J Hosp Palliat Nurs. 2021 Aug 1;23(4):331-338. doi: 10.1097/NJH.0000000000000759.
Little is known about the development of posttraumatic growth among parents of children with serious advanced disease. The purpose of this study is to describe parental posttraumatic growth 100 days after pediatric stem cell transplant. This is a cross-sectional, descriptive study of 24 parents, approximately 100 days after their children received stem cell transplant. Participants reported environmental, personal, and disease characteristics and completed measures of distress, coping, rumination, and posttraumatic growth. Evidence of parental posttraumatic growth was described in each of 5 dimensions (relating to others, new possibilities, personal strength, spiritual change, and appreciation of life). Posttraumatic growth was positively associated with parental distress, disengagement coping, and rumination measures (r = 0.44-0.47, P < .05). Appreciation of life demonstrated the strongest associations with distress and rumination (r = 0.53-0.61, P < .01). Curvilinear relationships were observed for the association of distress, disengagement coping, and involuntary engagement with posttraumatic growth (P < .05). Study results highlight opportunities for palliative care nurses and clinicians to facilitate opportunities to support parent posttraumatic growth during treatment for children's advanced disease.
关于患有严重晚期疾病的儿童的父母创伤后成长的发展，人们知之甚少。本研究的目的是描述儿科干细胞移植后 100 天父母的创伤后成长。这是一项对 24 名父母的横断面描述性研究，他们的孩子在接受干细胞移植后大约 100 天。参与者报告了环境、个人和疾病特征，并完成了痛苦、应对、沉思和创伤后成长的测量。在 5 个维度（与他人的关系、新的可能性、个人力量、精神变化和对生活的欣赏）中描述了父母的创伤后成长。创伤后成长与父母的痛苦、脱离应对和沉思测量呈正相关（r = 0.44-0.47，P <.05）。对生活的欣赏与痛苦和沉思的相关性最强（r = 0.53-0.61，P <.01）。痛苦、脱离应对和非自愿参与与创伤后成长之间的关联呈曲线关系（P <.05）。研究结果强调了姑息治疗护士和临床医生的机会，可以在儿童晚期疾病的治疗过程中为父母的创伤后成长提供支持。
