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Why breast cancer patients avoid communicating disease-related information to their dependent children: A qualitative study

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单位: [1]China-Japan Friendship Hospital, Beijing, China [2]School of Nursing, Jinan University, Guangzhou, China [3]Department of Breast Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China [4]School of Nursing, Sun Yat-sen University, Guangzhou, China [5]Office for Medical Development and Management, Xiamen University, Xiamen, China
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关键词: bad news breast cancer children family parental concern

摘要:
Aim and objectives This qualitative study explores why breast cancer patients do not share disease-related information with their dependent children. Background 'Open' communication between breast cancer patients and their children is beneficial to both. However, some still try to avoid discussing their diagnosis and related information with their children. Some worries lie in communicating with dependent children, but the underlying cause remains unclear. Design Qualitative descriptive study. Methods Semi-structured interview was used in this study. Twenty breast cancer patients with children (aged 8-18 years) were recruited at two urban tertiary hospitals in mainland China. Qualitative content analysis was conducted to analyse and identify themes and subthemes. This study followed the COREQ checklist for qualitative studies. Results Three main themes were identified: (1) Uncertainty about the future: Their struggles with cancer remain a sensitive subject with their children. They described the uncertainty surrounding their disease prognosis and their children's response. They were also unsure whether, when and how to inform their children of their conditions; (2) Useless and risky for their children to know the truth: They considered it useless because their children can neither understand nor change the existing facts. They were concerned that it could affect their children's emotional state, character and academic performance; and (3) All for their children's sake: They were willing to take care of their affairs without troubling their dependent children as much as possible. Conclusion Most mothers delayed communicating disease-related information to their dependent children. However, they often underestimated children's abilities and ignored their thoughts and wishes. Motherhood leads to avoidance and concealment in discussing health issues with their children. Relevance to clinical practice Mothers should try to understand their children's views towards cancer earlier. Healthcare professionals, especially nurses, should provide further consultation and intervention services to assist mothers and their children.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 1 区 护理
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 护理
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出版当年[2020]版:
Q1 NURSING
最新[2023]版:
Q1 NURSING

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2020版] 出版当年五年平均[2016-2020] 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]China-Japan Friendship Hospital, Beijing, China
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通讯机构: [2]School of Nursing, Jinan University, Guangzhou, China [4]School of Nursing, Sun Yat-sen University, Guangzhou, China [*1]School of Nursing, Jinan University, No.601 West Huangpu Avenue, Guangzhou, Guangdong 510632, China. [*2]School of Nursing, Sun Yat-sen University, No. 74 Zhongshan 2nd Road, Guangzhou, Guangdong 510080, China.
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