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基于家长需求设立儿科癌症患者护理者支持小组的构想。

Inception of a pediatric cancer caregiver support group guided by parental needs.

机构信息

Department of Pediatric Oncology, Cytecare Cancer Hospitals, Bangalore, India.

Department of Psycho-oncology Services, Cytecare Cancer Hospitals, Bangalore, India.

出版信息

Cancer Rep (Hoboken). 2022 Jun;5(6):e1469. doi: 10.1002/cnr2.1469. Epub 2021 Jun 6.

Abstract

BACKGROUND

Survivorship in childhood cancers has steadily improved and increased the need for caregivers to provide a longer duration of care both in the hospital and at home. Involving parents and caregivers to voice their unmet needs could significantly impact and direct the institution of support groups.

AIMS

To ascertain the need for a pediatric caregiver support group based on a survey that explored the unmet needs of caregivers of children with cancer.

METHODS

Caregivers of pediatric patients (n = 17) undergoing treatment at the hospital were requested to complete our Pediatric Caregiver Psycho-social Needs Survey. The survey encompassed questions on different aspects of caregiving and the caveats felt by the caregivers. The needs were categorized into seven main domains (physical, emotional, family-related issues, spiritual, social, logistics, and information) that focused on understanding the importance and the perceived level of professional support that was expected. The data was analyzed using SPSS.

RESULTS

The most often reported needs were (i) emotional concerns with the majority reporting fear (58.8%), (ii) logistics-related needs for play/art-based activities (58.8%), (iii) informational needs focusing on understanding diagnosis/prognosis (47.1%), side-effects of treatment and physical changes (41.2%). Family-related needs escalated when caregivers (23.5%) looked after other ill family members at home. Caregivers (23.5%) also reported Spiritual concerns suggesting the need for religious/spiritual support in the hospital. Majority of caregivers (82.4%) expressed interest to be part of a pediatric caregiver support group. However, professional support sought for was much lesser compared to the percentage of needs/concerns expressed.

CONCLUSION

Our study highlighted the unmet needs of caregivers which included emotional, logistics-related needs, and concerns about information. Hence, the goal is to provide a unified platform through a support group that holistically can address needs and empower caregivers.

摘要

背景

儿童癌症的存活率稳步提高,这增加了照顾者的需求,需要他们在医院和家中提供更长时间的护理。让父母和照顾者表达他们未满足的需求,可以显著影响和指导支持团体的建立。

目的

根据一项调查,确定是否需要设立一个儿科照顾者支持小组,该调查探讨了癌症患儿照顾者未满足的需求。

方法

请求在医院接受治疗的儿科患者(n=17)的照顾者填写我们的儿科照顾者心理社会需求调查。该调查涵盖了照顾方面的不同问题和照顾者的顾虑。需求分为七个主要领域(身体、情感、家庭相关问题、精神、社会、后勤和信息),重点了解重要性和预期的专业支持程度。使用 SPSS 对数据进行分析。

结果

报告最多的需求是(i)情感问题,大多数人表示担心(58.8%),(ii)与后勤相关的游戏/艺术活动需求(58.8%),(iii)信息需求,重点是了解诊断/预后(47.1%)、治疗副作用和身体变化(41.2%)。当照顾者(23.5%)在家照顾其他患病的家庭成员时,家庭相关需求会增加。照顾者(23.5%)还报告了精神问题,表明医院需要宗教/精神支持。大多数照顾者(82.4%)表示有兴趣成为儿科照顾者支持小组的一员。然而,与表达的需求/关注点相比,寻求的专业支持要少得多。

结论

我们的研究强调了照顾者未满足的需求,包括情感、后勤相关需求和信息方面的担忧。因此,我们的目标是通过一个支持小组提供一个统一的平台,全面满足需求并赋予照顾者权力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d321/9199508/b2ac5b03cf10/CNR2-5-e1469-g001.jpg

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