Purcell Hillary N, Whisenhunt Allison, Cheng Joy, Dimitriou Sophia, Young Lisa R, Grossoehme Daniel H
a Division of Pulmonary Medicine , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.
J Health Care Chaplain. 2015;21(1):25-38. doi: 10.1080/08854726.2014.988525.
A child's chronic illness can lead parents to utilize different types of coping, including religious beliefs and practices. Previous studies have generally focused on life-shortening diagnoses. The present study explored parental use of faith when the diagnosis was not life-shortening, using grounded-theory qualitative methodology. Data were collected using semi-structured telephone interviews with N = 12 parents of children diagnosed with Neuroendocrine Hyperplasia of Infancy (NEHI); approximately 50% of the diagnosed population in the United States at the time of the interview. Participants used faith to cope and make meaning in five ways: parents believed NEHI happened for a reason; beliefs provided resilience; parents were sustained by faith communities; beliefs affected parents' behavior; and beliefs developed over time. The results suggest that chaplains develop means for universal screening for spiritual struggle; educating congregational clergy how to support families in which a child has a chronic illness; and assisting parents construct meaning of their experience.
儿童慢性病可能会促使父母采用不同的应对方式,包括宗教信仰和宗教活动。以往的研究通常聚焦于缩短生命的诊断情况。本研究采用扎根理论定性方法,探讨当诊断结果不会缩短生命时父母对信仰的运用。通过对12位被诊断为婴儿期神经内分泌增生症(NEHI)患儿的父母进行半结构化电话访谈收集数据;在访谈时,这一群体约占美国已确诊病例的50%。参与者通过五种方式运用信仰来应对并赋予意义:父母认为NEHI的发生是有原因的;信仰提供了复原力;父母得到信仰团体的支持;信仰影响父母的行为;而且信仰会随着时间的推移而发展。结果表明,牧师应制定通用的精神挣扎筛查方法;培训教会神职人员如何支持家中有慢性病患儿的家庭;并帮助父母构建其经历的意义。