Adolescents and parents experiencing parental cancer: construction of a nursing intervention model.

Revista da Escola de Enfermagem da U S P Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0184en
Ana Filipa Domingues Sousa, Paula Cristina Moreira Mesquita de Sousa, Maria Margarida da Silva Reis Dos Santos Ferreira, Maria de Lurdes Lopes de Freitas Lomba
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Abstract

Objective: To develop a nursing intervention model for adolescents and parents experiencing parental cancer.

Method: Multimethod research, which integrated five studies: a scoping review and four qualitative studies. Considering the results of these studies, a nursing intervention model was constructed based on two theoretical frameworks, such as the A Model of Children's Adjustment to Parental Cancer, for adolescents, and Neuman Systems Model, for parents, and on a semantic framework, such as Nursing Ontology.

Results: The model is aimed at three target audiences: individual - parental figure with cancer; individual - adolescent; and family - parental figure with cancer, second parental figure and adolescent. The model is based on health literacy and includes four topics that address central topics in the experience of parental cancer: "The elephant in the room"; "Everything changes in us"; "Life goes on"; and "With the present, we plan the future".

Conclusion: The proposed model is assumed as a health promotion strategy that empowers nurses for a family-centered intervention, in order to minimize the impact of parental cancer.

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青少年与父母患癌:护理干预模型的构建。
目的:建立父母患癌青少年的护理干预模式。方法:多方法研究,包括五项研究:一项范围综述和四项定性研究。结合以上研究结果,基于儿童对父母癌症的适应模型(a model of Children’s Adjustment to parent Cancer)和父母的Neuman Systems模型(a model)两个理论框架,以及护理本体(nursing Ontology)这一语义框架,构建了护理干预模型。结果:该模型针对三个目标受众:个体-患有癌症的父母;个人—青少年;还有家庭——患癌症的父母,第二个父母和青少年。该模式以健康素养为基础,包括四个主题,涉及父母患癌症经历中的核心主题:“房间里的大象”;“我们的一切都在改变”;“生活还在继续”;以及“把握现在,规划未来”。结论:所提出的模型被认为是一种健康促进策略,赋予护士以家庭为中心的干预,以尽量减少父母癌症的影响。
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