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约旦癌症患儿父母的未满足照护需求:对床边实践的启示。

Unmet care needs of parents of children with cancer in Jordan: implications for bed-side practice.

机构信息

Department of Maternal and Child Health Nursing, Faculty of Nursing, University of Jordan, Amman, Jordan.

出版信息

J Clin Nurs. 2013 Feb;22(3-4):531-9. doi: 10.1111/jocn.12122. Epub 2012 Dec 14.

DOI:10.1111/jocn.12122
PMID:23240933
Abstract

AIMS AND OBJECTIVES

To evaluate the perceived care needs of parents of children with cancer in Jordan. (1) What are the parents' priority caring needs; (2) to what extent these needs are met by the healthcare team members; (3) the parents' need for further information (4) and whether socio-demographic, disease and treatment variables predict parents' needs for further information.

BACKGROUND

Providing support for families caring for a child with a long-term illness has been recognised all through literature, yet studies focusing on parent needs are lacking.

DESIGN

Descriptive survey.

METHODS

A total of 98 parents from a tertiary oncology hospital in metropolitan area in Amman completed the Arabic Family Inventory of Needs-Pediatric II.

RESULTS

Most of the 17 needs measured by the Family Inventory of Needs-Pediatric II were considered important. Only 78% of parents needs were met by the healthcare professionals; yet, the results clearly highlighted the importance of informing parents about the child's illness, treatment and outcome. The socio-demographic variables were not significant predictors for the family needs for further information, with two major exceptions; parents with lower level of education and parents of children undergoing bone marrow transplantation or surgery.

CONCLUSIONS

The needs of parents vary from family to another, and healthcare professionals must become familiar to these needs and acquire the skills to direct their interventions more appropriately. The Family Inventory of Needs-Pediatric II may be a useful adjunct in assessing the parents' needs for care and for information, as well as the quality of care services provided.

RELEVANCE TO CLINICAL PRACTICE

Priority needs should be central in the daily care of these families and support programmes should be adopted in Jordan for planning and developing the system of care for these families, as well as their children.

摘要

目的和目标

评估约旦癌症患儿父母的感知护理需求。(1)父母的首要护理需求是什么;(2)医护人员在多大程度上满足了这些需求;(3)父母对进一步信息的需求;(4)以及社会人口统计学、疾病和治疗变量是否预测父母对进一步信息的需求。

背景

为照顾患有长期疾病的儿童的家庭提供支持已在文献中得到广泛认可,但缺乏关注父母需求的研究。

设计

描述性调查。

方法

来自安曼大都市区一家肿瘤三级医院的 98 名父母完成了阿拉伯家庭需求清单-儿科 II。

结果

家庭需求清单-儿科 II 测量的 17 项需求中,大多数被认为很重要。只有 78%的父母需求得到医护人员的满足;然而,结果清楚地强调了告知父母有关孩子疾病、治疗和结果的重要性。社会人口统计学变量并不是家庭对进一步信息的需求的显著预测因素,但有两个主要例外;教育水平较低的父母和接受骨髓移植或手术的儿童的父母。

结论

父母的需求因家庭而异,医护人员必须熟悉这些需求,并掌握适当指导干预的技能。家庭需求清单-儿科 II 可能是评估父母护理和信息需求以及提供护理服务质量的有用辅助工具。

临床实践相关性

这些家庭的日常护理应侧重于优先需求,并应在约旦采用支持计划,为这些家庭及其子女规划和发展护理系统。

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