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癌症终末期患儿父母真实情感体验和需求的质性研究

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目的 了解癌症终末期患儿父母的真实情感体验和需求,为儿童安宁疗护的开展提供参考依据。方法 采用描述性质性研究,以2023年1-4月选取的泉州市儿童医院癌症终末期患儿的父母为调查对象,对12位患儿父母进行半结构访谈,采用定向内容分析法,对录入资料进行分析。结果 对癌症终末期患儿父母的真实体验与情感需求两个维度进行归纳与分析,最终形成2个子主题、10个亚主题,真实体验维度包括初次反应的情感多样性、情绪管理和应对策略、积极情感的存在、不确定性的应对方式以及社会支持的影响;情感需求维度包括支持和关怀的需求、寻求帮助和支持的途径、缓解情感压力的策略、安宁疗护的需求以及需求未得到满足。结论 父母在面对患儿处于癌症终末期时存在多样的真实体验和情感需求,并通过不同的积极策略去调节自身情绪。此外,安宁支持在这一过程中扮演着重要角色,与患儿父母的情感需求相匹配,这种支持与需求匹配的情况强调了改进社会支持体系的必要性。
Qualitative Study on the Real Emotional Experience and Needs of Parents Whose Children with Terminal Cancer
Objective To learn the true emotional experiences and needs of parents whose children with terminal cancer,and provide reference for the development of palliative care for children.Methods A descriptive and qualitative study was conducted with parents whose children with terminal cancer from Quanzhou Children's Hospital selected from January to April 2023 as the survey subjects.Semi-structured interviews were conducted with 12 parents of the children,and order-based content analysis was used to analyze the input data.Results The two dimensions of real experience and emotional need of parents whose children with terminal cancer were summarized and analyzed,resulting in 2 sub-topics and 10 sub-themes.The real experience dimension includes emotional diversity of initial reactions,emotional management and coping strategies,the existence of positive emotions,coping methods with uncertainty,and the influence of social support.The dimension of emotional need includes the need for support and care,ways to seek help and support,strategies to alleviate emotional stress,the need for palliative care,and unmet needs.Conclusion Parents have diverse real experiences and emotional needs when facing children in the terminal cancer,and use different positive strategies to regulate their own emotions.In addition,palliative support plays an important role in this process,matching the emotional needs of the parents of the affected children.This matching of support and need emphasizes the necessity of improving the social support system.

Terminal cancerParentsEmotional needsQualitative research

周小梦、鲁方沅、季玲如

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遵义医科大学第三附属医院,贵州 遵义 563099

癌症终末期 父母 情感需求 质性研究

2025

卫生职业教育
甘肃省医学科学研究院

卫生职业教育

影响因子:0.39
ISSN:1671-1246
年,卷(期):2025.43(4)