Parents' perspective of caring for their children identified with oncological disorders: a qualitative study.

Ambreen Navroz Ali Salyani, Salma Rattani, Asif Khowaja, Sadaf Altaf, Shahzadi Resham, Parveen Badruddin, Zeeshan Aslam
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Abstract

Background: Childhood cancer has a profound effect on the emotional and psychological well-being of parents, yet often their own psychological health is overlooked These parents silently suffer from psychological distress while caring for their children and use their own coping strategies. However, these challenges become worse in low- and middle-income countries (LMICs) because of a financial constraint, lack of psychosocial support and healthcare resources. Despite this, limited studies have been carried out in LMICs regarding parents' emotional and psychological perspectives.

Purpose: To investigate the psychological and emotional difficulties faced by parents of children with cancer in a LMIC, with a particular emphasis on problems like limited access to psychosocial support that are common in developing nations.

Method: This study was conducted using a descriptive exploratory design to address the research question. With the help of the purposive sampling technique, a total of 12 participants were recruited from a private tertiary care hospital in Karachi, Pakistan. The data was collected through in-depth, semi-structured interviews. Later, the findings were manually analysed using Creswell's criteria for content analysis.

Finding(s): The findings revealed four major themes: (i) Parental reactions and feelings, (ii) Coping strategies and support systems, (iii) Challenges, and (iv) Parental perspective. Parents from LMICs frequently had to deal with additional obstacles, such as financial strain and a lack of psychological support.

Conclusion: The study explored how parents from a LMIC feel when their child is diagnosed with cancer, where there is frequently lack of access to quality health care and emotional support. It is essential to understand their experiences and to provide them with the support they need in this difficult time. Psychological and emotional support for families affected by childhood cancer must be a top priority for policymakers and healthcare practitioners in LMICs.

父母照顾患有肿瘤疾病的孩子的观点:一项定性研究。
背景:儿童癌症对父母的情绪和心理健康有着深远的影响,但他们自己的心理健康往往被忽视,这些父母在照顾孩子的同时默默承受着心理困扰,并使用自己的应对策略。然而,在低收入和中等收入国家,由于财政拮据、缺乏社会心理支持和医疗保健资源,这些挑战变得更加严重。尽管如此,关于父母的情感和心理观点,在低收入国家进行了有限的研究。目的:调查低收入和中等收入国家癌症儿童的父母所面临的心理和情感困难,特别强调发展中国家普遍存在的获得社会心理支持的机会有限等问题。方法:本研究采用描述性探索性设计来解决研究问题。在有目的抽样技术的帮助下,从巴基斯坦卡拉奇的一家私立三级保健医院共招募了12名参与者。数据是通过深入的半结构化访谈收集的。随后,使用Creswell的内容分析标准对结果进行人工分析。调查结果:调查结果揭示了四个主要主题:(i)父母的反应和感受,(ii)应对策略和支持系统,(iii)挑战,(iv)父母的观点。低收入和中等收入国家的父母经常不得不处理额外的障碍,如经济压力和缺乏心理支持。结论:这项研究探讨了低收入家庭的父母在他们的孩子被诊断患有癌症时的感受,因为他们经常缺乏高质量的医疗保健和情感支持。了解他们的经历并在这一困难时期为他们提供所需的支持是至关重要的。为受儿童癌症影响的家庭提供心理和情感支持必须成为中低收入国家决策者和卫生保健从业人员的首要任务。
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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