Parents' Experiences of Communicating With Children About Their Diagnosis of Nonterminal Cancer and Its Related Issues: A Systematic Review of Qualitative Studies.

IF 2.4 3区 医学 Q1 NURSING Cancer Nursing Pub Date : 2024-06-12 DOI:10.1097/NCC.0000000000001362
Yiran Du, Xiaoyan Huang, Run Xie, Ying Gu, Daqian Zhu, Hongsheng Wang
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Abstract

Background: Many children experience serious symptoms when they are diagnosed with and treated for cancer. Through appropriate parent-child communication, parents were able to identify children's physical and psychological problems, adjust their behavior, and help them cope with the disease.

Objective: This study aimed to systematically search for and integrate evidence from qualitative studies on communication between parents and children with nonterminal cancer from parents' perspectives.

Methods: A thorough systematic review and metasynthesis of qualitative studies were conducted. Articles were searched from PubMed/MEDLINE, EMBASE, Web of Science, CINAHL, PsycINFO, and PsycArticles from the database inception to November 6, 2022. After screening and quality appraisal, 14 articles were finally included in the metasynthesis.

Results: Three themes and 11 subthemes were identified: (1) communication content, including diagnosis, treatment, health management, health risk, and emotion; (2) factors influencing communication, including ages of children, parents' experience of communication, parents' awareness of protection, and culture; and (3) children's responses, including acceptance and resistance.

Conclusions: This systematic review found that parents were influenced by various factors during the decision-making process of parent-child communication about childhood cancer and its related issues. Parents tended to adjust their communication content and style to protect their children.

Implications for practice: Future research should be conducted to explore children's experiences of communicating with their parents and analyze the similarities and differences between the communication needs of parents and children. Healthcare professionals should provide professional communication guidance to facilitate the parent-child relationship and improve the mental health of both children and their parents.

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父母与子女沟通非晚期癌症诊断及其相关问题的经历:定性研究的系统回顾
背景:许多儿童在被诊断出患有癌症并接受治疗时都会出现严重的症状。通过适当的亲子沟通,父母能够发现儿童的生理和心理问题,调整他们的行为,帮助他们应对疾病:本研究旨在从父母的角度,系统地搜索和整合有关父母与非终末期癌症患儿之间沟通的定性研究证据:方法:对定性研究进行了全面的系统回顾和综合分析。从数据库建立到 2022 年 11 月 6 日,在 PubMed/MEDLINE、EMBASE、Web of Science、CINAHL、PsycINFO 和 PsycArticles 中检索了相关文章。经过筛选和质量评估,最终有 14 篇文章被纳入元综合:结果:确定了 3 个主题和 11 个次主题:(1) 沟通内容,包括诊断、治疗、健康管理、健康风险和情感;(2) 影响沟通的因素,包括儿童年龄、父母的沟通经验、父母的保护意识和文化;(3) 儿童的反应,包括接受和抵制:本系统综述发现,在就儿童癌症及其相关问题进行亲子沟通的决策过程中,父母受到各种因素的影响。父母倾向于调整他们的沟通内容和方式来保护他们的孩子:今后的研究应探讨儿童与父母沟通的经验,分析父母与儿童沟通需求的异同。医护人员应提供专业的沟通指导,以促进亲子关系,改善儿童及其父母的心理健康。
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来源期刊
Cancer Nursing
Cancer Nursing 医学-护理
CiteScore
4.80
自引率
3.80%
发文量
244
审稿时长
6-12 weeks
期刊介绍: Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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