Hiratsuka Katsuhiro, Nakamura Nobue, Sato Naho
Graduate School of Nursing, Chiba University, Chiba, Japan.
Faculty of Human Science, Department of Nursing, Sophia University, Japan.
Int J Nurs Pract. 2017 Jun;23 Suppl 1. doi: 10.1111/ijn.12544.
The purpose of the current study was to describe the following: maternal coping with the prospect of becoming the living-donor liver transplant for their child; the daily lives of school-age children surviving biliary atresia with their native liver; and to explore the relationship between these individuals. Semistructured interviews were conducted with 6 school-age children surviving biliary atresia with their native liver and their mothers. The interviews were conducted from June to August 2014, and a qualitative content analysis was used. Results showed that mothers realized a possible need for transplantation in the future, which contributes to emotional and practical uncertainties. The mothers coexisted with this uncertainty and preferred to use a buffering strategy. In contrast, the children did not consider their illness and future and did not adhere to a therapeutic regimen. It is suggested that living with uncertainty about the health and survival of their children is advantageous for mothers. However, problems related to the psychosocial aspect and child's adherence may occur in the future. In addition, problem-solving coping strategies for mothers and the independence of chronically ill children with liver disease should be promoted.
母亲如何应对成为其孩子活体肝移植供体的前景;患有胆道闭锁且肝脏未移植的学龄儿童的日常生活;并探讨这些个体之间的关系。对6名患有胆道闭锁且肝脏未移植的学龄儿童及其母亲进行了半结构化访谈。访谈于2014年6月至8月进行,并采用了定性内容分析法。结果表明,母亲们意识到未来可能需要进行移植,这导致了情感和实际生活中的不确定性。母亲们与这种不确定性共存,并倾向于采用缓冲策略。相比之下,孩子们没有考虑自己的病情和未来,也没有坚持治疗方案。研究表明,对孩子的健康和生存存在不确定性对母亲们有利。然而,未来可能会出现与心理社会方面和孩子依从性相关的问题。此外,应促进母亲们的问题解决应对策略以及患有肝病的慢性病儿童的独立性。