Legacy-making interventions in pediatric palliative care: A mixed methods systematic review

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2025-03-28 DOI:10.1016/j.apjon.2025.100694

Chanjuan Deng , Ruishuang Zheng , Jennifer Hong , Qiaohong Guo

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引用次数: 0

Abstract

Objective

To identify existing legacy-making interventions for children in the context of palliative care, to evaluate the reported outcomes of these interventions, and to explore the perceptions and experiences of children, family members, and healthcare professionals regarding these interventions.

Methods

A mixed-methods systematic review was conducted. Six English databases, including PubMed, the Cochrane Library, Embase, CINAHL via EBSCO, ProQuest Nursing & Allied Health Database, and PsycINFO via EBSCO, and three Chinese databases, including CNKI, Wanfang, and Weipu, were systematically searched from inception to July 21, 2024. Articles reporting the results of qualitative, quantitative, or mixed-methods studies related to legacy-making interventions for children receiving palliative care were selected. A meta-synthesis and a quantitative narrative synthesis were conducted, and the findings were integrated using a convergent segregated approach.

Results

Twenty-one articles were included. Existing legacy-making interventions were categorized into tangible legacy items and living legacy projects. These interventions were found to have numerous benefits, such as improving children's quality of life, preserving dignity, fostering adaptive coping mechanisms for illness-specific stressors for both children and their parents, enhancing parent-child communication, and promoting psychosocial well-being. They also contributed to reducing compassion fatigue and burnout among healthcare professionals. The majority of children's and parents' experiences with legacy-making interventions were positive, with high acceptability of these interventions. Suggestions from family members and healthcare professionals for enhancing these interventions were also reported.

Conclusions

Legacy-making interventions could benefit children, their families, and healthcare professionals. More rigorous clinical trials should be conducted to confirm the effects of these interventions in the future.

Systematic review registration

This systematic review has been registered on PROSPERO (Registration No. CRD42024490925).

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儿童姑息治疗的传统干预：一项混合方法的系统综述

目的确定姑息治疗背景下现有的儿童遗产干预措施，评估这些干预措施的报告结果，并探讨儿童、家庭成员和医疗保健专业人员对这些干预措施的看法和经验。方法采用混合方法进行系统评价。6个英文数据库，包括PubMed， Cochrane Library, Embase, CINAHL via EBSCO, ProQuest Nursing &；系统检索了联合健康数据库（Allied Health Database）、PsycINFO（通过EBSCO）和三个中文数据库，包括CNKI、万方和weiipu，检索时间从成立到2024年7月21日。文章报道了与接受姑息治疗的儿童的遗传干预相关的定性、定量或混合方法的研究结果。进行了元综合和定量叙事综合，并使用趋同隔离方法对研究结果进行了整合。结果共纳入21篇文献。现有的遗产制作干预被分类为有形的遗产项目和活的遗产项目。研究发现，这些干预措施有许多好处，如改善儿童的生活质量、维护尊严、为儿童及其父母培养针对特定疾病压力源的适应性应对机制、加强亲子沟通以及促进社会心理健康。它们还有助于减少医疗保健专业人员的同情疲劳和倦怠。大多数儿童和父母对遗产制作干预的经验是积极的，这些干预的可接受性很高。还报告了来自家庭成员和保健专业人员的建议，以加强这些干预措施。结论遗赠干预可使儿童、其家庭和卫生保健专业人员受益。将来应该进行更严格的临床试验来确认这些干预措施的效果。系统综述注册本系统综述已在PROSPERO上注册(注册号：CRD42024490925)。

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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