Sandra Amaral, F. Pimenta, Raquel Rosas, C. Sant’Anna
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引用次数: 0
摘要
引言:考虑到对家庭动态的变化和影响,除了照顾儿童的责任外,慢性病儿童的父母和照顾者经常面临压力源,导致压力水平上升。因此,本综述旨在分析评估心理社会干预对患有最常见慢性病(癌症、哮喘、糖尿病和心血管疾病)儿童的父母和家庭成员压力管理效果的研究。方法:本研究归类为范围综述。文献检索包括5个电子数据库(EBSCO、b-On、PubMed、Scielo和Web of Science)发表的文章,符合纳入标准。结果:共入选文献15篇。干预措施在结果、研究设计、样本、方式和策略方面各不相同。在这15项研究中,53%的研究发现参与者的压力水平或干预组与对照组之间没有显著差异,40%的研究显示参与者的压力水平显著降低,7%的研究结果好坏参半,干预后某些情绪维度有所改善。讨论:尽管关于压力水平的结果好坏参半,但显著的结果可能证明在这一人群中进行此类干预的重要性。针对这一人群需求的个性化干预措施可能会有效降低压力水平。
Stress reduction interventions for parents/family of children with chronic diseases: a scoping review
INTRODUCTION: In consideration of the changes and repercussions on the family dynamics, apart from childcare responsibilities, parents and caregivers of children with chronic disease face frequent stressors, resulting in rising levels of stress. This review thus aims to analyse studies that assessed the efficacy of psychosocial interventions directed at stress management among parents and family members of children with the most prevalent chronic diseases (cancer, asthma, diabetes and cardiovascular disease). METHOD: This study classifies as a scoping review. The literature search included articles published in five electronic databases (EBSCO, b-On, PubMed, Scielo and Web of Science), in line with the inclusion criteria. RESULTS: A total of 15 articles were selected. Interventions varied in relation to outcomes, study design, sample, modalities and strategies. Of the 15 studies, 53% found no significant differences in participants stress levels or between the intervention group and the control group, 40% showed a significant decrease in participants stress levels, and 7% presented mixed results with improvements in some emotional dimensions after the intervention. DISCUSSION: Despite the mixed results with regards to the levels of stress, the significant results might justify the importance of performing such interventions among this population. Interventions that are personalized and directed at this populations needs might be effective at reducing stress levels.