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oai:hama-med.repo.nii.ac.jp:02000554 2025-09-22T08:06:15Z 1:11

The parental involvement process regarding childhood cancer survivors becoming independent: Focus on balancing health management and social lives from adolescence to adulthood Parenting process of CCSs’ independence 宮城島, 恭子 ミヤギシマ, キョウコ 市江, 和子 イチエ, カズコ 坂口, 公祥 サカグチ, キミヨシ 0000000089376696 00ndx3g44 浜松医科大学 ハママツイカダイガク Hamamatsu University School of Medicine 加藤, 由香 カトウ, ユカ Kyoko, Miyagishima 0000000089376696 00ndx3g44 浜松医科大学 ハママツイカダイガク Hamamatsu University School of Medicine Kazuko, Ichie 0000000403737825 02cd6sx47 聖隷クリストファー大学 セイレイクリストファーダイガク Seirei Christopher University Kimiyoshi, Sakaguchi Yuka, Kato 0000000403781551 05x23rx38 静岡県立こども病院 シズオカケンリツコドモビョウイン Shizuoka Children's Hospital open access This is the peer reviewed version of the following article: "The parental involvement process regarding childhood cancer survivors becoming independent: Focus on balancing health management and social lives from adolescence", 21(2); e12572, 2023, which has been published in final form at https://doi.org/10.1111/jjns.12527. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited. adolescent development parenting self-management survivors of childhood cancer transition to adult care Aim: This study aimed to elucidate the parental involvement process regarding childhood cancer survivors’ (CCSs’) independence while balancing their health management and social lives from adolescence to adulthood to obtain suggestions for long-term support for CCSs and their parents. Methods: Semi-structured interviews were conducted with 19 parents of Japanese CCSs aged 16–25 years. The data were then qualitatively analyzed using the modified grounded theory approach. Results: Three “categories” and 20 ‘concepts’ were generated. The connections among these categories and concepts revealed the parental involvement process regarding CCSs’ independence while balancing their health management and social lives. The first phase in this process is to “support careful behaviors,” mainly during CCSs’ treatment in the outpatient clinic or shortly after discharge. As CCSs recover after cancer treatment, parents “watch over, but feel conflicted,” with ‘conflicts between protecting their sons/daughters and giving them independence.’ Then, parents reach a phase in which they “acknowledge and entrust,” which includes ‘acknowledgment development and efforts’ of their sons/daughters, and develop an ‘attitude to entrust medical checkups to their sons/daughters, along with their preparation.’ The influencing factors of the three phases include ‘ongoing anxieties about the late effects of therapy and recurrence’ and an ‘expectation for their sons/daughters to acquire abilities for living independently.’ Conclusions: These findings suggest that nurses need to accept parents’ feelings and thoughts regarding conflicts with CCSs, recognition of CCSs’ development, and values. These processes may help nurses and health-care professionals support parents from a comprehensive perspective. John Wiley and Sons 日本看護科学学会 = Japan Academy of Nursing Science 2023-07-02 eng journal article AM http://hdl.handle.net/10271/0002000554 https://hama-med.repo.nii.ac.jp/records/2000554 37937387 2025160761 https://doi.org/10.1111/jjns.12572 AA12802683 1742-7924 1742-7932 Japan Journal of Nursing Science 21 2 e12572 https://hama-med.repo.nii.ac.jp/record/2000554/files/JJNS-21-e12572.pdf application/pdf 1.2 MB 2025-09-22