Rakhmawati Windy, Nilmanat Kittikorn, Hatthakit Urai
Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Department of Pediatric Nursing, Faculty of Nursing, University of Padjadjaran, Indonesia.
Int J Nurs Sci. 2019 Jun 6;6(3):272-277. doi: 10.1016/j.ijnss.2019.06.002. eCollection 2019 Jul 10.
Children living in tuberculosis households need protection. However, families need to be engaged to prevent tuberculosis transmission to children. This study aimed to analyze the details of "moving from fear to realization," which is one category of a substantive theory of family engagement in tuberculosis prevention in children.
Fourteen family caregivers participated as key informants after their families met the criteria. The participants were recruited at a lung clinic in West Java, Indonesia and followed up at their homes. The data were gathered using in-depth interviews and analyzed following the coding procedures of the Straussian grounded theory.
"Moving from fear to realization" was the main category that emerged from the experiences of the Sundanese families to begin engaging in tuberculosis prevention in children living in tuberculosis households. It was composed of four sub-categories, namely, fear of tuberculosis, seeking information, following God's will, and awareness of tuberculosis transmission risks.
This study showed how a family moves from fear to the realization of tuberculosis transmission risks. Its findings are useful for nurses to provide optimum care in order to prevent tuberculosis transmission to children with household contact by providing both education and counseling for families.
生活在结核病家庭中的儿童需要保护。然而，需要促使家庭参与以防止结核病传播给儿童。本研究旨在分析“从恐惧到认识”的细节，这是儿童结核病预防家庭参与实质性理论的一个类别。
14名家庭照顾者在其家庭符合标准后作为关键信息提供者参与。参与者在印度尼西亚西爪哇的一家肺部诊所招募，并在其家中进行随访。通过深入访谈收集数据，并按照施特劳斯扎根理论的编码程序进行分析。
“从恐惧到认识”是巽他族家庭开始参与生活在结核病家庭中的儿童结核病预防经验中出现的主要类别。它由四个子类别组成，即对结核病的恐惧、寻求信息、遵循上帝的旨意以及对结核病传播风险的认识。
本研究展示了一个家庭如何从恐惧转变为认识到结核病传播风险。其研究结果有助于护士通过为家庭提供教育和咨询，提供最佳护理，以防止结核病传播给有家庭接触的儿童。
