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改善重度地中海贫血患儿父母生活质量的护理干预措施:一项范围综述

Nursing interventions for improving quality of life among parents with major Thalassemic children: a scoping review.

作者信息

Mardhiyah Ai, Yosep Iyus, Hendrawati Sri, Rakhmawati Windy, Khoirunnisa Khoirunnisa, Eriyani Theresia, Hikmat Rohman

机构信息

Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.

Department of Mental Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.

出版信息

BMC Nurs. 2025 Mar 26;24(1):330. doi: 10.1186/s12912-025-02994-1.

Abstract

INTRODUCTION

Thalassemia major is a chronic genetic disease requiring long-term treatment, significantly impacting the quality of life of affected children and their parents. Parents often experience emotional, social, and economic burdens in caring for children with thalassemia. Nursing interventions play a crucial role in improving their quality of life by providing holistic support. This scoping review aims to explore nursing interventions that enhance the quality of life of parents with children diagnosed with thalassemia major.

METHODS

A scoping review methodology was applied. Literature searches were conducted in CINAHL, PubMed, and Scopus, as well as Google Scholar. The primary keywords included "nursing intervention," "quality of life," "thalassemia," "parents," and "family support." Inclusion criteria comprised full-text, original research articles published in English from 2015 to 2024. Data extraction was performed manually, and qualitative descriptive analysis was used.

RESULTS

Nine studies met the inclusion criteria, discussing various nursing interventions to improve parental quality of life. Effective interventions included positive thinking therapy, family empowerment, counseling, and education, which enhanced parental knowledge, coping skills, emotional well-being, and overall quality of life. Key factors supporting intervention success included active parental participation, continuous healthcare support, and the availability of accessible educational resources.

CONCLUSION

This study highlights the essential role of nurses in supporting parents of children with thalassemia. A holistic nursing approach is crucial in addressing the multifaceted needs of these parents. Further research should explore the long-term effectiveness of these interventions and their adaptation to individual family circumstances.

摘要

引言

重型地中海贫血是一种需要长期治疗的慢性遗传疾病,严重影响患病儿童及其父母的生活质量。父母在照顾重型地中海贫血患儿时常常承受情感、社会和经济负担。护理干预通过提供全面支持在改善他们的生活质量方面发挥着关键作用。本范围综述旨在探索能提高患有重型地中海贫血患儿的父母生活质量的护理干预措施。

方法

采用范围综述方法。在CINAHL、PubMed、Scopus以及谷歌学术上进行文献检索。主要关键词包括“护理干预”“生活质量”“地中海贫血”“父母”和“家庭支持”。纳入标准包括2015年至2024年以英文发表的全文、原创研究文章。数据提取手动进行,并采用定性描述性分析。

结果

九项研究符合纳入标准,讨论了各种改善父母生活质量的护理干预措施。有效的干预措施包括积极思维疗法、家庭赋权、咨询和教育,这些措施提高了父母的知识水平、应对技能、情绪健康和整体生活质量。支持干预成功的关键因素包括父母的积极参与、持续的医疗支持以及可获取的教育资源的可用性。

结论

本研究强调了护士在支持重型地中海贫血患儿父母方面的重要作用。整体护理方法对于满足这些父母的多方面需求至关重要。进一步的研究应探索这些干预措施的长期有效性及其对个别家庭情况的适应性。

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