Im Yeo-Jin, Park Eun-Sook, Oh Won-Oak, Suk Min-Hyun
College of Nursing Science, Kyung Hee University, Republic of South Korea
College of Nursing, Korea University, Seoul, Republic of South Korea.
J Child Health Care. 2014 Sep;18(3):215-29. doi: 10.1177/1367493513485824. Epub 2013 Jun 30.
This study compared parental cognitions and relationship characteristics of mothers of children with atopic disease with those of mothers of children without atopic disease. These factors include child-rearing attitudes, parental locus of control, parental sense of competence, attachment security, and maternal sensitivity. Preplanned subanalyses were carried out according to specific disease, mothers' perception of disease severity, and presence of concurrent atopic diseases. The descriptive comparative study of 233 Korean mothers included 102 mothers of children aged six years or younger with atopic dermatitis, asthma, and/or allergic rhinitis. Data were collected from 2007 to 2008 from local clinics and day care centers. Parental cognitions and relationship characteristics did not differ significantly between groups of mothers, except that mothers of children with atopic dermatitis showed less affection. However, subanalyses showed that mothers who perceived their child's disease to be severe were less likely to encourage autonomy and had a lower sense of competence, more rejecting attitudes, and an external locus of control. Although we should be cautious in generalizing these results, special care plans are strongly recommended for mothers of children with severe atopic disease to provide support and education, help mothers develop an internal locus of control, and increase parental sense of competence.
本研究比较了患有特应性疾病儿童的母亲与未患特应性疾病儿童的母亲的育儿认知和关系特征。这些因素包括育儿态度、父母控制点、父母胜任感、依恋安全性和母亲敏感性。根据特定疾病、母亲对疾病严重程度的认知以及是否存在并发特应性疾病进行了预先计划的亚分析。对233名韩国母亲进行的描述性比较研究包括102名患有特应性皮炎、哮喘和/或过敏性鼻炎的6岁及以下儿童的母亲。数据于2007年至2008年从当地诊所和日托中心收集。母亲群体之间的育儿认知和关系特征没有显著差异，只是患有特应性皮炎儿童的母亲表现出的关爱较少。然而，亚分析表明，认为自己孩子疾病严重的母亲不太可能鼓励孩子自主，胜任感较低，态度更具排斥性，且具有外部控制点。尽管我们在推广这些结果时应谨慎，但强烈建议为患有严重特应性疾病儿童的母亲制定特别护理计划，以提供支持和教育，帮助母亲形成内部控制点，并增强父母胜任感。
