Parents' conceptions of their children's oncological condition and their chemotherapeutic treatment
DOI:
https://doi.org/10.5902/2179769235898Keywords:
Concepções, CulturaAbstract
Objective: to assess and analyze the conceptions of fathers and mothers of children with cancer of their children's disease and their chemotherapeutic treatment according to the concepts of the Commonsense Model (CSM). Method: descriptive, qualitative study. Fourteen (14) parents of pediatric patients undergoing cancer treatment were interviewed. The data underwent content analysis and were analyzed according to the CSM. Results: the results were grouped into the following categories: Disease identity: conceptions of cancer; Duration: the length of time up to diagnosis and symptoms involved; Causes of the disease: the search for explanations; Consequences of the disease and treatment; Cure or control: perceptions of the prognosis as based on the CSM domains. Conclusion: negative conceptions relating to cancer and its treatment can cause uncertainties affecting the parents, compromise the use of resources to cope with the consequences of the disease, and reduce the expectations that the experience will have a positive outcome.Downloads
References
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Estimativa 2018: incidência de câncer no Brasil [Internet]. Rio de Janeiro (RJ): Inca; 2018 [acesso em 2019 dez 13]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-incidencia-de-cancer-no-brasil-2018.pdf
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Incidência, mortalidade e morbidade hospitalar por câncer em crianças, adolescentes e adultos jovens no Brasil: informações dos registros de câncer e do sistema de mortalidade [Internet]. Rio de Janeiro (RJ): Inca; 2016 [acesso em 2018 dez 10]. Disponível em: http://www1.inca.gov.br/wcm/incidencia/2017/pdf/versao-completa.pdf
Rodgers CC, Stegenga K, Withymcombe JS, Sachse K, Kelly KP. Processing information after a child’s cancer diagnosis - how parents learn. J Pediatr Oncol Nurs [Internet]. 2016 [acesso em 2020 jan 13];33(6):447-59. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/28084180 doi: 10.1177/1043454216668825
Di Battista A, Dupuis LL, Cassidy M, Portwine C, Johnston DL, Pradier Silva M, et al. Parent attributions about child symptoms related to cancer therapy. J Pediatr Oncol Nurs [Internet]. 2017 [acesso em 2018 jun 08 ];34(1):44–50. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/26825448 doi: 10.1177/1043454215628002
Licqurish S, Phillipson L, Chiang P, Walker J, Walter F, Emery J. Cancer beliefs in ethnic minority populations: a review and meta-synthesis of qualitative studies. Eur J Cancer Care (Engl) [Internet]. 2017 [acesso em 2018 jun 20];26(1):1-13. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/27515153 doi: 10.1111/ecc.12556
Cox T. Caregivers reflecting on the early days of childhood cancer. Eur J Cancer Care (Engl) [Internet]. 2017 [acesso em 2018 jun 22 ];27(1):1-10. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/27094577 doi: 10.1111/ecc.12499
Kelly KP, Withycombe J, Stegenga K, Rodgers C. The why behind the questions: question-asking in parents of children newly diagnosed with cancer – a report from the Children’s Oncology Group. J Pediatr Oncol Nurs [Internet]. 2018 [acesso em 2020 jan 13];43:23-8. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/30473153 doi: 10.1016/j.pedn.2018.07.002
Leventhal H, Brissette I, Leventhal EA. The commonsense model of self-regulation of health and illness. In: Cameron LD, Leventhal H. The self-regulation of health and illness behavior. New York: Routledge; 2003. p. 42-65.
Elo S, Kyngas H. The qualitative content analysis process. J Adv Nurs [Internet]. 2008 [acesso em 2018 abr 06];62(1):107–15. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/18352969 doi: 10.1111/j.1365-2648.2007.04569.x
Machado GOC, Biancovilli P, Jurberg C. Voices about a stigma: cancer in the opinion of three different segments in Brazilian society. J Can Educ [Internet]. 2017 [acesso em 2018 abr 06]; 2017 [acesso em 2018 abr 06];32(2):413-6. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/26676405 doi: 10.1007/s13187-015-0962-5
Nair M, Paul LT, Latha PT, Parukkutty K. Parents' knowledge and attitude regarding their child's cancer and effectiveness of initial disease counseling in pediatric oncology patients. Indian J Palliat Care [Internet]. 2017 [acesso em 2018 abr 10];23(4):393-8. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5661340/ doi: 10.4103/IJPC.IJPC_83_17
Carreño-Moreno S, Díaz LC, Blanco-Sánchez P. Cuidador familiar del niño con cáncer: un rol en transición. Rev Latinoam Bioét [Internet]. 2017 [acesso em 2019 jan 29];17(2):18-30. Disponível em: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-47022017000200018 &lng=en doi 10.18359/rlbi.2781
Lawrenz P, Peuker AC, Castro EK. Illness perceptions and indicators of PTSD in mothers of childhood cancer survivors. Temas Psicol [Internet]. 2016 [acesso em 2018 nov 22];24(2):439-50. Disponível em: http://pepsic.bvsalud.org/pdf/tp/v24n2/en_v24n2a03.pdf doi: 10.9788/TP2016.2-03Pt
Lima BC, Silva LF, Goes FGB, Ribeiro MTS, Alves LL. O itinerário terapêutico de famílias de crianças com câncer: dificuldades encontradas neste percurso. Rev Gaúch Enferm [Internet]. 2018 [acesso em 2018 nov 22];39:1-9. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472018000100455 doi: 10.1590/1983-1447.2018.20180004
Silva-Rodrigues FM, Moraes KSR, Duarte AM, Polita NB, Padula MPC, Nascimento LC. Información a los padres durante el tratamiento del cáncer infantil: un studio descriptivo. Cult Cuid [Internet]. 2019 [acesso em 2020 jan15];54:297–309. Disponível em: https://rua.ua.es/dspace/bitstream/10045/96336/1/CultCuid_54-297-309.pdf doi: 10.14198/cuid.2019.54.26
Marron JM, Cronin AM, Kang TI, Mack JM. Intended and unintended consequences: ethics, communication, and prognostic disclosure in pediatric oncology. Cancer [Internet]. 2018 [acesso em 2020 jan 15];124(6):1232-41. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/29278434 doi: 10.1002/cncr.31194
Koch KD, Jones BL. Supporting parent caregivers of children with life-limiting illness. Children [Internet]. 2018 [acesso em 2020 jan 15];5(7):85-92. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6069074/ doi: 10.3390/children5070085
Nicholas DB, Barrera M, Granek L, D'Agostino NM, Shaheed J, Beaune L, et al. Parental spirituality in life-threatening pediatric cancer. J Psychosoc Oncol [Internet]. 2017 [acesso em 2018 maio 15];35(3):323-34. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/28300487 doi: 10.1080/07347332.2017.1292573
Crisp CL. Faith, hope, and spirituality: supporting parents when their child has a life-limiting illness. J Christ Nurs [Internet]. 2016 [acesso em 2018 jan 10];33(1):14-21. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/26817365
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.