Baley J E, Hancharik S M, Rivers A
Department of Pediatrics, Rainbow Babies and Childrens Hospital, Case Western Reserve University, Cleveland, Ohio 44106.
J Dev Behav Pediatr. 1988 Feb;9(1):19-24.
Parents of children with bronchopulmonary dysplasia (BPD) suffer severe stress and anxiety. In order to provide a group of peers and ready access to caregivers, a support group was developed for the families of children with severe BPD. Fifty percent of invited families attended 1 to 11 monthly meetings. Those attending were primarily upper middle social class, white, married parents with a good visiting record. Members initially focused on specific topics (medical and developmental problems), but later discussions were oriented to psychosocial problems. Many parental anxieties had never previously been discussed with staff members. Commonly, parents complained about not understanding the medical care system. The parents were usually aware of the death of a child with BPD prior to the meeting and dealt with their feelings in the group discussion. Continuing interactions outside the hospital were common. The development of similar groups in other hospitals should be encouraged.
患有支气管肺发育不良(BPD)儿童的家长承受着巨大的压力和焦虑。为了给患儿家长提供一个同伴群体以及方便其与护理人员沟通,为患有重度BPD儿童的家庭成立了一个支持小组。受邀家庭中有50%参加了1至11次月度会议。参会者主要是社会中上层的白人已婚父母,且有良好的探访记录。成员们起初关注特定话题(医疗和发育问题),但后来的讨论转向了心理社会问题。许多家长的焦虑此前从未与工作人员探讨过。家长们普遍抱怨不理解医疗保健系统。家长们通常在会议前就知晓患有BPD的儿童死亡的情况,并在小组讨论中处理自己的情绪。医院外持续的互动很常见。应鼓励在其他医院开展类似的小组。