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针对新确诊癌症儿童家长的应对干预措施:一项对临床实践和未来研究具有启示意义的证据综述。

Coping interventions for parents of children newly diagnosed with cancer: an evidence review with implications for clinical practice and future research.

作者信息

Peek Gloanna, Melnyk Bernadette Mazurek

机构信息

Arizona State University, College of Nursing & Healthcare Innovation, Phoenix, AZ, USA.

出版信息

Pediatr Nurs. 2010 Nov-Dec;36(6):306-13.

Abstract

There are approximately 12,000 children diagnosed with cancer every year in the U.S. The diagnosis of childhood cancer has an impact on the entire family. Parents of children newly diagnosed with cancer often exhibit symptoms of stress, depression, and anxiety. In addition, children diagnosed with cancer often exhibit behavioral changes during and after treatment. Although numerous studies have demonstrated the adverse impact of the cancer diagnosis on the parents and children, few studies have been conducted on interventions designed to facilitate parental coping and mental health outcomes. The purpose of this evidence review was to determine the impact of psychosocial interventions on the mental health/coping outcomes of parents of children diagnosed with cancer. A synthesis of the current literature from the search demonstrates an urgent need for larger, theory-based, randomized controlled trials with attention control groups for parents of children newly diagnosed with cancer to improve their children's coping/mental health outcomes as well as their own.

摘要

在美国,每年约有12000名儿童被诊断出患有癌症。儿童癌症的诊断会对整个家庭产生影响。新诊断出患有癌症的儿童的父母常常表现出压力、抑郁和焦虑症状。此外,被诊断出患有癌症的儿童在治疗期间及之后常常会出现行为变化。尽管众多研究已证明癌症诊断对父母和孩子有不利影响,但针对旨在促进父母应对及心理健康结果的干预措施的研究却很少。本证据综述的目的是确定心理社会干预对被诊断出患有癌症的儿童的父母的心理健康/应对结果的影响。对检索到的当前文献进行的综合分析表明,迫切需要开展更大规模的、基于理论的、设有注意力控制组的随机对照试验,以改善新诊断出患有癌症的儿童的父母及其孩子的应对/心理健康结果。

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