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“提供更多支持”:养育一名患有发育协调障碍的儿童,一种隐性残疾。

'Providing more scaffolding': parenting a child with developmental co-ordination disorder, a hidden disability.

作者信息

Novak C, Lingam R, Coad J, Emond A

机构信息

Centre for Child and Adolescent Health, University of Bristol, Bristol, UK.

出版信息

Child Care Health Dev. 2012 Nov;38(6):829-35. doi: 10.1111/j.1365-2214.2011.01302.x. Epub 2011 Aug 16.

Abstract

BACKGROUND

Few studies exist reporting the experiences of parents of children with developmental co-ordination disorder (DCD) a common disorder with a prevalence of 1.8-6%. DCD is characterized by poor motor co-ordination, not caused by a general medical condition, but significantly affecting daily living. This study explores the experiences of parents living with a child with DCD in obtaining a diagnosis; the impact of the diagnosis on parenting and the effect on parents as individuals.

METHODS

Semi-structured interviews with a purposive sample of 15 parents of children with DCD data were recorded and then transcribed. Data were analysed using a coding framework and themes identified similar to Attride-Stirling (2001, Qualitative Research, 1, 385-405).

FINDINGS

DCD was an all-encompassing condition that dominated all aspects of family life and was a 'hidden disability'. Parents were frustrated by the poor knowledge and expertise of health and education professionals working with children with DCD and the lack of good quality accessible information and support services. Parents became by default the 'expert' on DCD for schools and other services; they were advocates for DCD and their own children. They provided additional support for longer to their child with DCD and had concerns for their future. Parenting a child with DCD was frustrating, exhausting, guilt-ridden as well as rewarding. There was little available time to provide for the needs of other family members.

CONCLUSION

A better-trained, knowledgeable workforce would redress the balance for families with DCD by providing better information, support and advocacy freeing parents to parent their families.

摘要

背景

很少有研究报道发育协调障碍(DCD)患儿家长的经历,DCD是一种常见疾病,患病率为1.8 - 6%。DCD的特征是运动协调能力差,并非由一般医疗状况引起,但严重影响日常生活。本研究探讨了DCD患儿家长在获得诊断过程中的经历;诊断对养育子女的影响以及对家长个人的影响。

方法

对15名DCD患儿家长进行了有目的抽样的半结构化访谈,数据进行了记录并转录。使用编码框架对数据进行分析,并确定了与阿特里德 - 斯特林(2001年,《定性研究》,第1卷,第385 - 405页)类似的主题。

研究结果

DCD是一种涵盖一切的状况,主导着家庭生活的方方面面,是一种“隐藏的残疾”。与DCD患儿打交道的健康和教育专业人员知识和专业技能不足,以及缺乏高质量的可获取信息和支持服务,让家长感到沮丧。家长默认成为学校和其他服务机构关于DCD的“专家”;他们是DCD及其子女的倡导者。他们为患有DCD的孩子提供了更长时间的额外支持,并对孩子的未来感到担忧。养育患有DCD的孩子令人沮丧、疲惫不堪、充满内疚感,但也有回报。几乎没有时间满足其他家庭成员的需求。

结论

训练有素、知识渊博的工作人员可为患有DCD的家庭恢复平衡,提供更好的信息、支持和宣传,使家长能够更好地照顾家庭。

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