Analysis on current situation and influencing factors of filial piety value among children whose parents were advanced cancer patients / 中国实用护理杂志

Objective:To investigate the filial piety value level and the influencing factors of filial piety among children whose parents were diagnosed as advanced cancer.Methods:A convenient sampling method was used to recruit 383 participants in Tumor Hospital, Tianjin Medical University.Results:The total score of Filial Piety Value Scale among children whose parents were advanced cancer patients was (66.50±4.10) . The age of the patient, the number of hospitalization and the degree of awareness of the condition, the age of the children, whether the child was the-only-child, whether the child was living with the patient, and the average daily care time influenced the filial piety values of children whose parents were advanced cancer patients ( Z=16.64-62.94, U=2.04-4.27, P<0.05). Conclusion:Children whose parents were with advanced cancer have a better understanding of filial piety. Nurses understand the values of filial piety of children in the context of traditional filial piety and family care mode in China, which can enhance the experience of filial piety and filial piety of both children and parents, also improve the mental health problems of patients, and finally improve the quality of life of patients with advanced cancer.

Espiritualidad en el contexto de cuidados paliativos oncológicos dirigidos a personas mayores / Spirituality in palliative care aimed at the elderly / Espiritualidade no contexto de cuidados paliativos oncológicos a idosos

Resumen La última década ha estudiado la faceta "espiritualidad" en el contexto de cuidados paliativos oncológicos en personas mayores desde perspectivas cuantitativas, cualitativas y mixtas. El estudio busca develar -en este contexto- el significado de espiritualidad. Se revisa literatura indexada en buscador PubMed vía Medline entre los años 2009 y 2019, con acceso on line, a texto completo, en forma anónima, en idiomas inglés-español y, análogamente, con búsqueda manual en la Revista Medicina Paliativa. Los resultados arrojan 50 artículos de pertinencia temática y cuatro categorías. Se concluye que existen desafíos relacionados con el significado de espiritualidad y calidad de vida, formación y perspectivas de investigación.

Abstract In the last decade, spirituality has been studied in oncological palliative care for the elderly from quantitative, qualitative, and mixed perspectives. The study seeks to reveal the meaning of spirituality in this context. It reviews indexed literature from the MEDLINE database through PubMed between 2009 and 2019, which was accessed online, in full text, anonymously, and in English and Spanish. Revista Medicina Paliativa was manually searched. The results include 50 subject-relevant articles and four categories. It is concluded that there are challenges related to the meaning of spirituality and quality of life, education, and research perspectives.

Resumo Na última década, a faceta "espiritualidade" tem sido estudada no contexto de cuidados paliativos oncológicos a idosos sob perspectivas quantitativa, qualitativa e mista. O estudo pretende revelar o significado de espiritualidade nesse âmbito. A literatura indexada no buscador PubMed via Medline entre 2009 e 2019 é revisada, por meio do acesso on-line dos textos completos, de forma anônima, em inglês e espanhol, além da busca manual na Revista Medicina Paliativa. Os resultados demonstram 50 artigos de pertinência temática e quatro categorias. Conclui-se que existem desafios relacionados com o significado de espiritualidade e qualidade de vida, formação e perspectivas de pesquisa.

Filial caring behaviour of children whose parents are diagnosed as advanced cancer: a qualitative study / 中国实用护理杂志

Objective@#To explore these adults′ perspective with filial piety and as well to elucidate adults′experience and filial caring behaviour whose parents were diagnosed as advanced cancer.@*Methods@#This is a qualitative study. A semi-structured and individual in-depth interview guide was designed and utilised to explore perspectives of 15 adults whose parents were diagnosed as advanced cancer. Thematic analysis method was adopted to analyse the data, which were synthesised into themes and subthemes.@*Results@#Three main themes were explicated: emotional experience, filial caring behaviours for parents and dilemmas and pressures. These adults adopted obedience, accompany, improving quality of life, completing parents’ wish to fulfil their commitment and filial piety during taking care of their cancer parents. However, they encountered ethical dilemmas regarding disclosure or non-disclosure cancer diagnosis to their parents.@*Conclusions@#Due to the profound influence of Chinese traditional culture, the adults whose parents were diagnosed as advanced cancer committed their filial caring behaviour to their parents very wholeheartedly and encountered difficulties and dilemmas. Therefore, oncology nurses are advised to share their love to cancer patients, to work with compassion and sympathy and support them by assisting with taking care of their patients, which in turn may facilitate their filial caring behaviours, decrease their pressure and negative emotions.

