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处于脆弱边缘——脑瘫患儿父母手术经历的生活体验

At the edge of vulnerability--lived experience of parents of children with cerebral palsy going through surgery.

机构信息

Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway.

出版信息

Int J Qual Stud Health Well-being. 2013 Feb 6;8:1-10. doi: 10.3402/qhw.v8i0.20007.

Abstract

This study explored the experiences of parents of children with cerebral palsy undergoing surgery as they describe them from a lived experience perspective. When children undergo surgical procedures, they have to stay at hospital for a long time, which represents a great challenge for the children as well as their parents. We collected data by using open-ended interviews with 12 parents of 9 children and analyzed these data in accordance with Max van Manen's methodological themes. Based on the parents' stories, the essential theme is: At the edge of vulnerability-being parents at hospital to a child with CP undergoing surgery, which consisted of three subthemes: establishing trust, awareness of a child who cannot speak, and sensing bodily reactions. Parents experienced demanding challenges as they entered the hospital, in a situation that meant both familiarity and unfamiliarity. Judgments about how to care for the child relied on what they normally did. Sitting bedside for hours and days, thoughts about the legitimacy of letting their child go through the suffering surgery were tormenting the parents. They felt vulnerable and very much dependent on health care workers' competence and at the same time doubting them in seeing and taking care of their child's specific needs. It was experienced as an ambivalent situation, and even more so for the parents of a child without speech. The findings indicate that establishing trust implies being met at an existential level and a deeply felt need for health care workers that are really engaged in taking care of their child and their parents.

摘要

本研究从生活体验的角度探讨了脑瘫患儿父母在孩子接受手术时的体验。当孩子接受手术时,他们必须在医院长时间住院,这对孩子和他们的父母来说都是一个巨大的挑战。我们通过对 9 名患儿的 12 名家长进行开放式访谈收集数据,并按照 Max van Manen 的方法论主题进行了分析。基于家长的故事,主要主题是:在脆弱的边缘——作为在医院照顾脑瘫手术患儿的父母,包括三个子主题:建立信任、意识到孩子无法言语,以及感知身体反应。家长在进入医院时面临着既熟悉又陌生的要求很高的挑战。关于如何照顾孩子的判断取决于他们平时的做法。他们在床边坐了几个小时和几天,考虑让孩子经历痛苦的手术是否合理,这让他们备受折磨。他们感到脆弱,非常依赖医护人员的能力,同时又怀疑他们是否能看到并满足孩子的特殊需求。这是一种矛盾的情况,对于没有言语的孩子的父母来说更是如此。研究结果表明,建立信任意味着在存在层面上得到满足,并且深切需要医护人员真正关心孩子和他们的父母。

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