Support Experiences and Wishes of Bereaved Parents After the Loss of Their Child to Cancer

IF 2.4 3区 医学 Q2 HEMATOLOGY
Anna Katharina Vokinger, Eddy Carolina Pedraza, Eva Maria Tinner, André Oscar von Bueren, Katrin Scheinemann, Eva Bergstraesser, Gisela Michel, Eva De Clercq
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引用次数: 0

Abstract

Introduction

The death of a child has a tremendous impact on parents’ lives. The experience of parents who have lost a child to cancer may differ from other bereavement experiences, including other childhood and adulthood causes of death, because of the uncertainty of the prognosis, the aggressive treatment, and the potential for regret about treatment decisions. Bereavement care remains scarce, and effective interventions to meet the diverse needs of parents have not been defined.

Objective

To provide insights on bereaved parents’ experiences, their needs, and wishes of support following the loss of their child to cancer.

Methods

We conducted 18 qualitative, in-depth, semi-structured interviews with 23 bereaved parents (seven fathers, 16 mothers), and used reflexive thematic analysis to analyze the data.

Results

Parents received both informal and professional support. Regarding informal support, parents expressed a high level of ambivalence rooted in grief illiteracy. Parents also recognized their own struggles to express what forms of informal support they would have liked to receive. Support provided by healthcare professionals, institutions, and organizations involved in the children's care or in bereavement was inconsistent due to personnel time constraints, interpersonal relationships, or disruptions due to the COVID-19 pandemic. These factors could result in parents not having access to certain forms of support or not receiving long-term support.

Conclusion

Improving grief literacy may strengthen informal support and make discussions of grief and death less taboo. Institutional policies, training, and networking may help to ensure that support provided by healthcare professionals, institutions, and organizations is less vulnerable to inconsistencies.

癌症丧子后丧子父母的支持经历和愿望。
简介孩子的死亡对父母的生活影响巨大。由于预后的不确定性、积极的治疗以及对治疗决定的潜在后悔,癌症患儿父母的丧亲经历可能不同于其他丧亲经历,包括其他儿童和成人死亡原因。丧亲护理仍然匮乏,满足父母不同需求的有效干预措施尚未确定:目的:深入了解因癌症失去孩子的丧亲父母的经历、需求和希望得到的支持:我们对 23 位失去孩子的父母(7 位父亲,16 位母亲)进行了 18 次定性、深入、半结构式访谈,并使用反思性主题分析法对数据进行分析:结果:父母同时获得了非正式和专业支持。在非正式支持方面,父母们因不了解悲伤而表达了高度的矛盾心理。家长们也认识到,他们在表达自己希望获得何种形式的非正式支持时也很吃力。由于人员时间限制、人际关系或 COVID-19 大流行造成的干扰,参与儿童护理或丧亲之痛的医护人员、机构和组织所提供的支持并不一致。这些因素可能会导致父母无法获得某些形式的支持或无法获得长期支持:提高对悲伤的认识可以加强非正式的支持,并使有关悲伤和死亡的讨论不再成为禁忌。机构政策、培训和网络可帮助确保医疗保健专业人员、机构和组织提供的支持不易出现不一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Blood & Cancer
Pediatric Blood & Cancer 医学-小儿科
CiteScore
4.90
自引率
9.40%
发文量
546
审稿时长
1.5 months
期刊介绍: Pediatric Blood & Cancer publishes the highest quality manuscripts describing basic and clinical investigations of blood disorders and malignant diseases of childhood including diagnosis, treatment, epidemiology, etiology, biology, and molecular and clinical genetics of these diseases as they affect children, adolescents, and young adults. Pediatric Blood & Cancer will also include studies on such treatment options as hematopoietic stem cell transplantation, immunology, and gene therapy.
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