Breast cancer is the most prevalent malignancy among adolescents and young adults (AYAs). Despite the efficacy of chemotherapy, AYA patients contend with psychosocial challenges, including psychological distress and financial toxicity, exacerbated further by those with dependent children. Parenting responsibilities intersect with cancer care, impacting both family dynamics and treatment adherence. Despite recognized needs, however, the impact of parenting concerns or even parenting status and the presence of dependents has not been systematically addressed and there is a paucity of interventional research regarding patients with cancer as concomitant caregivers. A feasibility study conducted by the Brown University Oncology Cooperative Group demonstrated the potential benefits of providing financial assistance for childcare, both improving treatment adherence and reducing distress among participants. Similar interventions have shown promise in addressing financial hardships for AYA patients with cancer who are concomitant caregivers. Ultimately, parenting concerns have a significant impact on medical decision-making, and further interventional research on childcare support is required to examine the ways in which health systems can improve family stability, stress, and quality of life.

中文翻译：

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在接受癌症治疗时履行父母的角色：文献综述以及儿童保育支持对癌症结果的潜在影响。

乳腺癌是青少年和年轻人 (AYAs) 中最常见的恶性肿瘤。尽管化疗有效，但 AYA 患者仍面临心理社会挑战，包括心理困扰和经济毒性，而这些问题因有受抚养子女而进一步加剧。养育责任与癌症护理交叉，影响家庭动态和治疗依从性。然而，尽管存在公认的需求，但养育问题、甚至养育状况和家属存在的影响尚未得到系统解决，并且缺乏将癌症患者作为伴随护理人员的介入研究。布朗大学肿瘤学合作小组进行的一项可行性研究证明了为儿童保育提供财政援助的潜在好处，既可以提高治疗依从性，又可以减少参与者的痛苦。类似的干预措施在解决 AYA 癌症患者的经济困难方面也显示出希望，这些患者同时需要照顾者。最终，育儿问题对医疗决策产生重大影响，需要对儿童保育支持进行进一步的干预研究，以检验卫生系统如何改善家庭稳定性、压力和生活质量。