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A Systematic Review of Interventions with Siblings of Pediatric Cancer Patients

소아암 환자의 형제자매 중재에 관한 연구논문의 체계적 문헌고찰

  • Han, Soo-yeon (College of Nursing, Seoul National University) ;
  • Hwang, Ji-Hye (College of Nursing, Seoul National University) ;
  • Kim, Cho-hee (College of Nursing, Seoul National University) ;
  • Jang, Hye-young (College of Nursing, Seoul National University) ;
  • Bang, Kyung-Sook (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
  • 한수연 (서울대학교 간호대학) ;
  • 황지혜 (서울대학교 간호대학) ;
  • 김초희 (서울대학교 간호대학) ;
  • 장혜영 (서울대학교 간호대학) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소)
  • Received : 2017.05.22
  • Accepted : 2017.07.18
  • Published : 2017.07.31

Abstract

Purpose: The purpose of this study was to review interventions available to nurses caring for siblings of children with cancer. Methods: Searches of CINAHL, MEDLINE, PubMed, EMBASE, and RISS identified ten intervention studies published from January, 2000 to November, 2016. Results: Ten studies on interventions for siblings of pediatric cancer patients were identified as follows: 4 included camps, 4 included support groups, and 2 provided individual interventions. Theoretical frameworks were mainly cognitive behavioral theory and most studies were led by psychologists and multidisciplinary teams. The purpose of the interventions was primarily enhancing psychosocial adjustment. Siblings' fear of disease, self-esteem, and social support were improved significantly after the interventions. Findings were inconsistent with regard to depression, anxiety, behavioral problems, post-traumatic stress, health-related quality of life, and siblings' perceptions of the illness. Conclusion: Study findings showed the potential for enhancing emotional and behavioral outcomes in siblings of children with cancer. However, the number of studies was very small, and several methodological limitations were identified. In the future, more randomized controlled trials with larger samples are needed to extend the evidence base. Moreover, future research should identify sibling's characteristics and circumstances most likely to bring benefits to the siblings.

Keywords

References

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