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父母癌症患者家庭及其网络的心理教育计划对儿童焦虑和生活质量的影响:一项随机对照试验研究。

The Effects on Children's Anxiety and Quality of Life of a Psychoeducational Program for Families Living With Parental Cancer and Their Network: A Randomized Controlled Trial Study.

机构信息

Author Affiliation: Center for Crisis Psychology, Bergen, Norway.

出版信息

Cancer Nurs. 2018 Nov/Dec;41(6):473-483. doi: 10.1097/NCC.0000000000000529.

DOI:10.1097/NCC.0000000000000529
PMID:28731883
Abstract

BACKGROUND

Families living with parental cancer report lack of social support. The Cancer PEPSONE Program (CPP) was developed to bridge the gap between the families and their network.

OBJECTIVE

The aims of this study were to study the effect of the CPP on children's anxiety and quality of life (QOL) and examine the association between the CPP's effect on their well parents' received social support, QOL, and psychological distress and the children's anxiety and QOL.

METHODS

The CPP, a psychoeducational program for the families and their social network, was evaluated using a randomized controlled trial design. The children and their well parents completed questionnaires measuring QOL, psychological distress, and social support at baseline and after 3 and 6 months.

RESULTS

Thirty-five families were enrolled (18 intervention, 17 controls). The CPP stabilized the children's family function, although the family function largely (d = 0.86) decreased in the control group (P = .018). No significant effects were found on anxiety, overall QOL, or QOL subdimensions. Significant correlations were documented between the children's levels of anxiety and the well parents' received social support (r = -0.196, P < .001), QOL (r = -0.138, P < .05), and psychological distress (r = 0.166, P < .05).

CONCLUSIONS

The CPP seems to stabilize the children's perceived family function but did not target the other outcomes. Further studies with larger samples are needed.

IMPLICATIONS FOR CLINICAL PRACTICE

Optimizing social network for families living with parental cancer may support the family's function. Actions should be initiated to increase the well parents' social support, QOL, and psychological distress, which may also benefit the children.

摘要

背景

有癌症患儿的家庭报告称缺乏社会支持。癌症 PEPSONE 项目(CPP)的开发旨在弥合家庭及其网络之间的差距。

目的

本研究旨在探讨 CPP 对儿童焦虑和生活质量(QOL)的影响,并检验 CPP 对其健康父母获得的社会支持、QOL 和心理困扰的影响与儿童焦虑和 QOL 之间的关系。

方法

CPP 是一个针对家庭及其社交网络的心理教育计划,采用随机对照试验设计进行评估。儿童及其健康父母在基线和 3 个月和 6 个月后完成 QOL、心理困扰和社会支持的问卷。

结果

共纳入 35 个家庭(18 个干预组,17 个对照组)。CPP 稳定了儿童的家庭功能,尽管对照组的家庭功能大幅下降(d = 0.86,P =.018)。在焦虑、总体 QOL 或 QOL 子维度方面未发现显著效果。在儿童焦虑水平与健康父母获得的社会支持(r = -0.196,P <.001)、QOL(r = -0.138,P <.05)和心理困扰(r = 0.166,P <.05)之间存在显著相关性。

结论

CPP 似乎稳定了儿童感知的家庭功能,但未针对其他结果进行靶向治疗。需要进一步开展更大样本的研究。

临床意义

优化有癌症患儿的家庭社交网络可能会支持家庭功能。应采取行动增加健康父母的社会支持、QOL 和心理困扰,这也可能使儿童受益。

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