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母亲-儿童对偶支持需要由被诊断患有乳腺癌的母亲表达。

Mother-child dyad support needs to be expressed by mothers diagnosed with breast cancer.

机构信息

Department of Early Childhood Education, University of Taipei, Taipei City, Taiwan.

出版信息

J Clin Nurs. 2023 Jul;32(13-14):3995-4008. doi: 10.1111/jocn.16509. Epub 2022 Sep 8.

DOI:10.1111/jocn.16509
PMID:36081318
Abstract

AIMS AND OBJECTIVES

To investigate the support needs identified by Taiwanese breast cancer diagnosed mothers for themselves and their 6-12-year-old children for implementation in a support group.

BACKGROUND

Mothers with dependent children are burdened with diverse child-centered concerns while battling breast cancer. A better understanding of the concomitant support needs of mothers and their children can yield tailored support for ill mothers and their children.

DESIGN

A qualitative descriptive study employing content analysis of collected data.

METHODS

Between February and June of 2020, semi-structured individual interviews were conducted with 20 mothers who had been diagnosed with breast cancer in the last 2 years. Qualitative content analysis was used. This study followed the COREQ guidelines.

RESULTS

Ill mothers favoured a hybrid format for support groups, consisting of mother-only, child-only, and mother-child group sessions. The content analysis yielded four themes for mother-only group sessions: (1) learning to reach out to children; (2) dealing with negative emotions; (3) how to say goodbye to children; and (4) resetting for the future. Three themes related to child-only group sessions emerged: (1) emotional and health education; (2) getting along with a sick mother; and (3) preparing for uncertainty. The core theme for mother-child group sessions was relationship enhancement.

CONCLUSION

The findings revealed that mother-reported support needs of ill mothers and their children included support for improving children's emotional well-being and mothers' emotional coping, preparing for uncertainty, and promoting intimacy in the mother-child relationship.

RELEVANCE TO CLINICAL PRACTICE

A relation-focused approach to psychosocial support group development that allows mother-child mutual influences on each other's coping to be addressed bilaterally is suggested.

PATIENT OR PUBLIC CONTRIBUTION

Mothers diagnosed with breast cancer were interviewed for data collection and invited to review and validate the synthesised data for enhancing the credibility of the study.

摘要

目的和目标

调查台湾乳腺癌确诊母亲为自己和 6-12 岁子女确定的支持需求,以便在支持小组中实施。

背景

与乳腺癌作斗争的同时,有依赖子女的母亲会面临各种以孩子为中心的问题。更好地了解母亲及其子女的伴随支持需求,可以为患病母亲及其子女提供量身定制的支持。

设计

采用收集数据的内容分析的定性描述性研究。

方法

在 2020 年 2 月至 6 月期间,对 20 名最近 2 年内被诊断患有乳腺癌的母亲进行了半结构式个人访谈。采用定性内容分析。本研究遵循 COREQ 指南。

结果

患病母亲赞成支持小组采用混合形式,包括仅母亲、仅孩子和母子小组会议。内容分析得出了四个仅母亲小组会议的主题:(1)学习与孩子联系;(2)处理负面情绪;(3)如何与孩子道别;(4)为未来重置。出现了三个与仅孩子小组会议相关的主题:(1)情感和健康教育;(2)与患病母亲相处;(3)为不确定性做准备。母子小组会议的核心主题是增强关系。

结论

研究结果表明,患病母亲及其子女报告的支持需求包括支持改善孩子的情绪健康和母亲的情绪应对能力、为不确定性做准备以及促进母子关系的亲密。

与临床实践的相关性

建议采用以关系为导向的心理社会支持小组发展方法,允许母子双方相互影响对方的应对方式。

患者或公众贡献

被诊断患有乳腺癌的母亲接受了访谈以收集数据,并被邀请审查和验证综合数据,以提高研究的可信度。

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