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母亲们作为慢性残疾儿童的医疗护理助手的工作经历。

Mothers' experiences of their work as healthcare assistants for their chronic disabled child.

作者信息

Ranehov Louise, Håkansson Carita

机构信息

a Division of Habilitation Services Region Skåne , Malmoe , Sweden.

b Division of Occupational and Environmental Medicine , Lund University , Sweden.

出版信息

Scand J Occup Ther. 2019 Mar;26(2):121-134. doi: 10.1080/11038128.2018.1483427. Epub 2018 Jul 8.

Abstract

BACKGROUND

To the best of our knowledge, no research of the work situation of full-time, paid, parental HC assistants has been done.

AIM

To examine how parents experienced their work as HC assistants for their chronic disabled child.

METHODS

Semi-structured interviews based on the Work Environment Impact Scale (WEIS-S) were done with nine mothers who had a child aged 8-17 years old with a cognitive or/and physical chronic disability. Content analysis was used with the Model Of Human Occupation as a framework.

RESULTS

The studied mothers always needed to be stand-by for their child, and they highlighted physical and psychological health problems caused by their work situation. There were several difficulties working in different environments because of the child's need of technical devices. Further they described the support from their employers as important and in general the participants perceived a lack of understanding about their work situation in the society.

CONCLUSION

The mothers in the present study had unclear job descriptions, they often worked more than full-time, and had low occupational balance.

SIGNIFICANCE

Occupational therapists could improve the HC assistants' work place focusing on the physical and psycho-social work environment as well as on their occupational balance.

摘要

背景

据我们所知,尚未有关于全职、带薪育儿保健助理工作状况的研究。

目的

探讨父母作为其慢性残疾子女的保健助理,对自身工作的体验如何。

方法

基于工作环境影响量表(WEIS-S)对9位子女年龄在8至17岁、患有认知或/和身体慢性残疾的母亲进行了半结构化访谈。以人类作业模式为框架进行内容分析。

结果

被研究的母亲们总是需要随时照顾自己的孩子,她们强调了工作状况所导致的身心健康问题。由于孩子需要技术设备,在不同环境中工作存在诸多困难。此外,她们认为雇主的支持很重要,总体而言,参与者感觉社会对她们的工作状况缺乏理解。

结论

本研究中的母亲们工作描述不明确,她们经常工作时间超过全职,职业平衡度较低。

意义

职业治疗师可以改善保健助理的工作场所,重点关注身体和心理社会工作环境以及他们的职业平衡。

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