The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
J Child Health Care. 2020 Mar;24(1):123-142. doi: 10.1177/1367493518814917. Epub 2019 Jan 17.
This meta-analysis aims to evaluate the best available evidence concerning the effects of psychoeducational interventions (PEIs) on the psychosocial and coping outcomes for caregivers of pediatric oncology patients. A literature search was performed using 11 databases, from inception to June 2017. Keywords such as pediatric, caregiver, parents, cancer, and intervention were used. Only randomized controlled trials (RCTs) were included. Studies with full text available online in English and those conducted of caregivers of children diagnosed with any form of cancer were included. Eleven RCTs were included in the analysis. Our meta-analysis revealed that PEIs have small to large effects on three outcomes, including post-traumatic stress symptoms (PTSSs), mood, and problem-solving skills. However, the outcomes from PEI were not superior to the usual standard of care for anxiety, depression, and social support. Our meta-analysis provided moderate evidence that PEI enhances psychological and coping outcomes. Because coping affects both physical and psychological health, health care professionals could consider including coping as a core component in PEI delivered to caregivers of children with cancer.
本荟萃分析旨在评估有关心理教育干预(PEI)对儿科肿瘤患者照顾者的心理社会和应对结果影响的最佳现有证据。使用 11 个数据库从开始到 2017 年 6 月进行了文献检索。使用了儿科、照顾者、父母、癌症和干预等关键词。仅纳入随机对照试验(RCT)。纳入了可在线获得全文的英语研究和针对任何形式癌症儿童诊断的照顾者进行的研究。共有 11 项 RCT 纳入分析。我们的荟萃分析表明,PEI 对创伤后应激症状(PTSS)、情绪和解决问题的技能这三个结果具有小到中等的影响。然而,PEI 的结果并不优于焦虑、抑郁和社会支持的常规标准护理。我们的荟萃分析提供了中等证据,表明 PEI 可增强心理和应对结果。因为应对会影响身心健康,所以医疗保健专业人员可以考虑将应对作为提供给癌症患儿照顾者的 PEI 的核心组成部分。