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根据《儿童适应父母癌症模式》对一名青少年的案例研究。

A case study of an adolescent according to A Model of Children's Adjustment to Parental Cancer.

机构信息

Universidade do Porto, Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal.

Instituto Português de Oncologia de Coimbra, Coimbra, Portugal.

出版信息

Rev Esc Enferm USP. 2022 Sep 12;56:e20220188. doi: 10.1590/1980-220X-REEUSP-2022-0188en. eCollection 2022.

DOI:10.1590/1980-220X-REEUSP-2022-0188en
PMID:36099199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10081590/
Abstract

OBJECTIVE

To describe and analyze the experience of an adolescent experiencing parental cancer, based on A Model of Children's Adjustment to Parental Cancer, and to prescribe nursing interventions in classified language.

METHOD

This is a single case study, qualitative, of a 16-year-old adolescent experiencing maternal cancer. We analyzed a semi-structured interview, based on a script conceptualized by the selected theoretical model. Data processing took place through content analysis. Authorization was obtained from the Research Ethics Committee TI 25/2020.

RESULTS

The analysis of the adolescent's interview allowed identifying categories in agreement with the model variables. Psychosocial adjustment dimensions and stress response symptoms, such as academic performance and somatic symptoms, were recognized in the adolescent's adjustment process. Nursing interventions will focus on education and support.

CONCLUSION

The theoretical model contributed to assess the needs of adolescents experiencing parental cancer, allowing nursing interventions to be prescribed in classified language that consider moderating and mediating variables, promoting adjustment. The model proved to be suitable for future interventions for adolescents experiencing similar situations.

摘要

目的

根据儿童适应父母癌症模型描述和分析经历父母癌症的青少年的体验,并以分类语言规定护理干预措施。

方法

这是一项对经历母亲癌症的 16 岁青少年的单案例研究,定性研究。我们对基于所选理论模型概念化的半结构化访谈进行了分析。通过内容分析进行数据处理。研究伦理委员会 TI 25/2020 已授权。

结果

对青少年访谈的分析允许在与模型变量一致的类别中进行识别。在青少年的调整过程中,识别了心理社会调整维度和应激反应症状,如学习成绩和躯体症状。护理干预将侧重于教育和支持。

结论

理论模型有助于评估经历父母癌症的青少年的需求,允许以分类语言规定护理干预措施,这些措施将考虑调节和中介变量,促进调整。该模型被证明适用于未来类似情况下经历青少年的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/2ccfe0f9ca23/1980-220X-reeusp-56-e20220188-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/3da37f5e1767/1980-220X-reeusp-56-e20220188-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/554b8763319e/1980-220X-reeusp-56-e20220188-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/82b0348a2810/1980-220X-reeusp-56-e20220188-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/2ccfe0f9ca23/1980-220X-reeusp-56-e20220188-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/3da37f5e1767/1980-220X-reeusp-56-e20220188-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/554b8763319e/1980-220X-reeusp-56-e20220188-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/82b0348a2810/1980-220X-reeusp-56-e20220188-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ee/10081590/2ccfe0f9ca23/1980-220X-reeusp-56-e20220188-gf04.jpg

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本文引用的文献

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2
Parental terminal cancer and dependent children: a systematic review.父母患晚期癌症与受抚养子女:一项系统综述。
BMJ Support Palliat Care. 2024 Dec 19;14(e3):e2231-e2243. doi: 10.1136/bmjspcare-2021-003094.
3
Child adjustment to parental cancer: A latent profile analysis.儿童对父母癌症的适应:潜在剖面分析。
Health Psychol. 2021 Nov;40(11):774-783. doi: 10.1037/hea0001099. Epub 2021 Sep 27.
4
Illness unpredictability and psychosocial adjustment of adolescent and young adults impacted by parental cancer: the mediating role of unmet needs.受父母患癌影响的青少年和青年的疾病不可预测性与心理社会调适:未满足需求的中介作用
Support Care Cancer. 2022 Jan;30(1):145-155. doi: 10.1007/s00520-021-06379-3. Epub 2021 Jul 9.
5
Children Navigating Parental Cancer: Outcomes of a Psychosocial Intervention.儿童应对父母患癌:一项心理社会干预的结果
Compr Child Adolesc Nurs. 2020 Jun;43(2):111-127. doi: 10.1080/24694193.2019.1582727. Epub 2019 Mar 15.
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ICNP ®: a standardized terminology to describe professional nursing practice.国际护理实践分类法(ICNP®):一种用于描述专业护理实践的标准化术语。
Rev Esc Enferm USP. 2016 May-Jun;50(3):376-81. doi: 10.1590/S0080-623420160000400001.
7
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Cancer Nurs. 2007 Sep-Oct;30(5):362-81; quiz 382-3. doi: 10.1097/01.NCC.0000290817.37442.e6.