Department of Clinical Nutrition, Seinäjoki Central Hospital, Hanneksenrinne, Seinäjoki, Finland.
J Clin Nurs. 2012 Jan;21(1-2):170-9. doi: 10.1111/j.1365-2702.2010.03587.x. Epub 2011 Mar 31.
To identify mothers' perceptions of the supporting or straining factors involved in motherhood generally and in relation to child's atopic dermatitis and food allergy at the age of 1-2 years.
The main person who cares for a child in the early years of life is usually the mother. Information on mothers' perceptions of factors affecting their resources to care for their healthy or allergic children is incomplete and needs to be identified.
A descriptive qualitative study with semi-structured interviews.
Altogether 32 interviews with mothers having a one-year-old healthy or allergic child and repeat interviews with mothers of allergic children aged two years were conducted. Deductive content analysis was applied, based on the concept of empowerment and an empowerment model for family nursing.
A child's food allergy at the age of one year caused considerable strain for the mother, chiefly because the adoption of new foods into the child's diet was delayed, and waking at night because of itching related to atopic dermatitis. This delay was still causing the mother additional strain, when the child was two years old. Specific allergy-related strengthening factors were the mother's own knowledge, hope for an improvement, social support and work.
This qualitative study succeeded in identifying strain situations for mothers with one- and two-year-old allergic children. Such mothers should be recognised and provided with individual support by nurses and healthcare professionals to focus on the supporting factors.
Mothers of allergic children should be recognised. An inquiry or questionnaire based on personal abilities and the family's internal and external capabilities may contribute to identifying these mothers. Mothers should be provided with individual encouragement and support from mother and child health clinics by focusing on factors felt to be strengthening ones.
确定母亲对一般育儿和与 1-2 岁儿童特应性皮炎和食物过敏相关的支持或压力因素的看法。
在生命的早期，主要照顾孩子的人通常是母亲。关于影响母亲照顾健康或过敏儿童资源的因素的信息不完整，需要确定。
一项具有半结构化访谈的描述性定性研究。
共对 32 名有 1 岁健康或过敏儿童的母亲进行了访谈，并对 2 岁过敏儿童的母亲进行了重复访谈。应用了基于赋权概念和家庭护理赋权模型的演绎内容分析。
1 岁儿童的食物过敏对母亲造成了相当大的压力，主要是因为新食物被延迟引入孩子的饮食，而且由于特应性皮炎引起的瘙痒而夜间醒来。当孩子两岁时，这种延迟仍然给母亲带来额外的压力。特定的过敏相关增强因素是母亲自己的知识、改善的希望、社会支持和工作。
这项定性研究成功地确定了 1 岁和 2 岁过敏儿童母亲的压力情况。护士和医疗保健专业人员应识别这些母亲，并为她们提供个性化支持，关注支持因素。
应识别过敏儿童的母亲。基于个人能力以及家庭内部和外部能力的询问或问卷可能有助于识别这些母亲。应通过关注被认为是增强因素的因素，从母婴健康诊所为母亲提供个性化的鼓励和支持。
