Lee S L, Chen Y C
School of Nursing, Kaohsiung Medical University, Taiwan, ROC.
Hu Li Yan Jiu. 2001 Apr;9(2):172-82.
The purposes of this longitudinal study were to (1) explore the stressors and coping behaviors of mothers having a child with congenital heart disease undergoing open heart surgery, and (2) understand the changes over time in these stressors and coping behaviors as the treatment process progressed. The field method was used to collect data, which was transcribed as a narrative verbal process recording. The records were then analyzed by content analysis. This study had ten subjects chosen by purposive sampling. The results showed that stressors on the mother whose child was undergoing open heart surgery could be inductively categorized as follows: the ill child, the treatment, and the mother herself. The coping behaviors consisted of cognitive behavior, emotional response, and management. At different stages of the 5045 behavior units were coded. There was a significant difference in the contribution of the stressors and coping behaviors at different stages of the treatment process. The findings can help nurses better understand the experience and provide some directions to assist mothers with child undergoing open heart surgery.
（1）探究孩子患有先天性心脏病并接受心脏直视手术的母亲所面临的压力源及应对行为；（2）了解随着治疗过程的推进，这些压力源和应对行为随时间的变化。采用实地研究方法收集数据，并将其转录为叙述性言语过程记录。然后通过内容分析对记录进行分析。本研究通过目的抽样选取了10名受试者。结果表明，孩子接受心脏直视手术的母亲所面临的压力源可归纳为以下几类：患病的孩子、治疗过程以及母亲自身。应对行为包括认知行为、情绪反应和管理。在不同阶段对5045个行为单元进行了编码。在治疗过程的不同阶段，压力源和应对行为的贡献存在显著差异。这些研究结果有助于护士更好地理解这种经历，并为协助孩子接受心脏直视手术的母亲提供一些指导方向。
