在父母癌症披露实践中发现的模式:父母和孩子的视角
1Author Affiliations: School of Nursing, Fudan University (Dr Cheng); and Hematology & Oncology Department (Ms Yu and Drs Wang, Jiang, Shen, and Zhai), Surgical Oncology Department (Ms Wu, and Drs Li and Yao), and Social Work Department (Ms Zhang), Children's Hospital of Fudan University, Shanghai, China.
Cancer nursing
|April 17, 2025
概括
儿童的父母癌症披露情况有很大差异,受文化和个体因素的影响. 了解这些多样化的模式是为儿童瘤学提供量身定制的以家庭为中心的护理的关键.
科学领域:
- 儿科瘤学 儿科瘤学
- 儿童心理学 儿童心理学
- 跨文化研究 跨文化研究
背景情况:
- 在儿科瘤学中,以家庭为中心的护理至关重要,但癌症诊断的披露是复杂和文化敏感的.
- 围绕披露的做法各不相同,受到影响的许多因素影响家庭.
研究的目的:
- 探索儿童癌症诊断的父母披露模式.
- 从父母和孩子的角度确定影响这些模式的因素.
主要方法:
- 在中国国家儿童医疗中心进行了一项描述性定性研究.
- 对23名家长和10名儿童进行了采访.
- 使用主题和内容分析来确定披露模式和影响因素.
主要成果:
- 他们发现了五种不同的父母披露模式:诚实地分享,逐渐透露,等待合适的时机,把它留给自己,和无限期的沉默.
- 披露模式受到个人,人际,机构和社会因素的影响,以社会生态框架为指导.
- 这些因素包括疾病特征,孩子的病情,父母的信仰,家庭动态,提供者沟通和文化规范.
结论:
- 父母癌症披露模式多样化,受到文化影响,受到多种相互作用因素的影响.
- 需要进一步的研究来理解这些动态,并制定定制的干预措施.
- 医疗保健提供者应定制披露方法,解决障碍,并推广文化敏感的指导方针,以加强亲子关系和护理质量.
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