Shokri Mehdi, Tarjoman Asma, Borji Milad, Solaimanizadeh Laleh
Department of Pediatrics, Ilam University of Medical sciences, Ilam, Iran.
Department of Nursing, Ilam University of Medical Sciences, Ilam, Iran.
J Child Adolesc Psychiatr Nurs. 2020 Nov;33(4):229-238. doi: 10.1111/jcap.12269. Epub 2020 Apr 10.
Cancer is a type of chronic illness that causes many issues for patients and their caregivers, including a wide range of psychological problems. This study was conducted to determine the status and psychological problems of caregivers of pediatric patients with cancer who live in Iran.
All articles from 2000 to March 2019 related to the psychological of caregivers and their child's cancer were included in the search. Domestic websites in Iran and international databases were searched. Keywords of the search included child, cancer, malignancy, care burden, stress, anxiety, depression, coping strategies, psychological hardiness, posttraumatic stress, parents, father, mother, and pediatric. The search, data extraction, quality assessment and screening were conducted independently by two researchers.
In the initial search, 345 articles were extracted regarding the psychological problems of caregivers. After final screening 15 articles were selected; from these four referred to care burden, four articles for coping skills, three articles for posttraumatic stress disorder (PTSD) and four articles for stress, anxiety, and depression among carers of children with cancer.
Considering the existence of psychological problems such as caregiver burden, PTSD, stress, anxiety, and depression in caregivers of children with cancer, it is necessary to provide nursing interventions for this group of parents; particularly interventions that provide the necessary ground for reducing psychological problems and improving caregivers' mental health.
癌症是一种慢性疾病，会给患者及其照料者带来诸多问题，包括一系列心理问题。本研究旨在确定居住在伊朗的癌症患儿照料者的状况及心理问题。
检索了2000年至2019年3月所有与照料者心理及其孩子患癌相关的文章。搜索了伊朗的国内网站和国际数据库。搜索关键词包括儿童、癌症、恶性肿瘤、照料负担、压力、焦虑、抑郁、应对策略、心理韧性、创伤后应激、父母、父亲、母亲和儿科。两名研究人员独立进行搜索、数据提取、质量评估和筛选。
在初步搜索中，提取了345篇关于照料者心理问题的文章。最终筛选后，选择了15篇文章；其中四篇涉及照料负担，四篇关于应对技巧，三篇关于创伤后应激障碍（PTSD），四篇关于癌症患儿照料者的压力、焦虑和抑郁。
鉴于癌症患儿照料者存在诸如照料负担、创伤后应激障碍、压力、焦虑和抑郁等心理问题，有必要为这组家长提供护理干预；特别是为减少心理问题和改善照料者心理健康提供必要条件的干预措施。
