Prates Pedro Emílio Gomes, Correa-Júnior Antonio Jorge Silva, Russo Tatiana Mara da Silva, Paraizo-Horvath Camila Maria Silva, Teles André Aparecido da Silva, Sonobe Helena Megumi
School of Nursing of Ribeirão Preto (EERP), Collaborating Center of the Development of Nursing Research (PAHO-WHO), University of São Paulo (USP), São Paulo 14040-902, Brazil.
Brazilian Society of Clinical Oncology (SBOC), São Paulo 01311-300, Brazil.
Nurs Rep. 2024 Aug 28;14(3):2153-2178. doi: 10.3390/nursrep14030161.
(1) Context: Cancer triggers significant changes in family dynamics. It is noteworthy that coping and problem-solving skills, particularly in situations involving cancer in children and adolescents, have not been adequately explored in the context of family adaptation. This study aims to analyze the effectiveness of family interventions in coping to improve problem-solving skills in parents and/or caregivers of children and adolescents during and after oncological treatment. (2) Methods: This is a scoping review following the recommendations of the Joanna Briggs Institute and the Systematic Reviews and Meta-Analyses Extension for Scoping Review (PRISMA-ScR), from 2014 to 2024, in the databases LILACS, CINAHL, SCOPUS, Web of Science, and PUBMED. (3) Results: Forty-five studies were eligible. Coping strategies were categorized as follows: (1) positive attitudes (including a sense of courage and hope, family support to enhance resilience, and future planning), (2) caregiver empowerment (involving acceptance of diagnosis, emotional distancing, and coping through religiosity), and (3) communication skills (encompassing professional communication, horizontal dialogue with healthcare teams, and sincere communication with friends and family). (4) Conclusions: Over time, families develop coping and problem-solving strategies that influence changes in family functioning patterns, aiding them in accepting, reinterpreting, and reframing ideas and feelings associated with neoplasia.
(1) 背景:癌症会引发家庭动态的显著变化。值得注意的是,在家庭适应的背景下,应对和解决问题的技能,尤其是在涉及儿童和青少年癌症的情况下,尚未得到充分探索。本研究旨在分析家庭干预在应对癌症方面的有效性,以提高儿童和青少年的父母及/或照顾者在肿瘤治疗期间及之后的问题解决能力。(2) 方法:这是一项按照乔安娜·布里格斯研究所和范围综述的系统评价与元分析扩展(PRISMA-ScR)的建议进行的范围综述,时间跨度为2014年至2024年,检索了拉丁美洲和加勒比地区健康科学数据库(LILACS)、护理学与健康领域数据库(CINAHL)、科学网数据库(SCOPUS)、科学引文索引数据库(Web of Science)和医学期刊数据库(PUBMED)。(3) 结果:45项研究符合条件。应对策略分类如下:(1) 积极态度(包括勇气和希望感、增强复原力的家庭支持以及未来规划),(2) 照顾者赋权(包括接受诊断、情感疏离以及通过宗教信仰应对),以及(3) 沟通技巧(包括专业沟通、与医疗团队的横向对话以及与朋友和家人的真诚沟通)。(4) 结论:随着时间的推移,家庭会形成应对和解决问题的策略,这些策略会影响家庭功能模式的变化,帮助他们接受、重新诠释和重塑与肿瘤形成相关的想法和感受。