父母对儿童造血干细胞移植的经验：系统回顾和综合

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-08-11 DOI:10.1016/j.pedn.2025.08.004

Maryam Maleki , Abbas Mardani , Mojtaba Vaismoradi

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引用次数: 0

摘要

造血干细胞移植（HSCT）是一种挽救生命的治疗各种儿科疾病，包括恶性肿瘤和遗传性疾病，但给家庭，特别是父母带来了巨大的负担。本研究综合并分析了关于儿童HSCT父母经历的现有证据，以全面了解他们的挑战和需求。设计和方法本研究采用综合综合方法进行系统综述。在pubmed、Scopus、CINAHL、Web of Science和embase五个数据库中进行搜索，没有时间限制，以确定发表在知名在线科学期刊上的相关文章。纳入标准包括定性研究和混合方法研究的定性组成部分，探讨父母与孩子的HSCT的经历，发表在同行评审的期刊上，用英语写作。结果纳入24项定性研究和1项混合方法研究。通过主题综合，出现了五个主要主题：“照顾者负担”、“支持系统”、“家庭动态”、“应对策略”和“积极成果”。结论：我们的研究结果对接受HSCT的儿童父母面临的多方面挑战和成长机会提供了有意义的见解。他们强调整体的，以家庭为中心的护理模式的必要性，以减轻照顾者的负担，加强支持系统，促进健康的家庭动态，并培养有效的应对策略。本研究强调了医疗保健提供者和政策制定者在支持接受儿童造血干细胞移植的儿童父母方面的重要性。它呼吁以家庭为中心的护理，满足父母的情感、心理和实际需求，并敦促政策制定者通过精神卫生服务、财政援助和灵活的护理来支持以家庭为中心的护理模式，以减轻压力并改善结果。

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Parents' experiences of pediatric hematopoietic stem cell transplantation: A systematic review and meta-synthesis

Purpose

Hematopoietic stem cell transplantation (HSCT) is a life-saving treatment for various pediatric conditions, including malignancies and genetic disorders but imposes significant burdens on families, especially parents. This study synthesized and analyzed existing evidence on parents' experiences of pediatric HSCT to provide a comprehensive understanding of their challenges and needs.

Design and methods

This study utilized a systematic review with a meta-synthesis approach. The search was conducted across five databases—PubMed, Scopus, CINAHL, Web of Science, and Embase—without time restrictions to identify relevant articles published in reputable online scientific journals. Inclusion criteria encompassed qualitative studies and the qualitative components of mixed-methods studies exploring parents' experiences with their child's HSCT, published in peer-reviewed journals and written in English.

Results

The review included 24 qualitative studies and one mixed-methods study. Through thematic synthesis, five main themes emerged: “caregiver burden”, “support systems”, “family dynamics”, “coping strategies”, and “positive outcomes”.

Conclusion

Our findings provide meaningful insights into the multifaceted challenges and growth opportunities faced by the parents of children undergoing HSCT. They emphasize the necessity of holistic, family-centered care models that reduce caregiver burden, enhance support systems, promote healthy family dynamics, and foster effective coping strategies.

Implications for clinical practice

This study emphasizes the importance of healthcare providers and policymakers in supporting parents of children undergoing pediatric HSCT. It calls for family-centered care that meets parents' emotional, psychological, and practical needs, and urges policymakers to support family-focused care models through mental health services, financial aid, and flexible care to reduce stress and improve outcomes.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.