Han J S, Oh K
Taehan Kanho. 1990 Oct 31;29(4):73-88.
This study was done in order to identify symptoms of grief and patterns of coping in mothers of chronically ill children. Nurses, as health professionals, must understand helpful coping methods for mothers who have chronically ill children. Based on this knowledge, nurses can develop appropriate nursing intervention strategies, and so help the mothers to develop effective ways of coping and give support to mothers with chronically ill children in process of coping with this grief. The research questions guiding this research were: 1. what type of grief does the mother have at the time of child's diagnosis and at present? 2. what are the problems confronting the mother? 3. what are the coping patterns of the mother? 4. is there a difference according to child's diagnosis in the mother's grief and coping pattern? Ths subject for this study were obtained by taking a convenience sample of 120 mothers with a chronically ill child. Interviews took place in four medical school hospitals and one medical center in Seoul from March 19th to May 16th 1990. The tools used in this study were Mcfarlan's (1983), Grief contents, Folkman & Lazarus (1983), Ways of Coping and Hymovich's (1983) the Chronicity Impact and Coping Instrument. The findings were as follows; 1. Grief items had a maximum score of three points. The highest item scores at the time of diagnosis, were in order, heart broken, talkative, and could not do anything, at the present, 'talkative', 'heart broken' and 'busy myself with other things'. 2. The problems confronting the mothers were 'worry about ill child's future', 'her responsibilities in taking care of the ill child.' 3. Most of the mothers used similar ways of coping, that is 'problem focused coping', 'detachment', 'wishful thinking', 'seeking social support' and 'focusing on the positive and hardly any of them used 'tension reduction'. 4. There was a significant difference in coping methods according to the child's diagnosis, leukemia, cancer hemophillia and nephrotic syndrome. The most frequently used coping method was detachment, especially for the mother of the child with. 5. At the time of diagnosis there was a positive correlation between the level of grief and the coping method of detachment and seeking social support.
本研究旨在确定慢性病患儿母亲的悲伤症状及应对模式。护士作为健康专业人员，必须了解帮助患有慢性病孩子的母亲的有效应对方法。基于这些知识，护士可以制定适当的护理干预策略，从而帮助母亲们形成有效的应对方式，并在应对悲伤的过程中为患有慢性病孩子的母亲提供支持。指导本研究的研究问题如下：1. 孩子诊断时及目前母亲有哪种类型的悲伤？2. 母亲面临哪些问题？3. 母亲的应对模式是什么？4. 根据孩子的诊断，母亲的悲伤和应对模式是否存在差异？本研究的对象是通过便利抽样选取的120名患有慢性病孩子的母亲。访谈于1990年3月19日至5月16日在首尔的四家医学院附属医院和一家医疗中心进行。本研究使用的工具包括麦克法兰（1983年）的《悲伤内容》、福克曼和拉扎勒斯（1983年）的《应对方式》以及希莫维奇（1983年）的《慢性病影响及应对工具》。研究结果如下：1. 悲伤项目的最高分为3分。诊断时得分最高的项目依次为心碎、健谈、无能为力，目前则是“健谈”、“心碎”和“忙于其他事情”。2. 母亲面临的问题是“担心患病孩子的未来”、“照顾患病孩子的责任”。3. 大多数母亲采用类似的应对方式，即“问题聚焦应对”、“超脱”、“如意算盘”、“寻求社会支持”，几乎没有人使用“减轻紧张”。4. 根据孩子的诊断，即白血病、癌症、血友病和肾病综合征，应对方式存在显著差异。最常用的应对方式是超脱，尤其是对于患有……孩子的母亲。5. 诊断时，悲伤程度与超脱及寻求社会支持的应对方式之间存在正相关。
