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癌症患儿父母的反刍思维、元认知与创伤后成长的关联

Association of Rumination and Metacognition with Posttraumatic Growth in Parents of Children with Cancer.

作者信息

Dursun-Yildirim Sümeyye İlayda, Üzar-Özçetin Yeter Sinem

机构信息

RN, Royal Brompton Hospital Princess Alexandra Ward, London Great Britain.

Associate Professor, University College Dublin School of Nursing, Midwifery and Health Systems, Dublin Ireland.

出版信息

Semin Oncol Nurs. 2024 Feb;40(1):151552. doi: 10.1016/j.soncn.2023.151552. Epub 2023 Dec 9.

Abstract

OBJECTIVE

The primary objective of this study was to examine the association of rumination, metacognition, and posttraumatic with growth in parents of children diagnosed with cancer.

DATA SOURCES

The study adopted a descriptive correlational design, and participants (N = 103) were parents of children with cancer. The study was conducted online through the social media platforms of three cancer associations. Data were collected using the Metacognitions Questionnaire-30, the Event Related Rumination Inventory, and the Posttraumatic Growth Inventory.

CONCLUSION

The findings revealed a positive correlation between deliberate rumination and metacognition with posttraumatic growth, while a negative correlation was observed between intrusive rumination and posttraumatic growth. Furthermore, deliberate rumination, intrusive rumination, and metacognition collectively accounted for 30% of the variance in posttraumatic growth among parents of children with cancer. These results underscore the significant influence of rumination and metacognition in facilitating posttraumatic growth in this specific population. Consequently, interventions aimed at fostering deliberate rumination hold substantial potential for promoting posttraumatic growth among parents of children diagnosed with cancer.

IMPLICATIONS FOR NURSING PRACTICE

This research guides nurses in addressing rumination, metacognition, and posttraumatic growth in parents of children with cancer. By adopting a holistic approach, nurses can enhance parents' well-being and resilience in the face of a child's cancer diagnosis.

摘要

目的

本研究的主要目的是探讨沉思、元认知和创伤后成长与被诊断患有癌症儿童的父母成长之间的关联。

数据来源

本研究采用描述性相关设计,参与者(N = 103)为患有癌症儿童的父母。该研究通过三个癌症协会的社交媒体平台在线进行。使用元认知问卷-30、事件相关沉思量表和创伤后成长量表收集数据。

结论

研究结果显示,有意沉思和元认知与创伤后成长呈正相关,而侵入性沉思与创伤后成长呈负相关。此外,有意沉思、侵入性沉思和元认知共同解释了患有癌症儿童的父母创伤后成长差异的30%。这些结果强调了沉思和元认知在促进这一特定人群创伤后成长方面的重大影响。因此,旨在培养有意沉思的干预措施在促进被诊断患有癌症儿童的父母创伤后成长方面具有巨大潜力。

对护理实践的启示

本研究指导护士应对患有癌症儿童的父母的沉思、元认知和创伤后成长问题。通过采用整体方法,护士可以提高父母面对孩子癌症诊断时的幸福感和恢复力。

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