Heiney S P, Goon-Johnson K, Ettinger R S, Ettinger S
J Pediatr Oncol Nurs. 1990 Jul;7(3):95-100. doi: 10.1177/104345429000700303.
The stress and psychological difficulties of siblings of children with cancer is well documented. Siblings must cope with a myriad of emotions, isolation from the family, and many changes in daily life. Therefore, a need exists to determine the effects of psychosocial interventions on siblings of cancer patients. The support group is one psychosocial intervention that has been suggested as a method to relieve stress and enhance coping. A quasi-experimental design was selected to determine the effects of participation in a support group on the social adjustment of siblings of children with cancer. Conclusions suggest that a support group provides siblings with the opportunity to decrease their sense of isolation, ventilate negative feelings, and learn from each other. Additionally, descriptive data suggest a need for ongoing follow-up with siblings to help them manage the stresses emerging from the impact of the diagnosis and treatment on the family. Implications of this study suggest that nurses should organize support groups for siblings and/or refer them to existing groups. Also, this study suggests the need to work with siblings and educate parents regarding sibling concerns.
癌症患儿兄弟姐妹所面临的压力和心理困境已有充分记载。这些兄弟姐妹必须应对各种情绪、与家庭隔离以及日常生活中的诸多变化。因此,有必要确定心理社会干预对癌症患者兄弟姐妹的影响。支持小组是一种被建议作为缓解压力和增强应对能力方法的心理社会干预措施。本研究采用准实验设计来确定参与支持小组对癌症患儿兄弟姐妹社会适应的影响。研究结论表明,支持小组为兄弟姐妹提供了减少孤独感、宣泄负面情绪以及相互学习的机会。此外,描述性数据表明有必要对兄弟姐妹进行持续随访,以帮助他们应对因疾病诊断和治疗对家庭造成影响而产生的压力。本研究的意义在于,护士应为兄弟姐妹组织支持小组和/或将他们转介至现有的小组。此外,本研究还表明有必要与兄弟姐妹合作,并就他们所关心的问题对家长进行教育。