BCTs had a promise ratio of ≥ 2 and the four most promising were “Information about health consequences” (promise ratio = 6), “Problem solving” (promise ratio = 4), “Demonstration of the behavior” (promise ratio = 4), and “Adding objects to the environment” (promise ratio = 4).
Conclusions：
This review indicated an overall weak use of theory, and an insufficient description of several interventions to support the assessment of how specific BCTs were activated.
全文链接：
Ma ZY, Yao SS, Shi YY, Lu NN, Cheng F. Effect of aerobic exercise on cardiotoxic outcomes in women with breast cancer undergoing anthracycline or trastuzumab treatment: a systematic review and meta-analysis. Support Care Cancer. 2022;30(12):10323-10334. doi:10.1007/s00520-022-07368-w.
补充参考文献：
[1] Acharya A, Sounderajah V, Ashrafian H, Darzi A, Judah G. A systematic review of interventions to improve breast cancer screening health behaviours. Prev Med. 2021; 153:106828. doi: 10.1016/j.ypmed.2021.106828
[2] Michie S, Richardson M, Johnston M, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013;46(1):81-95. doi:10.1007/s12160-013-9486-6
程芳，副主任护师，硕士生导师，南京医科大学附属肿瘤医院乳腺科护士长。中国抗癌协会肿瘤护理专业委员会青委，江苏省抗癌协会肿瘤护理专业委员会委员，南京医科大学附属肿瘤医院心理学组组长；主持或参与课题10余项，发表论文50余篇，主要研究方向为乳腺肿瘤护理，肿瘤心理护理，在乳腺癌患者症状管理，心理社会支持和干预等方面积累了一定的研究基础和经验。