Tan Chai-Eng, Lau Sie Chong Doris, Latiff Zarina Abdul, Lee Chee Chan, Teh Kok Hoi, Sidik Sherina Mohd
Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Asia Pac J Oncol Nurs. 2021 Dec 25;9(3):143-152. doi: 10.1016/j.apjon.2021.11.001. eCollection 2022 Mar.
Informational support is an important pillar of psychosocial care for parents of children with cancer. Understanding the information needs of these parents may improve the provision of family-centered informational support. This paper aims to explore the information needs of Malaysian parents whose children have cancer.
This qualitative study was conducted among 14 parents of children with cancer and 8 healthcare providers. The parents were recruited from two urban pediatric oncology centers in Malaysia. Healthcare providers were recruited from these centers, as well as from community-based palliative care providers. In-depth interviews were conducted based on semi-structured topic guides, audio-recorded, and transcribed for thematic analysis using elements of the grounded theory approach.
Analysis revealed three themes of information needs, which were: "interaction with the healthcare system," "care for the child at home" and "psychosocial support for parents". Information needs on parents' interaction with the healthcare system consisted of disease and treatment-related information, as well as health system navigation. Information needs on care for the child at home were represented by their caregiving for basic activities of daily living, medical caregiving, and psychosocial caregiving. Psychosocial support for parents included information on practical support and self-care. There were differences in priorities for information needs between parents and healthcare providers.
Meeting the information needs of parents is an important part of psychosocial care in pediatric cancer care. Informational support may empower parents in caregiving for their child. The development of suitable information resources will be invaluable for healthcare providers in supporting parents' needs.
信息支持是为癌症患儿家长提供心理社会护理的重要支柱。了解这些家长的信息需求可能会改善以家庭为中心的信息支持服务。本文旨在探讨马来西亚癌症患儿家长的信息需求。
本定性研究对14名癌症患儿家长和8名医疗服务提供者进行。家长从马来西亚的两个城市儿科肿瘤中心招募。医疗服务提供者从这些中心以及社区姑息治疗提供者中招募。根据半结构化主题指南进行深入访谈,进行录音,并使用扎根理论方法的要素进行转录以进行主题分析。
分析揭示了信息需求的三个主题,即:“与医疗系统的互动”、“在家照顾孩子”和“家长的心理社会支持”。家长与医疗系统互动的信息需求包括疾病和治疗相关信息以及医疗系统导航。在家照顾孩子的信息需求表现为对日常生活基本活动的照顾、医疗照顾和心理社会照顾。家长的心理社会支持包括实际支持和自我照顾方面的信息。家长和医疗服务提供者在信息需求的优先级上存在差异。
满足家长的信息需求是儿科癌症护理中心理社会护理的重要组成部分。信息支持可能会增强家长照顾孩子的能力。开发合适的信息资源对医疗服务提供者满足家长需求将非常宝贵。