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儿童癌症患者和幸存者亲属的信息需求:系统评价定性证据。

The information needs of relatives of childhood cancer patients and survivors: A systematic review of qualitative evidence.

机构信息

Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland; Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA; Aflac Cancer & Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA, USA.

Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.

出版信息

Patient Educ Couns. 2023 Sep;114:107840. doi: 10.1016/j.pec.2023.107840. Epub 2023 Jun 7.

Abstract

OBJECTIVES

To synthesize qualitative research on the information needs of relatives of childhood cancer patients and survivors.

METHODS

Systematic searches of PubMed, PsycINFO, CINAHL, and Scopus identified relevant literature. Extracted data were combined using thematic synthesis. Methodological quality was assessed using the JBI critical appraisal tool for qualitative research.

RESULTS

The review included 27 publications, with most research focusing on parents or primary caregivers. Five areas of information needs were identified: treatment, medication, and care; general information about cancer; coping and support; follow-up, late effects, and rehabilitation; and parenting and everyday life. Appropriateness of information depended on health care professionals' aptitude, message characteristics, communication setting, and relatives' personal factors. Preferences for form, sources, and timing for information provision varied.

CONCLUSION

The review identified information needs, communication barriers, and preferences among caregivers and siblings of childhood cancer patients and survivors, highlighting areas requiring further research and clinical consideration in addressing the identified challenges.

PRACTICE IMPLICATIONS

Caregivers and siblings have unique but similar information needs regarding childhood cancer. To ensure that these needs are met, health care professionals could use eHealth and mHealth technologies, assess each family member's knowledge, and create a safe and supportive environment for questions and feedback.

摘要

目的

综合定性研究,了解儿童癌症患者及其幸存者亲属的信息需求。

方法

系统检索 PubMed、PsycINFO、CINAHL 和 Scopus,以确定相关文献。使用主题综合法合并提取的数据。使用 JBI 定性研究批判性评估工具评估方法学质量。

结果

综述包括 27 篇出版物,大多数研究集中于父母或主要照顾者。确定了五个信息需求领域:治疗、药物和护理;癌症一般信息;应对和支持;随访、晚期效应和康复;以及育儿和日常生活。信息的适宜性取决于卫生保健专业人员的能力、信息特征、沟通环境以及亲属的个人因素。信息提供形式、来源和时间的偏好各不相同。

结论

该综述确定了儿童癌症患者及其幸存者的照顾者和兄弟姐妹的信息需求、沟通障碍和偏好,突出了在解决已确定挑战方面需要进一步研究和临床考虑的领域。

实践意义

照顾者和兄弟姐妹对儿童癌症有独特但相似的信息需求。为了满足这些需求,卫生保健专业人员可以使用电子和移动健康技术,评估每个家庭成员的知识,并为提问和反馈创造安全和支持性的环境。

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