McLennan John D, Doig Jenna, Rasmussen Carmen, Hutcheon Emily, Urichuk Liana
University of Calgary, Calgary Alberta.
J Can Acad Child Adolesc Psychiatry. 2012 Nov;21(4):261-9.
The objectives of this study were to examine changes in stress among parents of children with special needs in a respite service and consider parental experience of the service.
Families who were enrolled in a ten-month centre-based respite program were invited to participate in the evaluation. Change in parent stress, indexed by the Parent Stress Index-Short Form (PSI-SF), was determined. These results were compared with findings from exploratory qualitative interviews with a subset of parents and a small comparison group who also completed the PSI-SF.
At baseline, 69% of parents (n=45) had high total stress scores on the PSI-SF. No significant improvements were detected on parent stress over time or differences from improvements in the comparison group. In contrast, the subgroup of parents (n=10) who participated in the qualitative interviews described substantial benefits from the respite program including a sense of relief and having time for other activities.
It is proposed that the respite program may have provided a temporary break to parents thereby bestowing a sense of relief, but was not adequate to impact on more chronic stress patterns, suggesting that these are related but separate constructs and experiences.
本研究的目的是调查接受临时护理服务的特殊需求儿童家长的压力变化情况,并考量家长对该服务的体验。
邀请参加为期十个月的中心式临时护理项目的家庭参与评估。通过父母压力指数简表(PSI-SF)来确定家长压力的变化。将这些结果与对部分家长进行的探索性定性访谈结果以及同样完成了PSI-SF的一个小对照组的结果进行比较。
在基线时,69%的家长(n = 45)在PSI-SF上的总压力得分较高。未检测到家长压力随时间有显著改善,也未发现与对照组的改善情况存在差异。相比之下,参与定性访谈的家长亚组(n = 10)表示,临时护理项目带来了诸多益处,包括如释重负的感觉以及有时间开展其他活动。
有人提出,临时护理项目可能为家长提供了暂时的喘息机会,从而带来了一种解脱感,但不足以影响更长期的压力模式,这表明这些压力模式虽有关联,但却是不同的概念和体验。