Relationship functioning and impact of health coverage models for parents of childhood cancer patients: A systematic review.

IF 1.3 4区医学 Q3 NURSING

Journal of Child Health Care Pub Date : 2024-10-17 DOI:10.1177/13674935241285473

Louisa Rygh, TyKera Marrow, Debra Sue Pate, Cynthia W Karlson

{"title":"Relationship functioning and impact of health coverage models for parents of childhood cancer patients: A systematic review.","authors":"Louisa Rygh, TyKera Marrow, Debra Sue Pate, Cynthia W Karlson","doi":"10.1177/13674935241285473","DOIUrl":null,"url":null,"abstract":"The current systematic literature review aimed to summarize and evaluate existing literature regarding parental relationship functioning during and after childhood cancer, with an exploratory evaluation regarding the impact of national health coverage model (proxy for finances). This review used MEDLINE, PsychInfo, Embase, and CENTRAL search database. Articles were reviewed (N = 3060) against inclusion criteria, with 512 abstracts screened and 87 full-text retrieved and reviewed. Inclusion criteria: (1) childhood cancer, (2) measures parental relationship functioning, (3) English, and (4) new, empirical data. A modified version of the Downs and Black checklist was used to assess risk of bias. Narrative synthesis was used to present and discuss results. Final included articles (N = 36) revealed mostly positive or neutral findings across parental relationship functioning subdomains within 6 months (T1) and after 6 months (T2) of childhood cancer diagnosis. Sexual intimacy was negatively impacted across timepoints. Parental stress was higher than norms at T1. Marital conflict and adjustment were also worse at T1 but returned to previous levels at T2. Some variability in parental relationship functioning was observed among the different health coverage models, but these differences were not significant. Results support systematic screening and systems-based parent support programs for families of children with cancer. Mixed-methods studies examining parental relationships longitudinally and utilizing operational definitions for out-of-pocket spending are needed.","PeriodicalId":54388,"journal":{"name":"Journal of Child Health Care","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/13674935241285473","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

The current systematic literature review aimed to summarize and evaluate existing literature regarding parental relationship functioning during and after childhood cancer, with an exploratory evaluation regarding the impact of national health coverage model (proxy for finances). This review used MEDLINE, PsychInfo, Embase, and CENTRAL search database. Articles were reviewed (N = 3060) against inclusion criteria, with 512 abstracts screened and 87 full-text retrieved and reviewed. Inclusion criteria: (1) childhood cancer, (2) measures parental relationship functioning, (3) English, and (4) new, empirical data. A modified version of the Downs and Black checklist was used to assess risk of bias. Narrative synthesis was used to present and discuss results. Final included articles (N = 36) revealed mostly positive or neutral findings across parental relationship functioning subdomains within 6 months (T1) and after 6 months (T2) of childhood cancer diagnosis. Sexual intimacy was negatively impacted across timepoints. Parental stress was higher than norms at T1. Marital conflict and adjustment were also worse at T1 but returned to previous levels at T2. Some variability in parental relationship functioning was observed among the different health coverage models, but these differences were not significant. Results support systematic screening and systems-based parent support programs for families of children with cancer. Mixed-methods studies examining parental relationships longitudinally and utilizing operational definitions for out-of-pocket spending are needed.

查看原文本刊更多论文

儿童癌症患者父母的关系功能和医疗保险模式的影响：系统综述。

本系统性文献综述旨在总结和评估有关儿童患癌期间和之后父母关系功能的现有文献，并对国家医疗保险模式（财务状况的代表）的影响进行探索性评估。本综述使用了 MEDLINE、PsychInfo、Embase 和 CENTRAL 搜索数据库。根据纳入标准对文章进行了审查（N = 3060），筛选出 512 篇摘要，检索并审查了 87 篇全文。纳入标准(1) 儿童癌症；(2) 衡量父母关系功能；(3) 英语；(4) 新的经验数据。采用唐斯和布莱克核对表的修订版来评估偏倚风险。叙事综合法用于呈现和讨论结果。最终纳入的文章（N = 36）显示，在儿童癌症确诊后 6 个月内（T1）和 6 个月后（T2），父母关系功能子域的研究结果大多为正面或中性。性亲密关系在各个时间点均受到负面影响。在 T1 阶段，父母的压力高于正常值。在 T1 阶段，婚姻冲突和适应性也较差，但在 T2 阶段恢复到了以前的水平。在不同的医疗保险模式中，父母关系功能存在一些差异，但这些差异并不显著。研究结果支持为癌症患儿家庭提供系统筛查和基于系统的家长支持计划。我们需要对父母关系进行纵向研究，并利用自付费用的操作定义进行混合方法研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Child Health Care NURSING-PEDIATRICS

CiteScore

4.10

自引率

15.80%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.