Filial caring behaviour of children whose parents are diagnosed as advanced cancer: a qualitative study / 中国实用护理杂志

Objective To explore these adults′ perspective with filial piety and as well to elucidate adults′experience and filial caring behaviour whose parents were diagnosed as advanced cancer. Methods This is a qualitative study. A semi-structured and individual in-depth interview guide was designed and utilised to explore perspectives of 15 adults whose parents were diagnosed as advanced cancer. Thematic analysis method was adopted to analyse the data, which were synthesised into themes and subthemes. Results Three main themes were explicated: emotional experience, filial caring behaviours for parents and dilemmas and pressures. These adults adopted obedience, accompany, improving quality of life, completing parents’wish to fulfil their commitment and filial piety during taking care of their cancer parents. However, they encountered ethical dilemmas regarding disclosure or non-disclosure cancer diagnosis to their parents. Conclusions Due to the profound influence of Chinese traditional culture, the adults whose parents were diagnosed as advanced cancer committed their filial caring behaviour to their parents very wholeheartedly and encountered difficulties and dilemmas. Therefore, oncology nurses are advised to share their love to cancer patients, to work with compassion and sympathy and support them by assisting with taking care of their patients, which in turn may facilitate their filial caring behaviours, decrease their pressure and negative emotions.

Study on the status of filial piety and anxiety of adults and the factors affecting anxiety / 中国实用护理杂志

Objective To study the status of filial piety and anxiety among adults, explore the relationship between filial piety and anxiety, and analyze the factors that affect anxiety. Methods A total of 915 adults from Jiangsu and Anhui provinces were selected using the General Information Questionnaire, the Chinese Filial Values Index scale (FVI) and Zung Self-rating Anxiety Scale (SAS), through the online platform and on-site payment, recovery of the questionnaire to investigate. Results The overall level of filial piety was 85.23 ± 9.22 , among which the care dimension was 84.60 ± 9.75 and the respect dimension was 86.12 ± 11.76;111 adults were with anxiety (12.13％), and patients with mild and moderate anxiety respectively were 88 (9.62％) and 23 (2.51％) cases. The overall level of filial piety was negatively correlated with the level of anxiety (r=-0.403, P<0.01), and the level of filial piety is an independent factor affecting the level of anxiety in adults(B=-0.299,P<0.01). Other factors also include the quality of sleep, illness, duration, beliefs, occupational stability. Conclusion The high level of filial piety in adults is moderately correlated with anxiety and is an independent risk factor for anxiety in this population. The adult's education of filial piety should be strengthened and the positive adjustment of filial piety to anxiety should be strengthened in order to better solve the physical and mental health problems caused by the pension burden.

Reliability and validity analysis of Chinese Filial Values Index scale in caregivers of chronic heart failure patients / 中国实用护理杂志

Objective To introduce the Filial Values Index (FVI) scale and form Chinese FVI scale and evaluate reliability and validity of the scale. Methods Formed the Chinese FVI to investigate 98 caregivers for chronic heart failure patients. SPSS18.0 software was adopted to analyze the reliability and validity of the scale. Results The content validity of Chinese FVI scale was 0.89,and two common factors were extracted by exploratory factor analysis which could explained 68.91% of the total variance (P <0.01). The Cronbach α coefficient of the overall scale and each dimension was between 0.89-0.94, and the retest reliability was 0.97. Conclusions Chinese FVI scale had good reliability and validity, which can be used for evaluation of domestic caregivers filial piety values for chronic heart failure patients.

