Rodrigues Stephania A, Fontanella Bruno J B, de Avó Lucimar R S, Germano Carla M R, Melo Débora G
Department of Medicine, Federal University of São Carlos, São Carlos, São Paulo, Brazil.
J Appl Res Intellect Disabil. 2019 Mar;32(2):413-426. doi: 10.1111/jar.12539. Epub 2018 Oct 23.
This study investigated the psychocultural perspectives concerning family quality of life among Brazilian families with children who have severe or profound intellectual disability.
Individual in-depth semi-structured interviews conducted with 15 mothers, selected by convenience, were analysed using a categorical thematic analysis technique. The themes were examined to allow for an interpretative approach of the results.
Mothers revealed that their children with disabilities had insufficient access to services and support related to health care, transportation and recreation. Family quality of life was negatively affected by financial restrictions and social interaction difficulties. Caring for a child with disabilities seemed to be centred on the mother and religious coping appeared as a common psychological adjustment strategy.
Improving emotional and psychological cares, as well as social and practical measures comprising income support and access to appropriate health care, were inferred to be the mothers' priorities to improve their families' quality of life.
本研究调查了巴西有重度或极重度智力残疾儿童的家庭在家庭生活质量方面的心理文化观点。
采用便利抽样法选取15位母亲进行个人深度半结构化访谈,并运用分类主题分析技术进行分析。对主题进行审视以便对结果采用解释性方法。
母亲们表示,她们的残疾子女在获得与医疗保健、交通和娱乐相关的服务及支持方面不足。经济限制和社交互动困难对家庭生活质量产生了负面影响。照顾残疾儿童的责任似乎集中在母亲身上,宗教应对成为一种常见的心理调适策略。
改善情感和心理关怀,以及包括收入支持和获得适当医疗保健在内的社会和实际措施,被认为是母亲们改善家庭生活质量的优先事项。