Department of Medical - Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, IR, Iran.
Patient Safety Research Center, Urmia University of Medical Science, Urmia, IR, Iran.
BMC Nephrol. 2020 Nov 25;21(1):509. doi: 10.1186/s12882-020-02170-4.
Parents' adaptation affects the health outcomes of children with chronic kidney diseases (CKD). Identifying factors that affect parents' adaptation is necessary to understand their adaptation status. This study aims to explore factors related to the adaptation of parents who have children with CKD.
This was a qualitative study with a content analysis approach. Seventeen parents of children with CKD were selected by using purposive sampling. The leading researcher performed semi-structured, in-depth, face-to-face interviews to collect data. Conventional content analysis was used to analyze data.
Two main categories extracted from the data were "adaptation facilitators" and "adaptation barriers." Adaptation facilitators were supported by three sub-categories: "social support", "family capability" and "spiritual beliefs". Four sub-categories of "adaptation barriers" were revealed as: "family-related barriers," "mental stress by others," "the chronic nature of the disease," and "unfavorable treatment conditions."
Identifying the factors influencing parental adaptation helps the medical staff to make the necessary interventions to support the parents. According to this study, increasing parent access to the required information, supporting them financially and emotionally, and helping them identify support resources can facilitate their adaptation to their child's chronic illness. Also, identifying and eliminating adaptation barriers can help parents deal better with their child's chronic disease.
父母的适应情况会影响患有慢性肾脏病（CKD）儿童的健康结果。了解影响父母适应的因素对于理解他们的适应状况是必要的。本研究旨在探讨与患有 CKD 儿童的父母适应相关的因素。
这是一项采用内容分析法的定性研究。通过目的抽样选择了 17 名患有 CKD 儿童的父母。主要研究者通过半结构化、深入的面对面访谈来收集数据。采用常规内容分析法对数据进行分析。
从数据中提取出两个主要类别：“适应促进因素”和“适应障碍”。适应促进因素由三个子类别支持：“社会支持”、“家庭能力”和“精神信仰”。揭示了四个适应障碍的子类别：“家庭相关障碍”、“他人的精神压力”、“疾病的慢性性质”和“不利的治疗条件”。
确定影响父母适应的因素有助于医务人员进行必要的干预，以支持父母。根据这项研究，增加父母获取所需信息的机会，在经济和情感上支持他们，并帮助他们识别支持资源，可以促进他们适应孩子的慢性疾病。此外，识别和消除适应障碍可以帮助父母更好地应对孩子的慢性疾病。
