Maleki Maryam, Dehghan Nayeri Nahid, Hamidieh Amir Ali, Pouraboli Batool
Department of Pediatric and Neonatal Intensive Care Nursing Education, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Front Psychol. 2024 Mar 12;15:1359978. doi: 10.3389/fpsyg.2024.1359978. eCollection 2024.
Pediatric Hematopoietic Stem Cell Transplant (HSCT) profoundly impacts the physical, psychological, and social aspects of parents' lives. Thus, this study aimed to explore the experiences of parents living with a child with cancer who undergoes HSCT.
This qualitative study involved 20 parents of children with cancer who were undergoing HSCT at a referral hospital in Iran. Purposive sampling was used to select the participants from February 2023 to November 2023. In-depth semi-structured interviews, featuring open-ended questions, were utilized for data collection. Data analysis was performed using conventional content analysis.
Data analysis revealed two main themes. "Surrounded by hardships" and "Self-actualization." The first theme encompassed participants' experiences of facing difficulties in life after being aware of their child's need for HSCT. This theme consisted of four categories: "uncertainty about the child's future," "exhaustion from the child's treatment process," "worrying about the healthy child(ren)," and "helplessness." The second theme "self-actualization" included with two categories: "transformation in life's philosophy" and "acquisition of new capabilities." These categories highlighted the positive outcomes experienced by the participants following their child's HSCT.
Our findings underscore the importance of healthcare providers being attuned to parents' experiences throughout their child's HSCT trajectory. It is crucial for healthcare providers to encourage parents to articulate their concerns and feelings and seek support from healthcare providers, family, and friends. The development of psychological support services in healthcare settings can facilitate tailored interventions to alleviate parents' difficulties.
儿科造血干细胞移植(HSCT)对父母生活的身体、心理和社会方面产生深远影响。因此,本研究旨在探讨患有癌症且接受HSCT的儿童的父母的经历。
这项定性研究涉及20名在伊朗一家转诊医院接受HSCT的癌症患儿的父母。采用目的抽样法于2023年2月至2023年11月选取参与者。通过开放式问题进行深入的半结构化访谈来收集数据。使用常规内容分析法进行数据分析。
数据分析揭示了两个主要主题。“被困难包围”和“自我实现”。第一个主题涵盖了参与者在意识到孩子需要HSCT后在生活中面临困难的经历。该主题由四个类别组成:“对孩子未来的不确定性”、“孩子治疗过程中的疲惫”、“对健康孩子的担忧”和“无助”。第二个主题“自我实现”包括两个类别:“生活哲学的转变”和“新能力的获得”。这些类别突出了参与者在孩子接受HSCT后所经历的积极成果。
我们的研究结果强调了医疗服务提供者在孩子HSCT整个过程中关注父母经历的重要性。医疗服务提供者鼓励父母表达他们的担忧和感受,并寻求医疗服务提供者、家人和朋友的支持至关重要。在医疗机构中发展心理支持服务可以促进量身定制的干预措施,以减轻父母的困难。