关键词: Children Parents Psychological support Quality improvement Sarcoma

Mesh : Humans Male Female Quality Improvement Parents / psychology Child Sarcoma / therapy psychology Stress, Psychological Adult Social Support Anxiety Disorders / therapy Psychosocial Support Systems Child, Preschool

来  源:   DOI:10.1016/j.pedn.2024.05.025

Abstract:
OBJECTIVE: A significant portion of parents of children diagnosed with sarcoma experience excessive stress and anxiety disorder. This quality improvement project aimed to implement a psychological support service program tailored for parents of children with sarcoma and evaluate its effects.
METHODS: An interprofessional team was formed through a health-social partnership to deliver comprehensive psychological support service program involving multiple cognitive-behavioral components to parents of children with sarcoma. Parents who were identified as having excessive stress and/or anxiety disorder and voluntarily agreed to participate were enrolled. Pre- and post-intervention assessments were conducted, and previously recorded data from parents of children hospitalized in the year prior to this quality improvement project were included as historical controls.
RESULTS: A total of 48 parents, including 35 mothers and 13 fathers, participated in the quality improvement project. Results showed that participants achieved greater reduction in emotional, somatic, and behavioral stress when compared with historical controls (all p < .001). Significantly lower prevalence of moderate to severe anxiety disorder was also found (4.2% vs. 85.4%, p < .001).
CONCLUSIONS: The implementation of a psychological support service program, informed by cognitive-behavioral theory and delivered through a health-social partnership, effectively alleviated multiple facets of stress and anxiety disorder in parents of children newly diagnosed with sarcoma.
CONCLUSIONS: Nurses can facilitate and coordinate the collaboration among interprofessional team to deliver specialized psychological support services and ensure that parents of children with sarcoma have access to these services, ultimately enhancing their psychological well-being.
摘要:
目的:诊断为肉瘤的儿童的父母中有很大一部分经历过度的压力和焦虑障碍。此质量改进项目旨在实施为肉瘤儿童父母量身定制的心理支持服务计划并评估其效果。
方法:通过健康-社会伙伴关系成立了一个跨专业团队,为肉瘤儿童的父母提供涉及多种认知行为成分的综合心理支持服务计划。被确定为具有过度压力和/或焦虑症并自愿同意参与的父母被登记。进行了干预前和干预后评估,本质量改进项目前一年住院儿童父母的记录数据作为历史对照.
结果:共有48位父母,包括35个母亲和13个父亲,参与了质量改进项目。结果显示,参与者在情感上实现了更大的减少,躯体,与历史对照相比,行为应激(所有p<.001)。还发现中度至重度焦虑症的患病率显着降低(4.2%vs.85.4%,p<.001)。
结论:实施心理支持服务计划,由认知行为理论提供信息,并通过健康-社会伙伴关系提供,有效缓解了新诊断为肉瘤的儿童父母的多个方面的压力和焦虑障碍。
结论:护士可以促进和协调跨专业团队之间的合作,以提供专门的心理支持服务,并确保肉瘤儿童的父母能够获得这些服务,最终提高他们的心理健康。
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