Impact of Childhood Cancer on Parents' Relationships: An Integrative Review
Impact of Childhood Cancer on Parents' Relationships: An Integrative Review
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DOI：
10.1111/j.1547-5069.2010.01360.x
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发表时间：
2010-01-01
影响因子：
3.4
通讯作者：
Nascimento, Lucila Castanheira
中科院分区：
文献类型：
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作者：
da Silva, Fernanda Machado;Jacob, Eufemia;Nascimento, Lucila Castanheira
目的：癌症的诊断和与之相关的治疗决策可能会在父母中引起不确定性、压力和焦虑。在孩子患癌症的过程中，情绪紧张会影响父母的关系。我们对儿童癌症对父母关系影响的证据进行了综合综述。方法：对1997年至2009年发表的研究进行综合文献检索，收录于CINAHL、心理学信息、PubMed、Scope us、CUIDEN以及拉丁美洲和加勒比地区健康科学文献(LILACS)。使用的关键词是肿瘤、儿童、婚姻、配偶、家庭关系和护理。如果(A)主题涉及儿童癌症期间的父母关系；(B)参与者是母亲或父亲或两者兼而有之；(C)设计是定性的或定量的；(D)语言是英语、葡萄牙语或西班牙语；(E)发表日期在1997年1月至2009年10月之间；(F)摘要可用。四个主题出现了：(A)在孩子患病过程中父母关系的变化；(B)夫妇之间的沟通困难；(C)父母压力和应对的性别差异；以及(D)角色变化。结论和影响：研究结果揭示了父母关系、沟通、压力和角色的积极和消极变化。护士需要评估癌症诊断和治疗对父母关系的影响，提供支持和鼓励，并允许表达情感。未来的研究需要开发和测试干预措施，以提高父母的潜力，并在子女癌症和治疗的具有挑战性的轨迹中加强关系。临床相关性：与儿童癌症诊断和治疗相关的多个压力和不确定性来源影响父母关系。沟通困难是父母关系中经常出现的问题。我们的发现可能会指导医疗保健专业人员识别父母存在冲突、沟通问题和父母之间缺乏一致性的风险，这些问题可能会干扰为患有癌症的孩子提供最佳护理。医疗保健专业人员可以促进对话，鼓励父母在处理孩子的疾病时表达他们的感受，寻求相互支持，并建立伙伴关系。
Purpose: The diagnosis of cancer and the treatment decisions associated with it may cause uncertainty, stress, and anxiety among parents. Emotional tensions can affect parents' relationships during the trajectory of the child's cancer illness. We conducted an integrative review to examine the evidence related to the effects of childhood cancer on parents' relationships.Methods: An integrative literature search of studies published between 1997 and 2009 was conducted in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Psychology Information (PsycINFO), PubMed, Scopus, CUIDEN, and Latin American and Caribbean Health Science Literature (LILACS). The key words used were neoplasms, child, marriage, spouses, family relations, and nursing. Articles were reviewed if the (a) topic addressed parents' relationships during childhood cancer; (b) participants were mothers, fathers, or both; (c) design was either qualitative or quantitative; (d) language was English, Portuguese, or Spanish; (e) date of publication was between January 1997 and October 2009; and (f) abstract was available.Results: Fourteen articles met the search criteria and were reviewed using Cooper's framework for integrative reviews. Four themes emerged: (a) changes in the parents' relationship during the trajectory of the child's illness; (b) difficulty in communication between couples; (c) gender differences in parental stress and coping; and (d) role changes.Conclusions and Implications: Findings revealed positive and negative changes in parents' relationships, communication, stress, and roles. Nurses need to assess the impact of cancer diagnosis and treatments on parent relationships, offer support and encouragement, and allow expression of feelings. Future research is needed to develop and test interventions that increase parents' potentials and strengthen relationships during the challenging trajectory of their children's cancer and treatment.Clinical Relevance: The multiple sources of stress and uncertainty associated with a child's cancer diagnosis and treatment affect parents' relationships. Difficulties in communication appear frequently in parents' relationship. Our findings may guide healthcare professionals in identifying parents at risk for developing conflicts, communication problems, and lack of alignment between parents that could interfere with providing optimal care for their child with cancer. Healthcare professionals may promote dialogue and encourage parents to express their feelings, seek mutual support, and establish a partnership in dealing with the child's illness.