Parents providing palliative care for children with cancer

Rima Saad Rassam, H. Abu-Saad Huijer, Samar Noureddine, Ellen M Lavoie Smith, Joanne Wolfe, Souha Fares, Miguel R Abboud
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Abstract

Parents of children with cancer provide paediatric palliative care (PPC). However, the activities they perform remain underexplored, especially in low-and middle-income countries (LMICs) where the care heavily relies on family involvement. The aim of this study is to identify parental PPC tasks and intentions to perform PPC tasks and to determine their associated factors. A quantitative cross-sectional descriptive design was used to recruit parents of children with cancer from three major paediatric oncology centres in Lebanon. Data were collected through structured interviews using an adapted questionnaire. The statistical analyses included descriptive, bivariate and regression analyses of PPC tasks and intentions. One hundred and five participants completed the study. On average, parents performed 22 PPC activities. The findings suggested statistically significant associations of the number of PPC tasks with the participants’ marital status, number of people living with the child, the intentions to perform the tasks and the number of the child’s symptoms in the previous week. Examining parents’ tasks in PPC in LMICs, such as Lebanon, enhances knowledge of PPC practice in these regions and informs improvement strategies. These results promote PPC understanding, highlight factors influencing PPC delivery and provide a useful measure of PPC tasks performed by parents of children with cancer.
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父母为癌症儿童提供姑息关怀
癌症患儿的父母提供儿科姑息治疗(PPC)。然而,他们所从事的活动仍未得到充分探索,尤其是在中低收入国家(LMICs),因为这些国家的护理工作严重依赖于家庭参与。本研究旨在确定父母的临终关怀任务和执行临终关怀任务的意愿,并确定其相关因素。研究采用定量横断面描述性设计,从黎巴嫩的三个主要儿科肿瘤中心招募癌症患儿的父母。通过使用改编问卷进行结构化访谈收集数据。统计分析包括 PPC 任务和意向的描述性分析、双变量分析和回归分析。共有 105 名参与者完成了研究。父母平均进行了 22 项 PPC 活动。研究结果表明,PPC 任务的数量与参与者的婚姻状况、与孩子共同生活的人数、执行任务的意愿以及孩子在上周出现的症状数量之间存在统计学意义上的重大关联。对黎巴嫩等低收入和中等收入国家的家长在儿童疾病预防和治疗中的任务进行研究,可以增进对这些地区儿童疾病预防和治疗实践的了解,并为改进策略提供参考。这些结果促进了人们对 PPC 的了解,突出了影响 PPC 实施的因素,并为癌症患儿家长执行 PPC 任务提供了有用的衡量标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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