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“人们想知道染色体是什么”:在适应养育患有罕见遗传病孩子的生活时,互联网作为一种应对资源。

'One wants to know what a chromosome is': the internet as a coping resource when adjusting to life parenting a child with a rare genetic disorder.

作者信息

Gundersen Tonje

机构信息

Norwegian Social Research (NOVA), Oslo, Norway.

出版信息

Sociol Health Illn. 2011 Jan;33(1):81-95. doi: 10.1111/j.1467-9566.2010.01277.x. Epub 2010 Oct 11.

Abstract

The internet has democratised access to health and diagnostic information, enabling patients to mobilise social support from peers and advocate their interests in encounters with medical personnel. Research has shown that these possibilities are particularly important for patients and caregivers confronting a rare medical condition. However, little research has focused on how the act of searching for and accumulating information via the internet can be important for coping emotionally with a situation characterised by uncertain prospects and inadequate information from health personnel. This paper explores the experiences of 10 Norwegian parents whose children have different rare genetic disorders and who used the internet as a resource. The analysis draws on the theoretical framework of the medical sociologist Aaron Antonovsky, who emphasises people's inherent ability to manage extremely stressful life experiences. Analysing the process of adjusting to and coping with life parenting a child suffering from a rare genetic disorder, this study shows that becoming knowledgeable about a child's condition is essential for gradually comprehending and managing a situation that initially seems unmanageable and distressful. It also suggests that as parents adjust, so do the frequency and purpose of their internet searches.

摘要

互联网使获取健康和诊断信息变得民主化,让患者能够从同龄人那里获得社会支持,并在与医务人员接触时维护自身权益。研究表明,这些可能性对于患有罕见疾病的患者和护理人员尤为重要。然而,很少有研究关注通过互联网搜索和积累信息的行为对于在前景不明且医务人员提供信息不足的情况下进行情绪应对有何重要意义。本文探讨了10位挪威父母的经历,他们的孩子患有不同的罕见遗传疾病,且他们将互联网作为一种资源。该分析借鉴了医学社会学家亚伦·安东诺夫斯基的理论框架,他强调人们应对极端压力性生活经历的内在能力。通过分析适应和应对养育患有罕见遗传疾病孩子的生活过程,本研究表明,了解孩子的病情对于逐步理解和应对起初看似无法掌控且令人痛苦的状况至关重要。研究还表明,随着父母的适应,他们进行互联网搜索的频率和目的也会发生变化。

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