Nakazuru Aya, Sato Naho, Nakamura Nobue
Chiba University Graduate School of Nursing, Chiba, Japan.
Int J Nurs Pract. 2017 Jun;23 Suppl 1. doi: 10.1111/ijn.12550.
With the growing number of severe congenital heart disease (CHD) surgeries, some hospitals in Japan are experiencing difficulty meeting the demand for CHD surgery. As a result, CHD surgery preparation is difficult for mothers of these infants.
To examine the stress and coping of mothers whose infants needed CHD surgery and to identify the factors that influenced maternal coping.
Semistructured interviews were conducted with 11 mothers whose infants had undergone CHD surgery. Qualitative analyses of transcribed interviews were performed.
The coping of mothers for surgery began when mothers received news of their infant's CHD diagnosis. Maternal stress appraisal and coping changed as surgery approached. In particular, maternal coping was influenced by diagnosis event, symptoms of their child, anticipated number of surgeries, presence of chromosomal abnormality, and infant age.
The stressors and coping challenges of mothers whose infants needed CHD surgery changed as the surgery date approached, and these were influenced by 5 factors.
随着重症先天性心脏病（CHD）手术数量的增加，日本一些医院在满足CHD手术需求方面面临困难。因此，这些婴儿的母亲很难为CHD手术做好准备。
研究婴儿需要进行CHD手术的母亲的压力和应对方式，并确定影响母亲应对的因素。
对11名婴儿接受过CHD手术的母亲进行了半结构化访谈。对访谈记录进行了定性分析。
母亲们对手术的应对从得知婴儿被诊断为CHD时开始。随着手术临近，母亲的压力评估和应对方式发生了变化。特别是，母亲的应对受到诊断事件、孩子的症状、预期手术次数、染色体异常的存在以及婴儿年龄的影响。
婴儿需要进行CHD手术的母亲的压力源和应对挑战随着手术日期的临近而变化，并且受到5个因素的影响。
