School of Occupational Therapy, College of Medicine, National Taiwan University.
J Nurs Res. 2013 Sep;21(3):219-23. doi: 10.1097/jnr.0b013e3182a0afd4.
Different cultural backgrounds and parental experiences influence parenting styles and approaches to raising children with disabilities. Family-centered care should consider parental, especially main caregivers, experiences with their disabled children. In Taiwan, in most of homes, mothers are the main caregivers.
The purpose of this study was to explore Taiwanese mothers' experiences with their children who have sensory processing disorder.
This study used a qualitative ethnographic design and semistructured interview format. Transcripts were analyzed and synthesized into themes.
Three mothers were interviewed. The following three themes emerged: (a) relationships within the shared worlds of disability and culture, (b) daily life challenges and expectations, and (c) opportunity to receive professional services. These Taiwanese mothers expressed that they experienced stress from being blamed for insufficient skills and from the shame of their children's disabilities that reflected lack of teacher, friend, and other family members' understanding of the cause of their children's inappropriate behaviors. Their children experienced difficulties performing daily activities, which resulted in stresses on both the mother and her child. The interviewed mothers needed to receive timely, long-term services from healthcare professionals. However, hospitals are inadequately staffed with occupational therapists, which delays care for children with special needs.
Taiwanese mothers experience stresses from themselves, their child, and others. Healthcare professionals should apply a family-centered service approach to fulfill the needs of mothers and their disabled children. Moreover, healthcare professionals should promote greater awareness of sensory processing disorder symptoms and interventions to increase public awareness and acceptance of these children.
不同的文化背景和父母经历会影响育儿方式和培养残疾儿童的方法。以家庭为中心的护理应该考虑父母,特别是主要照顾者,与残疾儿童一起的经历。在台湾,在大多数家庭中,母亲是主要照顾者。
本研究旨在探讨台湾母亲在照顾有感觉处理障碍孩子方面的经历。
本研究采用定性民族志设计和半结构式访谈格式。对抄本进行了分析和综合成主题。
采访了三位母亲。出现了以下三个主题:(a)残疾和文化的共同世界中的关系,(b)日常生活的挑战和期望,(c)接受专业服务的机会。这些台湾母亲表示,她们因技能不足而受到指责,因孩子残疾而感到羞耻,这反映了教师、朋友和其他家庭成员对孩子不当行为原因的理解不足,因此感到压力。他们的孩子在日常生活活动中遇到困难,这给母亲和孩子都带来了压力。接受采访的母亲需要从医疗保健专业人员那里获得及时、长期的服务。然而,医院的职业治疗师人手不足,这延误了对有特殊需要的儿童的护理。
台湾母亲面临来自自身、孩子和他人的压力。医疗保健专业人员应采用以家庭为中心的服务方法,满足母亲及其残疾儿童的需求。此外,医疗保健专业人员应提高对感觉处理障碍症状和干预措施的认识,以提高公众对这些儿童的认识和接受程度。