同伴支持营对减轻癌症患儿兄弟姐妹情绪困扰的影响。

IF 1 4区 医学 Q3 NURSING Journal of Pediatric Hematology-Oncology Nursing Pub Date : 2022-03-01 Epub Date: 2021-09-21 DOI:10.1177/10434542211041929
Donna Gregory, Marieke Van Puymbroeck, Brandi Crowe, Barry Garst, Michael Amylon
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引用次数: 0

摘要

背景:患有癌症的儿童的兄弟姐妹经常经历焦虑和创伤后应激症状(PTSS),这对他们的自尊产生负面影响,因为情绪上令人不安的环境。本纵向定量研究的目的是调查参加癌症儿童兄弟姐妹同伴支持营的青少年在焦虑、创伤后应激障碍和自尊方面的变化。方法:一项纵向研究检查了随时间的变化。数据收集自32个兄弟姐妹的调查,分别在夏令营前后和三个月后进行。兄弟姐妹完成了焦虑、创伤后应激障碍和自尊的评估。采用重复测量方差分析或弗里德曼检验来确定每个测量结果的三个数据点之间的变化。采用配对样本t检验或Wilcoxon sign - rank检验进行事后比较。结果:焦虑显著改善;T1和T2 (p p p = .001);T1和T3 (p = .011)。年龄较大的参与者(10-16岁)自尊得分显著提高;T1和T2 (p p = .005)。讨论:本研究中产生的数据扩展了关于同伴支持营对减少癌症儿童兄弟姐妹情绪困扰的影响的知识。这些发现为进一步研究此类训练营的长期影响、重复参与的价值、失去亲人和未失去亲人的兄弟姐妹之间的差异、癌症经历的阶段以及训练营中影响最大的因素提供了依据。
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The Influence of a Peer Support Camp on Mitigating Emotional Distress in Siblings of Children With Cancer.

Background: Siblings of children with cancer often experience anxiety and posttraumatic stress symptoms (PTSS), which negatively impact their self-esteem due to emotionally upsetting circumstances. The purpose of this longitudinal quantitative study was to investigate changes in anxiety, PTSS, and self-esteem of youth who participated in a peer support camp for siblings of children with cancer. Methods: A longitudinal study examined changes over time. Data were collected from 32 sibling surveys pre-, post-, and three months after camp. Siblings completed assessments to measure anxiety, PTSS, and self-esteem. A repeated measures ANOVA or Friedman Test was conducted to identify changes across the three data points for each outcome measured. Post hoc comparisons using paired sample t-tests or Wilcoxon Signed-Rank tests were conducted. Results: Significant improvements in anxiety; T1 and T2 (p < .000); T1 and T3 (p < .000). Significant decrease in PTSS; T1 and T2 (p=.001); T1 and T3 (p = .011). Significant improvement in self-esteem scores for older participants (ages 10-16); T1 and T2 (p < .000). Significant improvement in self-esteem for younger participants (ages 7-9); T1 and T3 (p= .005). Discussion: The data generated in this study expand knowledge about the influence of peer support camps on reducing the emotional distress of siblings of children with cancer. The findings warrant further research on the long-term impact of such camps, the value of repeated participation, differences between bereaved and nonbereaved siblings, the phase of the cancer experience, and elements of the camp that have the most impact.

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