Ångström-Brännström Charlotte, Lindh Viveca, Mullaney Tara, Nilsson Kristina, Wickart-Johansson Gun, Svärd Anna-Maja, Nyholm Tufve, Lindh Jack, Engvall Gunn
1 Umeå University, Umeå, Sweden.
2 Veryday, Stockholm, Sweden.
J Pediatr Oncol Nurs. 2018 Mar/Apr;35(2):132-148. doi: 10.1177/1043454217741876. Epub 2017 Nov 25.
The aim of this study was to evaluate parents' experiences and responses to a systematic intervention for psychological preparation of children and families during the child's radiotherapy (RT) treatment. In this case-control study at 3 pediatric RT centers, an intervention with a preparatory kit, including age-adjusted information on tablets, gift of a stuffed toy or a pair of headphones, a parent booklet, and toy models of the computed tomography and RT machines was implemented. For evaluation, a mixed methods data collection was conducted. A total of 113 parents of children undergoing RT were included-n = 59 in the baseline group and n = 54 in the intervention group. Health-related quality of life was rated low, but parents in the intervention group expressed less anxiety after the RT compared with the baseline group. They found information suitable for their young children, siblings, and friends were involved and the toy models were used for play. Parents expressed positive feelings due to close interaction with staff and each other within the family. The solutions developed within a human-centered design approach and shaped as a systematic family-centered strategy contributed to parents understanding and coping with the child's RT.
本研究的目的是评估家长在孩子接受放射治疗(RT)期间,对一项针对儿童及其家庭进行心理准备的系统干预措施的体验和反应。在3个儿科放疗中心开展的这项病例对照研究中,实施了一项包含准备套装的干预措施,该套装包括适合不同年龄段的平板电脑信息、赠送填充玩具或一副耳机、一本家长手册,以及计算机断层扫描和放疗机器的玩具模型。为进行评估,采用了混合方法收集数据。共有113名接受放疗儿童的家长参与研究——基线组59名,干预组54名。与健康相关的生活质量评分较低,但与基线组相比,干预组的家长在放疗后焦虑情绪有所减轻。他们发现提供给幼儿、兄弟姐妹和朋友的信息很合适,并且使用了玩具模型来玩耍。由于与工作人员以及家庭成员之间的密切互动,家长们表达了积极的感受。以以人为本的设计方法制定并形成系统的以家庭为中心的策略所产生的解决方案,有助于家长理解并应对孩子的放疗。