Salisbury Michele H, LaMontagne Lynda L, Hepworth Joseph T, Cohen Frances
Vanderbilt University School of Nursing, Nashville, TN 37240, USA.
Clin Nurs Res. 2007 Aug;16(3):212-30. doi: 10.1177/1054773807302732.
Spinal fusion surgery for idiopathic scoliosis during adolescence is a tremendous stressor for parents. This study investigated parents' pre- and postoperative stressors and their coping strategies. Ninety-two parents identified their predominant stressor and completed the Ways of Coping Questionnaire during their adolescent's preoperative clinic visit and 77 completed this procedure 4 days postoperatively. Results showed that primary stressors were parental role loss (28.26%), possibility of poor surgical outcomes (28.26%), and uncertainty about successful recovery (27.17%) preoperatively, and concerns about pain (32.47%) and parental role loss (32.47%) postoperatively. The greatest increase from pre- to postoperative periods occurred in concerns about pain. Parents used both emotion-focused and problem-focused coping strategies with significant increases postoperatively in confrontive coping, planful problem solving, and positive reappraisal and significant decreases in self-control and seeking social support. Providers should target interventions to alleviate stress and bolster coping for parents.
青少年特发性脊柱侧弯的脊柱融合手术对父母来说是一个巨大的压力源。本研究调查了父母术前和术后的压力源及其应对策略。92名父母在其青少年术前门诊就诊时确定了他们主要的压力源，并完成了应对方式问卷，77名父母在术后4天完成了该问卷。结果显示，术前主要压力源是父母角色丧失（28.26%）、手术效果不佳的可能性（28.26%）以及成功康复的不确定性（27.17%），术后是对疼痛的担忧（32.47%）和父母角色丧失（32.47%）。从术前到术后，对疼痛的担忧增加最多。父母使用了以情绪为中心和以问题为中心的应对策略，术后对抗性应对、有计划地解决问题和积极重新评价显著增加，自我控制和寻求社会支持显著减少。医疗服务提供者应针对干预措施来减轻父母的压力并增强其应对能力。
