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儿科姑息治疗中父母照顾者的心理体验评估方案。

A psychological experience assessment protocol of parent caregivers in paediatric palliative care.

机构信息

CICPSI, Faculty of Psychology, University of Lisbon, Alameda da Universidade, Lisboa, Portugal.

出版信息

Ann Med. 2023;55(2):2268093. doi: 10.1080/07853890.2023.2268093. Epub 2023 Nov 27.

Abstract

Paediatric Palliative Care (PPC) has undergone rapid growth in Portugal, where there are over 7800 children with life-limiting conditions. This is a complex experience for families due to the ongoing threat and vulnerability caused by the emergence of an illness, and therefore several studies have tended to focus on the adaptation of parent caregivers. The aim of the present study is to present a psychological experience assessment protocol of parents in PPC. It consists of a socio-demographic and clinical questionnaire and a semi-structured interview based on an incomplete narrative deriving from the . On the basis of the latter, 10 dimensions of the experience in the parental subsystem were explored through parents' own perspective, namely: confrontation with the diagnosis; representation of the illness; emotional impact; day-to-day challenges; family impact; resources and social support; coping strategies; posttraumatic growth; representation of the sick child; and future perspectives. The protocol can be used in person or remotely and its application enables the identification of specific needs and the establishment of psychotherapeutic goals and strategies for each family, thus enhancing their well-being and resilience, from an eco-systemic perspective. The protocol is presented in detail and its importance in the context of research and systemic intervention in PPC is discussed.

摘要

儿科姑息治疗(PPC)在葡萄牙得到了迅速发展,葡萄牙有超过 7800 名患有危及生命疾病的儿童。由于疾病的持续威胁和脆弱性,这对家庭来说是一种复杂的体验,因此,许多研究倾向于关注父母照顾者的适应。本研究旨在介绍 PPC 中父母的心理体验评估方案。它包括一个社会人口学和临床问卷,以及一个基于非完整叙述的半结构化访谈,该叙述来自. 根据后者,通过父母自己的观点探讨了父母子系统体验的 10 个维度,即:与诊断的对抗;疾病的表现;情绪影响;日常挑战;家庭影响;资源和社会支持;应对策略;创伤后成长;患病儿童的表现;和未来的前景。该方案可以亲自或远程使用,其应用能够确定每个家庭的具体需求,并为每个家庭制定心理治疗目标和策略,从而从生态系统的角度增强他们的幸福感和适应能力。该方案详细介绍,并讨论了其在 PPC 研究和系统干预背景下的重要性。

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