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瑞典一项访谈研究:父母养育小儿喂食障碍患儿的经历

Parents' experiences of living with a child with Paediatric Feeding Disorder: An interview study in Sweden.

机构信息

Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.

出版信息

Scand J Caring Sci. 2023 Dec;37(4):949-958. doi: 10.1111/scs.13070. Epub 2022 Feb 10.

Abstract

INTRODUCTION

Children affected by Paediatric Feeding Disorder (PFD) cannot consume enough nourishment by mouth. PFD is highly prevalent and can affect the child's growth and development as well as family life.

AIM

To illuminate Swedish parents' experiences of living with a child with PFD.

METHOD

Semi-structured interviews via telephone or video calls were conducted with 14 purposefully recruited mothers and six fathers. The interviews were analysed using content analysis. Ethics approval was obtained, and the parents all gave informed consent.

RESULTS

Four overarching themes emerged: Living with stress; Advocating for the child; Adapting family life; and Gaining hope. Parents described fearing for their child's life and health, feeling pressure over meals and being emotionally affected. They told of experiencing a lack of understanding from healthcare professionals, friends and family. Parents expressed a struggle for help, the need for early interventions and more effective treatment, and developed strategies for coping with the demands of feeding and caring for their child, accepting their living reality. Finding support from a network helped, but the adaptation of daily life affected their family relations. They felt gratitude towards helpful professionals and relief and joy when their child was doing better.

CONCLUSIONS

A more cohesive chain of care is important for children with PFD, and guidelines and educational support for healthcare providers are needed. Parental experiences provide a base for knowledge for further development of early detection and intervention for children with PFD.

摘要

引言

患有小儿进食障碍(PFD)的儿童无法通过口腔摄入足够的营养。PFD 的发病率很高,会影响儿童的生长发育和家庭生活。

目的

阐明瑞典父母在与患有 PFD 的孩子一起生活的经历。

方法

通过电话或视频通话对 14 名有目的招募的母亲和 6 名父亲进行了半结构化访谈。使用内容分析对访谈进行了分析。获得了伦理批准,父母均同意。

结果

出现了四个总体主题:生活压力;为孩子争取权益;适应家庭生活;和获得希望。父母描述了对孩子的生命和健康的担忧,对饮食感到压力和情绪受到影响。他们表示,他们缺乏医疗保健专业人员、朋友和家人的理解。父母表示为寻求帮助而挣扎,需要早期干预和更有效的治疗,并制定了应对喂养和照顾孩子的需求的策略,接受他们的生活现实。从网络中获得支持有所帮助,但日常生活的适应影响了他们的家庭关系。他们对有帮助的专业人士表示感激,当孩子情况好转时感到宽慰和喜悦。

结论

对于患有 PFD 的儿童,更具凝聚力的护理链很重要,需要为医疗保健提供者制定指南和教育支持。父母的经验为进一步开发小儿进食障碍的早期检测和干预提供了知识基础。

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