より良い会話に向けて:小児腫瘍学における介護者・子供のコミュニケーションの評価
Micah A Skeens1,2,3, Anna Olsavsky4, Mariam Kochashvili4
1The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA. Micah.Skeens@nationwidechildrens.org.
まとめ
がんを患っている子どもたちは,介護者とのコミュニケーションを介護者が報告するよりもポジティブに捉えている. これは,小児がん治療中に家族の機能をサポートするために,個別化された介入の必要性を強調しています.
科学分野:
- 小児腫瘍学 小児腫瘍学
- ファミリー心理学 ファミリー心理学
- コミュニケーション研究 コミュニケーション研究
背景:
- 効果的な親子コミュニケーションは,小児がんにおける心理的社会的課題の管理に不可欠です.
- 介護者と子供がコミュニケーションのダイナミクスをどのように認識するかに関する研究は限られている.
- これらの認識を理解することは,家族の幸福を支えるために不可欠です.
研究 の 目的:
- 親と子供のコミュニケーションに関する介護者と子供の間の不一致を調査する.
- コミュニケーションの質と家族との関係の質との関連性を調べる.
- 子どもが介護者よりもオープンでポジティブなコミュニケーションを報告しているという仮説を検証する.
主な方法:
- 76人の介護者・児童二組 (8~17歳のがん児) が参加しました.
- 参加者は,親子コミュニケーションと家族関係に関する検証された測定を独立して完了しました.
- 統計的分析には,tテスト,相関,アクター・パートナー相互依存モデル (APIM) が含まれていた.
主要な成果:
- 介護者と子どもの両方とも,一般的に,質の高いコミュニケーションを報告しました.
- 子どもたちは,介護者が子どもたちに報告したよりも,介護者がより注意深い聞き手,感情的にオープンで,問題を話し合う意欲があると評価した.
- 子どもの報告したコミュニケーションは,子供の報告した家族関係と強く相関しており,介護者の報告したコミュニケーションは,介護者の報告した関係と強く相関していました.
- 子供と介護者の高齢化は,コミュニケーションのスコアが低いことと関連していました.
結論:
- コミュニケーションの相互依存的知覚は,小児がんにおける家族の機能に著しく影響を与えます.
- コミュニケーションのルーティン評価は,潜在的な問題を特定するために重要です.
- 親子コミュニケーションと家族のサポートを強化するために,発達に合わせた介入が必要である.
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