Park Mijeong, Suh Eunyoung E, Yu Soo-Young
Department of Nursing, Seoul National University Children's Hospital, Seoul 03080, Korea.
Center for Human-Caring Nurse Leaders for the Future by Brain Korea 21 (BK 21) Four Project, Research Institute of Nursing Science, College of Nursing, Seoul National University, Seoul 03080, Korea.
Int J Environ Res Public Health. 2021 Apr 16;18(8):4253. doi: 10.3390/ijerph18084253.
The survival rate of pediatric cancer has increased to 80%, but long-term treatment is required. During treatment, parents experience uncertainty, which affects parents' quality of life and, even worse, their children's health; however, the variation of that uncertainty remains under-studied. Thus, it is crucial to understand parents' nursing needs in each distinct treatment phase to develop relevant educational content. This study investigated the uncertainty level and nursing needs of parents according to their children's treatment phase. This cross-sectional comparative descriptive study collected survey data from 119 people at a tertiary hospital from December 2017 to April 2018. Nursing needs were ascertained using open-ended questions, and data were analyzed using quantitative content analysis. The uncertainty levels of parents of pediatric cancer patients showed statistically significant differences across treatment phases (F = 8.209, < 0.001). Parents' uncertainty was higher in the treatment initiation phase (87.77 ± 13.43) and when treatment was ongoing (83.33 ± 15.10) than in the post-treatment phase (75.35 ± 12.82). All three groups had nursing needs regarding infection control, diet, daily activities of living, and prognosis. Parents' uncertainty levels and nursing needs differed across treatment phases, suggesting a need for tailored education programs to provide practical support to parents of pediatric cancer patients in each phase.
儿童癌症的生存率已提高到80%，但仍需要长期治疗。在治疗期间，父母会经历不确定性，这会影响父母的生活质量，甚至更糟的是，会影响孩子的健康；然而，这种不确定性的变化仍未得到充分研究。因此，了解父母在每个不同治疗阶段的护理需求对于开发相关教育内容至关重要。本研究根据儿童的治疗阶段调查了父母的不确定性水平和护理需求。这项横断面比较描述性研究于2017年12月至2018年4月在一家三级医院收集了119人的调查数据。通过开放式问题确定护理需求，并使用定量内容分析法对数据进行分析。儿童癌症患者父母的不确定性水平在不同治疗阶段存在统计学显著差异（F = 8.209，< 0.001）。与治疗后阶段（75.35 ± 12.82）相比，父母在治疗开始阶段（87.77 ± 13.43）和治疗进行期间（83.33 ± 15.10）的不确定性更高。所有三组在感染控制、饮食、日常生活活动和预后方面都有护理需求。父母的不确定性水平和护理需求在不同治疗阶段存在差异，这表明需要制定有针对性的教育计划，以便在每个阶段为儿童癌症患者的父母提供实际支持。
