University of Calgary, Alberta, Canada.
Alberta Children's Hospital, Calgary, Canada.
J Fam Nurs. 2021 Nov;27(4):285-294. doi: 10.1177/10748407211001431. Epub 2021 Apr 15.
While cure rates in pediatric oncology have improved over the past 30 years, childhood cancer remains the second leading cause of death in children aged 1 to 14. Developing therapies often require using cancerous tissues, which may come from deceased donors. Tumor banks collect, store, and distribute these donated samples. While tumor banking is more common, factors that contribute to parents' decision and the impact of it on the family are not well understood. The purpose of this hermeneutic study was to understand the meaning and impact of tumor banking for parents of children who have died from cancer. Findings suggest that parents donating their child's tumors unexpectedly found a sense of meaning in their loss. They also found a legacy of their child's life; the living cells in some ways assisted the parents with grief. Aspects of this sensitive conversation and decision are discussed from the perspective of the parents' experiences.
尽管过去 30 年来儿科肿瘤的治愈率有所提高,但儿童癌症仍然是 1 至 14 岁儿童死亡的第二大原因。开发疗法通常需要使用癌细胞组织,这些组织可能来自已故供体。肿瘤库收集、储存和分发这些捐赠样本。虽然肿瘤库更为常见,但促成父母做出这一决定的因素及其对家庭的影响尚不清楚。本解释学研究的目的是了解肿瘤库对因癌症而死亡的儿童的父母的意义和影响。研究结果表明,捐献孩子肿瘤的父母意外地从他们的损失中找到了意义。他们还发现了孩子生命的遗产;有些情况下,活细胞帮助父母减轻了悲痛。本文从父母的角度讨论了这一敏感话题和决定的各个方面。