Consciousness Conflict between " Raising Children but not Providing for the Elderly" and " Filial Piety" / 中国医学伦理学

" Filial piety" is China's traditional culture.It not only educates the offspring to be grateful and to repay good deeds,but more importantly guides people to take up social responsibilities and obligations.However,there are always contradiction dilemmas between loyalty and filial piety in reality.With the change of the times,this kind of contradiction is getting more prominent.Rethinking the choice of " raising the children but not provi-ding for the elderly" or choosing for helplessness,the causes of which include: the development of medical technol-ogy aggravates the contradiction between the ability and the cost of providing for the elderly,the contradiction be-tween the prolongation of the life of the elderly and the limitation of their children's ability to support them; Chi-na's one-child policy for more than 30 years has weakened the support capacity of the offspring; urban develop-ment leads to population migration and challenges family pension; the instability of family structure affects providing for the elderly; social pension is inadequately prepared and so on.To guarantee intergenerational equity and im-prove people's quality of life,it should advocate the scientific view of providing for the elderly,which must respect the elderly's autonomy,improve and promote the assessment and supervision of basic needs such as living will,hospice care,and medical abandonment.Through carrying out relevant research,it should establish a systematic project of good Chinese-style scientific pension and improve the social pension security system.

Family Influencing Factors and Countermeasures of Organ Transplantation in China / 中国医学伦理学

Our country has made great achievements in organ transplantation,but there still exist many problems such as shortage of organs,seriously hindering the development of organ transplantation.Family factor,one of the influencing factors of organ transplantation in our country,has the characteristics of persistence and permanency.Researches on family factors will be helpful for the healthy development of organ transplantation.Started from family factors,this paper discussed the ethical issues of organ transplantation in our country and proposed appropriate measures such as changing moral cognition,advocating family support,strengthening community family intervention,correctly dealing with family ethics relationship,in order to provide a useful reference for the development of organ transplantation in China.

Me dê uma mão?, ou, quando a ajuda é dizer não / Give me a hand?, or, when helping is saying no / ¿Dame una mano?, o,cuando la ayuda es decir “no”

O presente artigo propõe uma reflexão sobre o conceito de ajuda no espaço clínico a partir do mito de Eros e Psiquê, chamando atenção à piedade ilícita e à necessidade de dizer não no processo individual de ampliação do conhecimento de si.

This article presents some thoughts on the concept of help in a clinical setting by reflecting in the myth of Eros and Psyche. It focuses on the notion of illicit pity and the necessity of saying no during the individual process of a greater self-discovery.

En este artículo se propone una reflexión sobre el concepto de ayuda en el espacio clínico del mito de Eros y Psique, llamando la atención a la piedad ilícita y la necesidad de decir no en el proceso individual de ampliar el conocimiento de sí mismo.

Relationship between self-rated filial piety and depressive symptoms among the elderly / 中华流行病学杂志

Objective To examine the association between self-rated filial piety and depression among the elderly,in order to provide evidence for improving the intervention programs on mental health in the elderly.Methods Descriptive,correlative and multiple logistic regression models were used to analyze the elderly aged 60 years or over relationship between self-rated filial piety and depressive symptoms.Source of data was from the 2010 Sample Survey of the Aged Population in Urban/Rural China (n=18 234).Results Twenty-two point five zero and 1.66％ of the respondents reported having had depression with poor self-rated filial piety.Findings from multiple logistic regression showed that poor self-rated filial piety was associated with higher risk of depression when comparing to those under ‘so-so self-rated filial piety’ (OR=1.88,95％ CI:1.71-2.07) or good self-rated filial piety (OR=3.15,95％ CI:2.41-4.12) among the elderly,after adjusting for factors related to socio-demographic and familiar characteristics.Conclusion Poor self-rated filial piety was associated with depression among the elderly.Programs including support to the elderly and reinforcing publicity on filial piety plus intervention for the elderly with poor self-rated filial piety should be implemented to protect the mental health in the elderly.

