Assistant Professor, Faculty of Nursing, Burapha University, Chon Buri, Thailand.
Associate Professor, Faculty of Nursing, Burapha University, Chon Buri, Thailand.
Semin Oncol Nurs. 2024 Jun;40(3):151648. doi: 10.1016/j.soncn.2024.151648. Epub 2024 May 1.
The aim of this completed pilot study was to evaluate the feasibility of implementing a family management program (FMP) for parents of children with acute lymphoblastic leukemia (ALL).
A convenience sample of 11 parents of preschool-aged children with ALL were recruited from an ambulatory chemotherapy-care clinic at a tertiary hospital in Thailand. Participants received three FMP sessions over 3 weeks. The FMP is based on two established family programs (ie, FMP-style framework and building on family strengths) and reviewed literature. The following measures were used to evaluate parents' responses at baseline, postintervention, and follow-up: Family Management Measure, Beach-Center Family Quality-of-Life Scale, and Pediatric Quality of Life Inventory. Data were analyzed using one-way repeated-measures analysis of variance.
The study results provide promising evidence that the FMP is feasible and improves family management and quality of life for parents of enrolled children with ALL.
Educating pediatric oncology nurses and other healthcare professionals to replicate the FMP may help to provide better family management, and child quality of life support to future parents and other family members of young children diagnosed with ALL. This support should focus on educating parents about the potential effects of caring for a child with ALL on the family and fostering positive relationships within the family and offering guidance on effective family communications and decision-making processes.
本完成性试点研究旨在评估实施儿童急性淋巴细胞白血病(ALL)父母家庭管理计划(FMP)的可行性。
从泰国一家三级医院的门诊化疗护理诊所招募了 11 名学龄前 ALL 患儿的父母作为便利样本。参与者在 3 周内接受了 3 次 FMP 课程。FMP 基于两个成熟的家庭项目(即 FMP 式框架和利用家庭优势)和已发表的文献。使用以下措施在基线、干预后和随访时评估父母的反应:家庭管理量表、比奇中心家庭生活质量量表和儿科生活质量量表。使用单向重复测量方差分析进行数据分析。
研究结果提供了有希望的证据,表明 FMP 是可行的,可以改善 ALL 患儿父母的家庭管理和生活质量。
教育儿科肿瘤护士和其他医疗保健专业人员复制 FMP 可能有助于为未来诊断为 ALL 的幼儿的父母和其他家庭成员提供更好的家庭管理和儿童生活质量支持。这种支持应侧重于教育父母了解照顾 ALL 患儿对家庭的潜在影响,培养家庭内部的积极关系,并提供有关有效家庭沟通和决策过程的指导。