Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, China; Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Int J Nurs Stud. 2024 Dec;160:104910. doi: 10.1016/j.ijnurstu.2024.104910. Epub 2024 Sep 14.
Parental cancer conditions significantly impact the physical, social, and emotional well-being of minor children. Effective illness-related communication is crucial for both parents and their children to mitigate these effects.
To systematically summarize the characteristics and effectiveness of interventions aimed at improving illness-related communication between parents with cancer and their minor children.
A systematic review.
Six databases (CINAHL, Web of Science, PubMed, Embase, the Cochrane Library, and PsycINFO) were searched for articles published in English between 2000 and 2023.
A three-step review process was employed to select articles. Two reviewers independently screened titles and abstracts, reviewed full texts to include studies aimed at facilitating illness-related communication between parents with cancer and their minor children under the age of 18, and assessed study quality using the Joanna Briggs Institute critical appraisal checklist.
The search yielded 9409 articles, of which 21 met the inclusion criteria, 4 were randomized controlled trials and 17 were quasi-experimental studies. These studies involved 213 families, 149 parents, and 192 minor children. The interventions were categorized as family-centered, parent-centered, or children-centered and emphasized disease knowledge, communication skills, emotional management, and future planning in illness-related communication. The synthesized results indicate that family-centered interventions show unique advantages in improving family life; parent-centered interventions bring benefits in enhancing parenting quality, parents' self-efficacy in coping with cancer, and children's social behavior; and children-centered interventions exhibit a significant impact on the psychological well-being of children.
Parent-centered interventions demonstrated significant potential in promoting illness-related communication, particularly by emphasizing the patient's parental role, enhancing intrinsic motivation to sustain communication, and recognizing that patients themselves may be more suitable targets for clinical oncology practice. High-quality research is recommended to enrich the content of parent-centered interventions and encourage the measurement of intervention effects on communication as well as the mechanism of action.
The review protocol was registered in PROSPERO under the number CRD42023478107.
父母的癌症状况会显著影响未成年子女的身心健康。有效的疾病相关沟通对于父母和子女双方都至关重要，可以减轻这些影响。
系统总结旨在改善癌症父母与未成年子女之间疾病相关沟通的干预措施的特点和效果。
系统综述。
从 2000 年至 2023 年，在 CINAHL、Web of Science、PubMed、Embase、Cochrane 图书馆和 PsycINFO 这 6 个数据库中搜索发表于英文文献的文章。
采用三步式审查流程来选择文章。两名评审员独立筛选标题和摘要，阅读全文以纳入旨在促进癌症父母与 18 岁以下未成年子女进行疾病相关沟通的研究，并使用 Joanna Briggs 研究所的批判性评价清单评估研究质量。
搜索结果共 9409 篇文章，其中 21 篇符合纳入标准，4 篇为随机对照试验，17 篇为准实验研究。这些研究共涉及 213 个家庭、149 位父母和 192 位未成年子女。干预措施分为以家庭为中心、以父母为中心或以儿童为中心，重点是疾病知识、沟通技巧、情绪管理和疾病相关沟通中的未来规划。综合结果表明，以家庭为中心的干预措施在改善家庭生活方面具有独特优势；以父母为中心的干预措施在提高育儿质量、父母应对癌症的自我效能感以及儿童的社会行为方面带来益处；而以儿童为中心的干预措施对儿童的心理健康有显著影响。
以父母为中心的干预措施在促进疾病相关沟通方面显示出了显著的潜力，特别是通过强调患者的父母角色、增强维持沟通的内在动机以及认识到患者自身可能更适合成为临床肿瘤学实践的目标。建议开展高质量的研究，以丰富以父母为中心的干预措施的内容，并鼓励测量干预对沟通的效果以及作用机制。
该综述方案已在 PROSPERO 中注册，编号为 CRD42023478107。
