Parental Negotiation to Child's Assent Related High-Risk Treatment

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Other Title
  • 子どものハイリスク治療受け入れに向けた親の関わり―造血幹細胞移植事例を通して―
  • 研究報告 子どものハイリスク治療受け入れに向けた親の関わり--造血幹細胞移植事例を通して
  • ケンキュウ ホウコク コドモ ノ ハイリスク チリョウ ウケイレ ニ ムケタ オヤ ノ カカワリ ゾウケツ カンサイボウ イショク ジレイ オ トオシテ
  • ―造血幹細胞移植事例を通して―

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Abstract

In high-risk treatment, although it is important to respect children's rights and to promote their involvement in treatment, cognitive ability in children and the influence of parental management should be questioned. To clarify the elements and processes of parental management which may correlate to children's participation in decision making in treatment, we conducted a prospective study using a qualitative inductive method. The subjects of this study were parents with children undergoing hematopoiesis stem cell transplantation.<br>The results showed the followings: Parents based their actions on “parental determination to transplantation” and must get child's assent to treatment. So parents emerge from “opinion on the child's decision making” and led to the cyclical process of “approach to the child's assent related treatment” that is to say, “encouraging the child to accept treatment”, “confirmation of the acceptance”. This process influence “evaluation of the child”-“earlier characteristics of the child”, “the child's grasp and decision”, “prospect of the child's response to encouragement”, and “parental retrospection”-“emotional turmoil of transplantation”, “awareness of the parental role”, “expected parental ability to confront”. This process implied “parental negotiations to induce the child's assent of treatment”.

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