Wang Jingting, Zheng Zhuting, Bi Xuanyi, Zhang Wen, Wang Yingwen, Wu Huifang, Yang Qi, Ma Linyu, Geng Zhaohui, Yuan Changrong
School of Nursing, Naval Medical University, Shanghai, China.
School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, China.
Support Care Cancer. 2024 Dec 8;33(1):7. doi: 10.1007/s00520-024-09020-1.
Parents' supportive care needs directly affect their quality of life and the quality of care for their children diagnosed with leukemia.
To identify supportive care needs of Chinese parents in the unobserved subgroups who care for children with leukemia and to examine the associations of the latent class membership with individual characteristics.
A multicenter cross-sectional survey study was conducted. A total of 221 parents who had children with leukemia were surveyed in China with the Chinese version of the Supportive Care Needs Survey for Caregivers of Children with Pediatric Cancer (SCNS-C-Ped-C). Latent profile analysis (LPA) was applied to identify latent classes of parents according to supportive care needs. Binary logistic regression model was used to identify the association between individual characteristics and the latent class membership.
LPA results suggested a 2-class solution: class 1-"high supportive care needs" class (n = 126, 57.0%) and class 2-"low supportive care needs" class (n = 95, 43.0%). The class membership was significantly associated with children's treatment duration, family income, distance to the hospital, parents' caregiving ability, and coping strategy.
There existed two distinct classes of parents caring for children with leukemia on the basis of supportive care needs. Children's treatment duration, parents' socio-demographic characteristics, caregiving ability, and coping strategy significantly influenced class membership.
This study highlights the need for tailored interventions to address the specific needs of parents, especially those in the "high supportive care needs" class. Healthcare providers should consider factors related to the class membership when developing the supportive care interventions. Addressing these supportive care needs could improve both parental well-being and the quality of care provided to their children.
父母的支持性护理需求直接影响其生活质量以及对被诊断患有白血病子女的护理质量。
识别在中国未被观察到的亚组中照顾白血病患儿的父母的支持性护理需求,并研究潜在类别成员与个体特征之间的关联。
开展一项多中心横断面调查研究。在中国,使用中文版《儿童癌症患儿照顾者支持性护理需求调查问卷》(SCNS-C-Ped-C)对221名有白血病患儿的父母进行了调查。应用潜在剖面分析(LPA)根据支持性护理需求识别父母的潜在类别。使用二元逻辑回归模型识别个体特征与潜在类别成员之间的关联。
LPA结果显示有两个类别:类别1——“高支持性护理需求”类别(n = 126,57.0%)和类别2——“低支持性护理需求”类别(n = 95,43.0%)。类别成员与患儿的治疗时长、家庭收入、到医院的距离、父母的护理能力以及应对策略显著相关。
基于支持性护理需求,存在两类不同的照顾白血病患儿的父母。患儿的治疗时长、父母的社会人口学特征、护理能力以及应对策略显著影响类别成员。
本研究强调需要进行针对性干预以满足父母的特定需求,尤其是“高支持性护理需求”类别中的父母。医疗服务提供者在制定支持性护理干预措施时应考虑与类别成员相关的因素。满足这些支持性护理需求可改善父母的幸福感以及为其子女提供的护理质量。