与猫狗笔友进行动物辅助干预对儿童和青少年癌症及血液疾病患者生活体验的影响

IF 1 4区 医学 Q3 NURSING
Anne Ingalls Gillespie,Jacqueline Jones,Rachel Johnson-Koenke,Mary Jo Gilmer,Madalynn Neu
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引用次数: 0

摘要

背景:动物辅助干预(AAI)包括与警犬进行现场探访,这对改善患有癌症或血液疾病的住院青少年的生活质量(QOL)大有帮助。新兴的虚拟动物辅助干预(Virtual AAI)领域允许在任何环境下进行动物辅助干预,并可扩展至家中的儿童。Youth and Pet Survivors™ (YAPS) 是一种新颖的虚拟 AAI 形式,它与共同被诊断出患有癌症或重病的猫狗笔友进行交流。关于与有共同诊断的动物交换信件如何影响感知的 QOL,以及在信件叙述中如何表达人与动物之间的纽带 (HAB),人们知之甚少。研究方法采用主题叙事分析法对YAPS儿童的信件和访谈组成的二次数据集进行分析。研究小组设计了一个概念框架来指导分析,将感知的 QOL、HAB 和情感社会支持等概念整合在一起。研究结果信件和访谈文本共同展示了共同创造的 HAB 故事。主题包括虚拟 HAB 作为一面镜子、在 HAB 的背景下构建身份、表达 HAB 的相互性、拥有笔友的幸福感、疾病故事以及与正常生活的联系。对研究问题的回答体现了虚拟 AAI 的影响。讨论:拥有一个动物笔友能提高患者的感知QOL,是整个疾病轨迹中情感社会支持的有效来源,支持YAPS作为一种护士主导的干预措施,促进患者适应疾病。这项研究为虚拟 AAI 这一新兴领域增添了概念框架和科学证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influences of Animal-Assisted Intervention With Canine and Feline Pen Pals on Experiences of Living With Cancer and Blood Disorders in Children and Adolescents.
Background: Animal-assisted intervention (AAI) involving live visits with canines shows strong promise to improve quality of life (QOL) in hospitalized youth with cancer or blood disorders. The emerging field of virtual AAI allows access to AAI regardless of setting and extends to children at home. Youth and Pet Survivors™ (YAPS) is a novel form of virtual AAI with dog and cat pen pals who share a diagnosis of cancer or serious illness. Little is known about how exchanging letters with animals with a shared diagnosis influences perceived QOL, and how the human-animal bond (HAB) is expressed in letter narratives. Method: A thematic narrative analysis approach was used to analyze a secondary dataset consisting of letters and interviews from children in YAPS. The research team designed a conceptual framework to guide the analysis, integrating concepts of perceived QOL, the HAB, and emotional social support. Results: Collectively, the letter and interview texts illustrated cocreated stories of the HAB. Themes included the virtual HAB as a mirror, constructing identity in the context of the HAB, expressions of the mutuality of the HAB, happiness with having a pen pal, illness story, and connection to normalcy. Answers to research questions operationalize the influence of virtual AAI. Discussion: Having an animal pen pal improved perceived QOL and was a potent source of emotional social support across the illness trajectory, supporting YAPS as a nurse-led intervention for facilitating adjustment to illness. This study adds a conceptual framework and scientific evidence to the emerging field of virtual AAI.
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CiteScore
3.30
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