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经历父母患癌的青少年及其父母:护理干预模型的构建

Adolescents and parents experiencing parental cancer: construction of a nursing intervention model.

作者信息

Sousa Ana Filipa Domingues, Sousa Paula Cristina Moreira Mesquita de, Ferreira Maria Margarida da Silva Reis Dos Santos, Lomba Maria de Lurdes Lopes de Freitas

机构信息

Universidade do Porto, Instituto de Ciências Biomédicas Abel Salazar, Porto, Portugal.

Instituto Português de Oncologia de Coimbra, Coimbra, Portugal.

出版信息

Rev Esc Enferm USP. 2025 Jan 13;58:e20240184. doi: 10.1590/1980-220X-REEUSP-2024-0184en. eCollection 2025.

DOI:10.1590/1980-220X-REEUSP-2024-0184en
PMID:39821222
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11774517/
Abstract

OBJECTIVE

To develop a nursing intervention model for adolescents and parents experiencing parental cancer.

METHOD

Multimethod research, which integrated five studies: a scoping review and four qualitative studies. Considering the results of these studies, a nursing intervention model was constructed based on two theoretical frameworks, such as the A Model of Children's Adjustment to Parental Cancer, for adolescents, and Neuman Systems Model, for parents, and on a semantic framework, such as Nursing Ontology.

RESULTS

The model is aimed at three target audiences: individual - parental figure with cancer; individual - adolescent; and family - parental figure with cancer, second parental figure and adolescent. The model is based on health literacy and includes four topics that address central topics in the experience of parental cancer: "The elephant in the room"; "Everything changes in us"; "Life goes on"; and "With the present, we plan the future".

CONCLUSION

The proposed model is assumed as a health promotion strategy that empowers nurses for a family-centered intervention, in order to minimize the impact of parental cancer.

摘要

目的

为经历父母患癌的青少年及其父母建立一种护理干预模式。

方法

采用多方法研究,整合了五项研究:一项范围综述和四项定性研究。基于这些研究结果,构建了一个护理干预模式,该模式基于两个理论框架,如针对青少年的儿童对父母患癌适应模式和针对父母的纽曼系统模式,以及一个语义框架,如护理本体论。

结果

该模式针对三个目标受众:个体——患癌的父母一方;个体——青少年;以及家庭——患癌的父母一方、另一方父母和青少年。该模式以健康素养为基础,包括四个主题,这些主题涉及父母患癌经历中的核心主题:“房间里的大象”;“我们身上的一切都变了”;“生活继续”;以及“立足当下,规划未来”。

结论

所提出的模式被视为一种健康促进策略,使护士能够进行以家庭为中心的干预,以尽量减少父母患癌的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/811a/11774517/95a1fc1611c8/1980-220X-reeusp-58-e20240184-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/811a/11774517/6c056690dff3/1980-220X-reeusp-58-e20240184-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/811a/11774517/95a1fc1611c8/1980-220X-reeusp-58-e20240184-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/811a/11774517/6c056690dff3/1980-220X-reeusp-58-e20240184-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/811a/11774517/95a1fc1611c8/1980-220X-reeusp-58-e20240184-gf02.jpg

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本文引用的文献

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A Conceptual Model Depicting How Children Are Affected by Parental Cancer: A Constructivist Grounded Theory Approach.一个描绘儿童如何受到父母患癌影响的概念模型:一种建构主义扎根理论方法。
Children (Basel). 2023 Sep 4;10(9):1507. doi: 10.3390/children10091507.
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Maternal Cancer and Perception of Child Psychological Adjustment: The Role of Mother's Anxiety, Depression, and Parenting Stress.母亲患癌与儿童心理适应认知:母亲焦虑、抑郁及育儿压力的作用
Cancers (Basel). 2023 Jan 31;15(3):910. doi: 10.3390/cancers15030910.
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The Psychosocial Effect of Parental Cancer: Qualitative Interviews with Patients' Dependent Children.
父母患癌的心理社会影响:对患者受抚养子女的定性访谈
Children (Basel). 2023 Jan 15;10(1):171. doi: 10.3390/children10010171.
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A case study of an adolescent according to A Model of Children's Adjustment to Parental Cancer.根据《儿童适应父母癌症模式》对一名青少年的案例研究。
Rev Esc Enferm USP. 2022 Sep 12;56:e20220188. doi: 10.1590/1980-220X-REEUSP-2022-0188en. eCollection 2022.
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Is early-onset cancer an emerging global epidemic? Current evidence and future implications.早发性癌症是一种新兴的全球流行病吗?当前证据和未来影响。
Nat Rev Clin Oncol. 2022 Oct;19(10):656-673. doi: 10.1038/s41571-022-00672-8. Epub 2022 Sep 6.
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Children and adolescents' preferences for support when living with a dying parent - An integrative review.儿童和青少年在与临终父母生活时对支持的偏好 - 综合评论。
Nurs Open. 2022 May;9(3):1536-1555. doi: 10.1002/nop2.1187. Epub 2022 Feb 13.
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Parental terminal cancer and dependent children: a systematic review.父母患晚期癌症与受抚养子女:一项系统综述。
BMJ Support Palliat Care. 2024 Dec 19;14(e3):e2231-e2243. doi: 10.1136/bmjspcare-2021-003094.
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Indicators of Good Nursing Practices for Vulnerable Groups in Primary Health Care: A Scoping Review.初级卫生保健中弱势群体良好护理实践的指标:范围综述。
Rev Lat Am Enfermagem. 2021 Oct 29;29:e3488. doi: 10.1590/1518-8345.5203.3488. eCollection 2021.
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Child adjustment to parental cancer: A latent profile analysis.儿童对父母癌症的适应:潜在剖面分析。
Health Psychol. 2021 Nov;40(11):774-783. doi: 10.1037/hea0001099. Epub 2021 Sep 27.
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