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      Experiences of mothers and fathers of children and adolescents with cancer: a phenomenological-existential Heideggerian approach Translated title: Vivências de pais/mães de crianças e adolescentes com câncer: uma abordagem fenomenológico-existencial Heideggeriana Translated title: Experiencias de padres/madres de niños y adolescentes con cáncer: una aproximación fenomenológica existencialheideggeriana

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          Abstract

          This study was based in Heideggerian existential phenomenology, and aims to understand the experiences of mothers/fathers of children and adolescents with cancer. A total of 13 parents of eight patients attended by a charitable association participated, between December 2011 and March 2012. They were asked the question: how has it been for you to experience having a child with cancer? Three issues emerged from the analysis: experiencing the being-present and the being-absent of the loved one; sharing the existential sadness of the child; and learning with the ill child. It was evidenced that these parents experience unexpected transformations in their routine, triggering uncertainties, fears and distress. The same distress that makes them suffer in this world, however, makes them understand the existential condition of the child and of themselves. It is essential that professionals - such as those of nursing - transpose the technical-scientific care and seek to understand these existential needs with a view to offering comprehensive and humanized care.

          Translated abstract

          Pesquisa baseada na fenomenologia existencial heideggeriana, que objetivou compreender as vivências de pais/mães de crianças e adolescentes com câncer. Participaram 13 pais de oito pacientes, atendidos por uma associação beneficente do noroeste do Paraná, entre dezembro/2011 e março/2012, quando foram inquiridos com a questão: como tem sido para você vivenciar a experiência de ter um filho com câncer? Da análise, emergiram três temáticas: experienciando o estar presente e o estar ausente de o ente querido; compartilhando a tristeza existencial do filho; e aprendendo com o filho doente. Evidenciou-se que estes pais experimentam imprevistas transformações no cotidiano, desencadeando incertezas, medos e angústias. Entretanto, a mesma angústia que os faz quedarem-se diante do mundo, fá-los compreender a condição existencial do filho e de si próprios. Torna-se imprescindível que profissionais, como os da enfermagem, transponham o cuidado técnico-científico e busquem compreender suas necessidades existenciais com vistas a oferecer um cuidado integral e humanizado.

          Translated abstract

          Investigación basada en la fenomenología existencial heideggeriana que tuvo por objetivo comprender las vivencias de padres/madres de niño y adolescentes con cáncer. Participaron 13 padres de ocho pacientes, atendidos por una asociación de ayuda del noroeste de Paraná, entre diciembre/2011 y marzo/2012, cuando fueron encuestados con la pregunta: ¿Cómo ha sido para usted vivenciar la experiencia de tener un hijo con cáncer? Del análisis surgieron tres temáticas: experiencia de estar presente y el estar ausente del ente querido; compartiendo la tristeza existencial del hijo y aprendiendo con el hijo enfermo. Se evidenció que esos padres experimentan imprevistas transformaciones en el cotidiano desencadenando incertidumbre, miedos y angustias. Sin embargo, la misma angustia que los hace detenerse delante del mundo, los hará comprender la condición existencial del hijo y de sí mismos. Se hace imprescindible que los profesionales, como la enfermería, transpongamos el cuidado técnico-científico y busquemos comprender sus necesidades existenciales con el objetivo de ofrecer un cuidado integral y humanizado.

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          Most cited references24

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          Ser e tempo

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            Parents of children with cancer: which factors explain differences in health-related quality of life.

            Research with parents of children with cancer has identified factors related to their adjustment and coping, but it is not fully understood why some parents do well and others do not. Guided by a stress process model, we examined the interrelationships among a comprehensive set of factors to identify the most important determinants of health-related quality of life (HRQoL) in parents of children in active treatment for cancer. A cross-sectional survey of 411 parents (80% response rate) of children receiving cancer treatment in Canada was conducted between November 2004 and February 2007. The following constructs were measured: background and context factors, child characteristics, family-centered service delivery, caregiver strain, intrapsychic factors, coping/supportive factors and parental HRQoL. The model was evaluated using structural equation modeling. Analysis was stratified by time since diagnosis (i.e., 12 month group, caregiving strain was the only factor with a direct relationship with parental psychosocial and physical health, accounting for 66% and 55% of the variance in these constructs, respectively. Our findings reinforce the need for health professionals to be particularly attuned to family caregivers in the early stages of treatment and identify potential areas for interventions to promote parental health.
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              Câncer da criança e adolescente no Brasil: dados dos registros de base populacional e de mortalidade

              (2008)

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                tce
                Texto & Contexto - Enfermagem
                Texto contexto - enferm.
                Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem (Florianópolis )
                1980-265X
                June 2015
                : 24
                : 2
                : 554-562
                Affiliations
                [1 ] Universidade Estadual do Paraná Brazil
                [2 ] Universidade Estadual de Maringá Brazil
                [3 ] Universidade Estadual de Maringá Brazil
                Article
                S0104-07072015000200554
                10.1590/0104-07072015002702014
                3b475098-a435-4f98-bea9-a5339cdc405a

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0104-0707&lng=en
                Categories
                NURSING

                Nursing
                Parents,Child,Adolescent,Neoplasms,Nursing,Pais,Criança,Adolescente,Neoplasias,Enfermagem,Padres,Niño,Enfermería
                Nursing
                Parents, Child, Adolescent, Neoplasms, Nursing, Pais, Criança, Adolescente, Neoplasias, Enfermagem, Padres, Niño, Enfermería

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