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患有婴儿脑性瘫痪儿童的父母的失落感。

Feelings of loss in parents of children with infantile cerebral palsy.

作者信息

Fernández-Alcántara Manuel, García-Caro M Paz, Laynez-Rubio Carolina, Pérez-Marfil M Nieves, Martí-García Celia, Benítez-Feliponi Ángela, Berrocal-Castellano Marta, Cruz-Quintana Francisco

机构信息

Faculty of Psychology, Department of Personality, Assessment and Psychological Treatment, Brain, Mind and Behavior Research Center (CIMCYC), University of Granada, Spain.

Faculty of Health Sciences, Department of Nursing, University of Granada, Spain.

出版信息

Disabil Health J. 2015 Jan;8(1):93-101. doi: 10.1016/j.dhjo.2014.06.003. Epub 2014 Jun 30.

Abstract

BACKGROUND

Raising a child diagnosed with infantile cerebral palsy is a challenge for families and causes many changes in their lifestyle. When the diagnosis is unexpected, feelings related to loss and hard-to-manage emotions such as uncertainty and bewilderment can arise.

OBJECTIVE

To identify how feelings of loss are structured in fathers and mothers of children diagnosed with infantile cerebral palsy.

METHODS

A qualitative design with based on a grounded theory approach was used. Twenty-four participants were selected to participate in the research from San Cecilio Clinical Hospital in the city of Granada (Spain). The sampling procedure was purposive based on inclusion and exclusion criteria and ended when data saturation was acquired. The participants were interviewed according to a script developed ad hoc. Data were collected during 2012. The interviews were analyzed with Atlas.ti 6.2 software, using the sequence suggested by Straus and Corbin including open, axial and selective codification.

RESULTS

The analysis led to the identification of the main category, "Experiences of loss." The codes contributing to explain these experiences were "Shock," "Hope," "Traumatic Experience," "Feelings related to loss," "Ideal Child" and "Acceptance of the Child."

CONCLUSIONS

These parents experience feelings of loss of the ideal child, which are more complex in the first stage of the diagnosis and when the severity of the cerebral palsy is greater. Emotional intervention on the part of health care providers is needed to aid parents in facing the various obstacles encountered throughout their child's up-bringing.

摘要

背景

抚养一名被诊断为小儿脑瘫的孩子对家庭来说是一项挑战,会给他们的生活方式带来诸多改变。当诊断结果出乎意料时,可能会产生与失落相关的情绪以及难以处理的情绪,如不确定性和困惑感。

目的

确定被诊断为小儿脑瘫孩子的父母的失落感是如何构成的。

方法

采用基于扎根理论方法的质性设计。从西班牙格拉纳达市的圣塞西利奥临床医院选取24名参与者参与研究。抽样程序基于纳入和排除标准进行立意抽样,在获得数据饱和时结束。根据专门编写的脚本对参与者进行访谈。数据收集于2012年。使用Atlas.ti 6.2软件对访谈进行分析,采用斯特劳斯和科尔宾建议的顺序,包括开放式、轴心式和选择性编码。

结果

分析得出主要类别“失落经历”。有助于解释这些经历的编码有“震惊”“希望”“创伤经历”“与失落相关的情绪”“理想中的孩子”和“接纳孩子”。

结论

这些父母经历了理想孩子的失落感,在诊断的第一阶段以及脑瘫严重程度较高时,这种失落感更为复杂。需要医疗保健提供者进行情感干预,以帮助父母面对孩子成长过程中遇到的各种障碍。

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