Losing Her: Children's Reported Concerns in the First 6 Months of Their Mother's Breast Cancer Diagnosis.
Losing Her: Children's Reported Concerns in the First 6 Months of Their Mother's Breast Cancer Diagnosis.
复制标题
失去她：孩子们在母亲被诊断出乳腺癌后的前 6 个月内所报告的担忧。
DOI：
10.1097/ncc.0000000000000763
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发表时间：
2020
期刊：
影响因子：
2.6
通讯作者：
Lewis,FrancesMarcus
中科院分区：
文献类型：
--
作者：
Almulla,HebahAhmed;Lewis,FrancesMarcus
母亲乳腺癌对学龄儿童的健康有重要影响，但我们对这些儿童对母亲疾病的担忧知之甚少。本研究的目的是描述儿童在母亲确诊的最初6个月中所经历的与疾病相关的问题，并确定儿童年龄和性别的差异。方法收集140名学龄儿童(7-12岁)在母亲诊断为0至III期乳腺癌后6个月内的数据。研究人员分析了孩子们对一个开放式问题的书面回答：“想一想上个月让你感到困扰的一个情况，它与你母亲的乳腺癌有关。”采用扎根理论中的归纳内容分析方法对数据进行分析。结果“失去她”这一核心概念被识别并组织成4个领域的儿童担忧：(1)她不在我身边，(2)担心她，(3)看到我的母亲不同，(4)改变事情的运作方式。即使是看似短期的与治疗有关的缺席，也被解释为困难。
BackgroundMaternal breast cancer has a significant impact on the well-being of school-aged children, but we know very little about the concerns these children attribute to their mother's illness.ObjectiveThe aim of this study was to describe child-reported illness-related concerns experienced in the initial 6 months of their mother's diagnosis and to identify any differences by age and gender of the child.MethodsData were obtained from 140 school-aged children (7–12 years) within 6 months of their mother diagnosis with stage 0 to III breast cancer. Children's written responses to an open-ended question were analyzed:“Think about a situation that has bothered you during the last month that had to do with your mom's breast cancer.” Inductive content analysis was used to analyze the data using methods adapted from grounded theory. Trustworthiness of results was protected by coding to consensus, formal peer debriefing, and maintaining an audit trail.Results“Losing Her”, the core construct, was identified and organized the children's concerns in 4 domains:(1) her being away from me,(2) worrying about her,(3) seeing my mother be different, and (4) changing how things work.ConclusionAll children reported illness-related concerns about which they were bothered. Even seemingly short-term treatment-related absences from the child were interpreted as difficult.