Chopard Saba, Veneroni Laura, Casiraghi Giovanna, Cecatiello Armando, Massimino Maura, Clerici Carlo Alfredo
Université de Fribourg (UNIFR), Fribourg.
SC Pediatria, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milano.
Recenti Prog Med. 2018 Jun;109(6):342-349. doi: 10.1701/2932.29490.
Divorces and separations have become more frequent over the last 20 years and for this reason they are issues of great importance with possible effects on medical treatments. Conflicts between the adults frequently affect the children involved in the separation of their parents. If, on the one hand, the parental conflict is a hard and distressing experience for the whole family, on the other hand this situation gets even more complicated if a child is affected by a serious illness. Since there is a lack of studies about the management arrangements of these situations, this article aims to illustrate the experiences gained in a pediatric ward of a big oncology hospital and the appropriate multidisciplinary management arrangements. These experiences, however, can be applied also in other contexts where children are being treated and where the conflict between parents can either produce different difficulties in the performance of the therapy or prejudice the child's serenity.
在过去20年里,离婚和分居变得更加频繁,因此它们成为非常重要的问题,可能会对医疗产生影响。成年人之间的冲突常常会影响到父母分居所涉及的孩子。一方面,父母冲突对整个家庭来说是一段艰难且痛苦的经历,另一方面,如果孩子身患重病,这种情况会变得更加复杂。由于缺乏关于这些情况管理安排的研究,本文旨在阐述一家大型肿瘤医院儿科病房所获得的经验以及适当的多学科管理安排。然而,这些经验也可应用于其他有儿童接受治疗的环境,在这些环境中,父母之间的冲突可能会给治疗的进行带来各种困难,或者损害孩子的平静心态。