Filial Piety and Fraternal Love is the Source of Medical Students' Ethics / 中华医学教育探索杂志

Filial piety and fraternal love ethics is the nucleus of tradition ethics and the base of a person's moral.Reinforcing filial piety and fraternal love education is beneficial to raising the medical students'morality and qualities,consummating their personality,raising their brotherhood life,easing up doctor-patient relationship and promoting the development of medical health.

Effects of the Family Environment and the Biogenetic Temperament/Character on the Emotional and Behavioral Aspects of the Filial Piety / 신경정신의학

OBJECTIVE: This study aimed to tap the influence of the childhood and adolescent family environment and biogenetic temperament/character on the filial piety profile, i.e., its behavioral and emotional aspects in Korean college students. METHODS: Ninety-eight college students(male=49, female=49, the main study group) in the Seoul Metropolitan area were selected using multi-stage(randomized) cluster procedures. Their parents(N=174) became the 'generation' comparison group. The Filial Piety Scale was used to evaluate the perception of filial piety, both in 13 individual items and in two factor-analytically- produced behavioral and emotional aspects of filial piety. The Family Environment Scale was used to evaluate the childhood and adolescent family environment. The Temperament and Character Inventory was used to assess biogenetic temperament and character of the study subjects. RESULTS: Parents of college students scored significantly higher on filial piety items of familial harmony, responsibility/obligation, sacrifice, compensation, neighborhood harmony, and family continuity than their offspring did. There were no significant differences between study subjects and their parents in perceiving their family environment. Childhood environment with high moralethical emphasis and high achievement orientation was significantly correlated with the behavioral aspect of filial piety whereas cohesive and expressive family environment was shown to be linked to the emotional aspect of filial piety. Regarding the biogenetic temperament/character-filial piety relationship, low self-directedness was positively correlated with behavioral aspect of filial piety while high cooperativeness was positively correlated with emotional aspect of filial piety. CONCLUSIONS: This study reports distinct patterns of relationship between childhood family environment and the filial piety profile and between biogenetic temperament/character and the filial piety profile in Korean college students.

Historical Effect of Ethical Principle of Filial Piety in Traditional Chinese Medicine / 中国医学伦理学

Filial piety is not only ethical principle but also an ideological manner in traditional Chinese medicine.Filial piety ethics have dual natures.One hand,it propels the development of traditional Chinese medicine,since it is the inherent force of medical research and practice,the source of the TCM thought of respecting life and cherishing human body,the logic basis of the TCM idea that regards medicine as a humanity art,and the ideological basis of innovative practice.On the other hand,it has holdback effect for the development of traditional Chinese medicine since it is the cultural factor for the un-differentiation of Chinese medicine and philosophy,the ethical factor which blocks the development of TCM anatomy,the ideological source for the unbalanced development of TCM basic theory and clinical practice,and the limitation as the unfair basis for the ideological idea that regards medicine as a humanity art.

The Combination of Morality Education and Filial Piety Culture——An Ethical Reflection on Medical Students' Filial Piety Practice during Vacations / 中国医学伦理学

Medical students' practice of filial piety during vacations can help to combine the morality education and filial piety culture for medical students,which is of ethical significance.Firstly,the ethical meanings of filial piety are discussed from three aspects,including "filial piety" and "gratitude",ethical choice of filial piety,and the modern value of filial piety culture.Secondly,ethical reflection on medical students' filial piety education is raised and discussed from three aspects including medical students' well-liking growth and development,cultivating medical ethics and expanding new ways of morality education for medical students.

Localization of Hospice Care:From the Perspective of Chinese Traditional Morality / 中国医学伦理学

Chinese traditional morality is rich in the moral thoughts in promoting the development of hospice care,such as social morality,professional codes of conduct and family virtues.This paper attempts to explore the importance of filial piety in traditional Chinese morality,and comes up with the suggestion that we should absorb the essence and discard the dross in traditional filial piety to advance the localization of hospice care in China.