Manav Gülay, Ocakcı Ayse Ferda
Department of Pediatric Nursing, Health Science Faculty, Marmara University, Istanbul, Turkey.
Department of Pediatric Nursing, KOC University, Istanbul, Turkey.
Iran J Nurs Midwifery Res. 2016 Mar-Apr;21(2):124-30. doi: 10.4103/1735-9066.178227.
Childhood cancers are fatal diseases which cause intense stress and traumatic situations for the ones who experience those diseases. This kind of an emotionally hard life may create some hardships for developing self-concept. The aim of the study is to put forth the self-exposure of a school-age child by using plays.
Six play sessions had been carried out in June-August 2011. As a searching pattern, interpretive case study method was used. The research consisted of six children with cancer, aged between 9 and 12 years. The research was conducted in a public hospital in children oncology service.
The assessment of data was realized in two stages. The first one was examining the data; the other stage was the content analysis that has been constructed after the play sessions as Nursing Intervention: Play Model. In the newly formed model, nine themes had been found: (a) expressing good memories, (b) control, (c) problem-solving ability, (d) relations, (e) aggressive behaviors, (f) regression, (g) good-bad, (h) trauma, and (i) anxiety.
The self-concept of the school-age child needs to be supported. It has been submitted that the themes can be supportive for the prospective nursing models concerning child's self-exposure. It has been suggested that the themes produced by Nursing Intervention: Play Model can be used while planning, implementation, and assessment of the nursing care.
儿童癌症是致命疾病,会给经历这些疾病的人带来巨大压力和创伤情境。这种情感上艰难的生活可能会给自我概念的发展带来一些困难。本研究的目的是通过戏剧来展现一名学龄儿童的自我表露。
2011年6月至8月进行了六次戏剧活动。作为一种探索模式,采用了解释性案例研究方法。该研究包括六名年龄在9至12岁之间的患癌儿童。研究在一家公立医院的儿童肿瘤科室进行。
数据评估分两个阶段进行。第一个阶段是检查数据;另一个阶段是在戏剧活动后构建的内容分析,即护理干预:戏剧模式。在新形成的模式中,发现了九个主题:(a)表达美好回忆,(b)控制,(c)解决问题的能力,(d)人际关系,(e)攻击性行为,(f)退行,(g)好坏,(h)创伤,以及(i)焦虑。
学龄儿童的自我概念需要得到支持。研究表明,这些主题可为有关儿童自我表露的前瞻性护理模式提供支持。建议在护理计划、实施和评估中使用护理干预:戏剧模式产生的主题。