Faculty of Nursing, Philadelphia University, Jarash Road, P.O. Box 19392, Amman, Jordan.
Fakeeh College for Medical Sciences, Jeddah, Kingdom of Saudi Arabia.
J Pediatr Nurs. 2024 May-Jun;76:e132-e139. doi: 10.1016/j.pedn.2024.02.021. Epub 2024 Mar 6.
This study aims to investigate the parenting experiences of mothers who care for children with cancer in Jordan and specifically focuses on the communication experiences of mothers who care for children with cancer.
A qualitative research design employing a narrative inquiry methodology was adopted; it employed the implementation of twenty semi-structured interviews with the mothers of children with cancer recruited from one pediatric hospital located in Amman, Jordan.
The findings of this study reveal that the majority of mothers attempted to conceal or delay any discussion regarding the diagnosis with their child, particularly during the immediate post-diagnosis period. Additionally, the mothers expressed that their relationships with the parents of children diagnosed with the same illness contain positive and negative aspects. Finally, most mothers participating in this study praised the role of hope in helping them cope with the challenging health condition of their children.
The findings of this study reveal that mothers would withhold diagnostic information from their children for several reasons: firstly, they wished to safeguard their children from feelings of distress; secondly, they perceived that their children were too immature to fully comprehend the seriousness of their diagnosis; and, finally, they desired to protect their children from unnecessary fear and negative emotions.
Pediatric cancer care requires effective communication between physicians, pediatric nurses, caregivers, and children; clear and accurate communication between healthcare providers and parents of children with cancer ensures that they fully understand the diagnosis and can make values-based decisions.
本研究旨在探讨在约旦照顾癌症儿童的母亲的育儿经验,特别是关注照顾癌症儿童的母亲的沟通经验。
采用定性研究设计,采用叙事探究方法;从位于约旦安曼的一家儿科医院招募了 20 名癌症儿童的母亲,对她们进行了 20 次半结构化访谈。
本研究的结果表明,大多数母亲试图隐瞒或延迟与孩子讨论诊断结果,尤其是在诊断后立即的时期。此外,母亲们表示,她们与同病相怜的孩子的父母的关系既有积极的方面,也有消极的方面。最后,大多数参与本研究的母亲都赞扬了希望在帮助她们应对孩子挑战的健康状况方面的作用。
本研究的结果表明,母亲们会因为几个原因向孩子隐瞒诊断信息:首先,她们希望保护孩子免受痛苦的感觉;其次,她们认为孩子太不成熟,无法完全理解诊断的严重性;最后,她们希望保护孩子免受不必要的恐惧和负面情绪的影响。
儿科癌症护理需要医生、儿科护士、护理人员和儿童之间进行有效的沟通;儿童癌症患儿的医护人员和家长之间进行清晰、准确的沟通,确保他们充分了解诊断结果,并能做出基于价值观的决策。