title: Stress related to care: the impact of childhood cancer on the lives of parents.
abstract: OBJECTIVE
  The objective was to assess the stress levels of parents of children with cancer and to identify correlations among demographic data and anxiety levels.
  
  
  METHODS
  A descriptive, cross-sectional study, conducted in two Brazilian institutions, with 101 parents of children with cancer. Through interviews, parents responded to two instruments: Pediatric Inventory for Parents - Brazilian version, which assesses stress levels, and State-Trait Anxiety Inventory, for the measurement of anxiety. The correlations between the instruments and the sociodemographic variables of the parents and children were evaluated using the Spearman correlation coefficient.
  
  
  RESULTS
  Higher levels of stress and anxiety were seen by young parents, young children and with less time since diagnosis. The fear of death and the disease impact on the life of a child were the events considered the most stressful for the parents .
  
  
  CONCLUSIONS
  In clinical practice, the nurse who can identify the occurrence of these symptoms becomes capable of planning nursing care that includes the family in decisions about the care. Moreover, she can provide support to help parents manage their stress levels and positively face the illness of their children.
authors.affiliation: Faculdade de Enfermagem, Universidade Estadual de Campinas, Brasil. danny.fer@terra.com.br
authors.forename: Daniela Fernanda
authors.initials: DF
authors.lastname: dos Santos Alves
authors.forename: Edinêis
authors.initials: E
authors.lastname: de Brito Guirardello
authors.forename: Andréa Yamaguchi
authors.initials: AY
authors.lastname: Kurashima
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009369:Neoplasms; D010290:Parents / Q000523:psychology*; D011788:Quality of Life; D013315:Stress, Psychological / Q000453:epidemiology*