[1]刘迎春,王承云,李树军,等.急性白血病患儿父母应对疾病不确定感的质性研究[J].新乡医学院学报,2021,38(2):137-140.[doi:10.7683/xxyxyxb.2021.02.008]
 LIU Yingchun,WANG Chengyun,LI Shujun,et al.Qualitative study on parents′ coping for illness uncertainty in children with acute leukemia[J].Journal of Xinxiang Medical University,2021,38(2):137-140.[doi:10.7683/xxyxyxb.2021.02.008]
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急性白血病患儿父母应对疾病不确定感的质性研究
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年2
页码:
137-140
栏目:
临床研究
出版日期:
2021-02-05

文章信息/Info

Title:
Qualitative study on parents′ coping for illness uncertainty in children with acute leukemia
作者:
刘迎春1王承云2李树军2王丽娜1
(1.新乡医学院护理学院,河南 新乡 453003;2.新乡医学院第一附属医院儿科,河南 卫辉 453100)
Author(s):
LIU Yingchun1WANG Chengyun2LI Shujun2WANG Lina1
(1.Shool of Nursing,Xinxiang Medical University,Xinxiang 453003,Henan Province,China2.Department of Pediatrics,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province,China)
关键词:
白血病疾病不确定感应对方式质性研究
Keywords:
leukemiaillness uncertaintycoping stylequalitative research
分类号:
R473.73
DOI:
10.7683/xxyxyxb.2021.02.008
文献标志码:
A
摘要:
目的 明确急性白血病患儿父母疾病不确定感的原因,为临床医务人员提供干预方向,帮助新诊断的急性白血病患儿父母建立良性应对方式,降低其疾病不确定感。方法 选择2019年5月至2020年5月新乡医学院第一附属医院收治的12例急性白血病患儿父母为研究对象。对急性白血病患儿父母进行半结构式访谈,用Colaizzi现象学七步分析法进行主题编码,分析急性白血病患儿父母疾病不确定感的来源。结果 急性白血病患儿父母疾病不确定感的来源主要有疾病名称、疾病复发、社会歧视、孩子受罪、检查结果和化学治疗方案;急性白血病患儿父母较好的应对方式主要是对未来充满希望、同伴教育、获取社会支持和面对当下。结论 急性白血病患儿父母疾病不确定感主要来源于疾病名称、疾病复发、社会歧视、孩子受罪、检查结果和化学治疗方案等。临床上可以采用信息支持、希望疗法、正念疗法、举办病友互助会等干预方法帮助患儿父母建立良好的应对方式,以降低其疾病不确定感,提高幸福感。
Abstract:
Objective To clarify the reasons for the illness uncertainty of the parents of children with acute leukemia,and provide the intervention directions for clinical medical staff,help the parents of newly diagnosed acute leukemia children to establish a benign coping style and reduce their illness uncertainty.Methods  A total of 12 parents of children with acute leukemia admitted to the First Affiliated Hospital of Xinxiang Medical University from May 2019 to May 2020 were selected as the research objects.Semi-structured interviews were conducted with the parents of children with acute leukemia,and the subjects were coded by using the Colaizzi phenomenological seven-step analysis method to analyze the source of illness uncertainty of parents of children with acute leukemia.Results The sources of the illness uncertainty of the parents of children with acute leukemia were the name of the disease,disease recurrence,social discrimination,children′s crimes,examination results and chemotherapy regimens.The better coping style of parents were hope for the future,Peer education,acquisition social support and face the moment.Conclusion The illness uncertainty of parents of children with acute leukemia mainly comes from the name of the disease,disease recurrence,social discrimination,children suffering,examination results and chemotherapy.Clinical intervention methods such as information support,hope therapy,mindfulness therapy and organization of mutual aid associations can be used to help parents of children with acute leukemia to establish good coping styles,reduce their illness uncertainty,and improve their happiness.

参考文献/References:

[1] 陈凯,蒋慧,陆正华,等.儿童急性髓系白血病(M4/M5亚型)临床疗效及预后因素分析[J].中华实用儿科临床杂志,2018,33(3):186-190.
[2] 王海燕,王惠连.白血病患儿父母疾病不确定感与焦虑的相关性研究[J].护理研究,2013,2(27):117-118.
[3] MALIN K J,JOHNSON T S.A concept analysis of parental uncertainty in illness of an infant [J].MCN Am J Matern Child Nurs,2019,44(4):206-211.
[4] 张云.信息支持缓解原发性青光眼患者疾病不确定感的干预研究[D].成都:成都中医药大学,2019.
[5] 黄家莲,应燕萍,凌瑛,等.针对性信息支持对乳腺癌术后患者癌症复发恐惧及疾病不确定感、应对方式的影响[J].广西医学,2019,41(2):272-274,278.
[6] 周静.蚌埠市某三级综合医院冠心病住院患者疾病不确定感及其影响因素研究[D].济南:山东大学,2016.
[7] MAMBU J F.A Glimmer of hope[J].J Am Geriatr Soc,2018,66(12):2241-2242.
[8] TEMPLE W J.Inspiring hope A physician′s responsibility,translating the science into clinical practice[J].J Surg Oncol,2018,117(4):545-550.
[9] SAMAVI S A,NAJARPOURIAN S,JAVDAN M.The effectiveness of group hope therapy in labor pain and mental health of pregnant women[J].Psychological Reports,2019,122(6):2063-2073.
[10] 王婧婷.急性淋巴细胞性白血病患儿父母移动医疗支持性照护方案的构建及应用研究[D].上海:第二军医大学,2017.
[11] BURKE K,MUSCARA F,MCCARTHY M,et al.Adapting acceptance and commitment therapy for parents of children with life-threatening illness:pilot study[J].Fam Syst Health,2014,32(1):122-127.
[12] LENGACHER C A,REICH R R,PATERSON C L,et al.Examination of broad symptom improvement resulting from mindfulness-based stress reduction in breast cancer survivors:a randomized controlled trial[J].Clin Oncol,2016,34(24):2827-2834.

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更新日期/Last Update: 2021-02-05