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父母在患有绝症时参与家庭支持计划的体验。

Parents' experiences of a Family Support Program when a parent has incurable cancer.

机构信息

Akershus University Hospital, Lørenskog, Norway.

出版信息

J Clin Nurs. 2009 Dec;18(24):3480-8. doi: 10.1111/j.1365-2702.2009.02871.x. Epub 2009 Sep 3.

Abstract

AIMS AND OBJECTIVES

The Family Support Program was created to support children and parenting when one of the parents has incurable cancer. We chose a family-based approach to support parent's coping and to help families pull together, identify strengths in the family and learn how to seek help.

BACKGROUND

Cancer is usually a new experience for young families. In most cases, parents do not have the necessary knowledge about their children's need for information and support about their parent's serious illness and impending death.

DESIGN

A qualitative evaluation study based on data collected through in-depth interviews focusing on parent's experiences with the Family Support Program.

METHODS

Participants were patients with incurable cancer and their partners and ex-partners with children aged between 5-18 years. Thirteen parents were in-depth interviewed.

RESULTS

Parents described how the Family Support Program helped them gain greater insight into their children's thoughts and reactions and into how the situation affected their daily living. Parents reported that conflicts were reduced, they could talk more openly about the situation in the family and that they were shown how to support their children's coping.

CONCLUSION

The Family Support Program met the parents in the study's needs for more information and support about how to cope with their children during the patient's terminal illness.

RELEVANCE TO CLINICAL PRACTICE

The Family Support Program is described in detail in a manual that makes it easy for other health workers to use the same programme. The Family Support program was in use in outpatient clinics, oncology wards and palliative care units and was provided both from nurses and social workers trained in cancer care. Parent's in the study would like the Family Support Program to be available to all patients who receive the poor prognosis that their cancer cannot be cured.

摘要

目的和目标

家庭支持计划旨在为父母一方患有绝症的儿童和父母提供支持。我们选择了一种以家庭为基础的方法来支持父母应对,并帮助家庭团结起来,发现家庭中的优势,并学习如何寻求帮助。

背景

癌症通常对年轻家庭来说是一种新的体验。在大多数情况下,父母没有必要的知识,无法了解孩子对其父母重病和即将死亡的信息和支持的需求。

设计

一项基于通过深入访谈收集的数据的定性评估研究,重点是父母对家庭支持计划的体验。

方法

参与者是患有绝症的患者及其伴侣和前伴侣,他们的孩子年龄在 5-18 岁之间。对 13 位父母进行了深入访谈。

结果

父母描述了家庭支持计划如何帮助他们更深入地了解孩子的想法和反应,以及了解病情如何影响他们的日常生活。父母报告说,冲突减少了,他们可以更开放地谈论家庭中的情况,并且有人向他们展示了如何支持孩子应对。

结论

家庭支持计划满足了研究中父母对更多关于如何在患者生命末期应对孩子的信息和支持的需求。

临床实践的相关性

家庭支持计划在一份手册中详细描述,使其他卫生工作者更容易使用相同的计划。家庭支持计划在门诊诊所、肿瘤病房和姑息治疗病房使用,由接受过癌症护理培训的护士和社会工作者提供。研究中的父母希望家庭支持计划能够提供给所有收到预后不佳,即其癌症无法治愈的患者。

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