Department of Nursing Management, School of Nursing and Midwifery, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
School of Nursing, Midwifery and Health, Research Centre for Healthcare and Communities, Coventry University, Coventry, UK.
BMC Womens Health. 2024 Aug 17;24(1):458. doi: 10.1186/s12905-024-03295-6.
Child cancer impacts the entire family. However, those who identify as mothers may be most negatively affected due to the societal expectations placed upon them in primary caregiving. This study was conducted with the aim of exploring the lived experiences of mothers of children with cancer and their adaptation to their child's illness.
This study employed a qualitative and hermeneutic approach using Heideggerian phenomenology as a philosophical framework. Our sampling strategy was purposive. Mothers (n = 14) of children diagnosed with cancer participated in face-to-face semi-structured interviews. The seven-steps of critical hermeneutic analysis were used to summarize and interpret findings.
Analysis revealed that participants' adaptation to their child's illness occurs through comprehensive support and the utilization of empowering beliefs. The theme of comprehensive support included sub-themes of seeking informational support, seeking psychological support, and seeking social support. The theme of utilizing empowering beliefs encompassed sub-themes of resilience against cultural misconceptions and reliance on spiritual beliefs. Furthermore, one constitutive pattern 'mothers' efforts to overcome difficult twists and turns in living with children with cancer' was identified.This related to participants' striving to navigate the twists and turns of life's hardships.
Relationships and social context are vital and important features of this phenomena. Employing a team approach to provide comprehensive support to mothers of children with cancer involving physicians, nurses, and psychologists can be supportive in their adaptation to their child's cancer. Additionally, reductions in cultural taboos surrounding cancer could facilitate improved adaptation to childhood cancer for these mothers.
儿童癌症会影响整个家庭。然而,由于社会对母亲在主要照顾方面的期望,那些认为自己是母亲的人可能受到的负面影响最大。本研究旨在探讨癌症患儿母亲的生活体验及其对子女疾病的适应情况。
本研究采用定性和解释学方法,以海德格尔现象学为哲学框架。我们的抽样策略是有目的的。14 名被诊断患有癌症的儿童的母亲参加了面对面的半结构化访谈。使用七步关键解释学分析来总结和解释发现。
分析表明,参与者通过全面支持和利用赋权信念来适应子女的疾病。全面支持的主题包括寻求信息支持、寻求心理支持和寻求社会支持三个子主题。利用赋权信念的主题包括抵御文化误解和依赖精神信仰的韧性。此外,还确定了一个构成模式“母亲克服与癌症儿童生活中的困难曲折的努力”。这与参与者努力驾驭生活艰辛的曲折有关。
人际关系和社会背景是这一现象的重要特征。在癌症方面,采用团队方法为癌症患儿的母亲提供包括医生、护士和心理学家在内的全面支持,可以帮助她们适应子女的癌症。此外,减少癌症方面的文化禁忌可以促进这些母亲更好地适应儿童癌症。