Domaradzki Jan, Walkowiak Dariusz
Department of Social Sciences and Humanities, Poznan University of Medical Sciences, 60-806 Poznań, Poland.
Department of Organization and Management in Health Care, Poznan University of Medical Sciences, 60-356 Poznań, Poland.
Children (Basel). 2023 Aug 19;10(8):1410. doi: 10.3390/children10081410.
While Polish studies focus on the symptoms, causes and treatment of people suffering from Dravet syndrome (DS), much less is known about the situation of the family caregivers of DS children. This study was designed to explore the experiences, daily challenges and needs related to caring for DS children. An anonymous self-administered online questionnaire was developed. The survey was completed by 75 family caregivers affiliated with the Association for People with Severe Refractory Epilepsy DRAVET.PL on Facebook. Most caregivers felt burdened by their children's reduced mobility (57.3%), mood swings (57.3%), lack of access to rehabilitation and medicine (56%) and healthcare expenses (50.7%). Caregivers also complained of a lack of time to themselves (76%) and work restrictions resulting from caregiving (72%). They consequently reported experiencing fatigue (84%), a deterioration of mental health (60%) and intimacy problems with their spouse/partner (53.4%). An important source of strain was a prolonged diagnostic odyssey and the constant struggle over the healthcare services for DS children. Since DS caregivers' problems and needs are often overlooked, they may be described as the forgotten people in DS. Healthcare professionals should be educated about the challenges related to caring for DS child, psycho-social status and coping resources of DS caregivers, and should focus on identification, monitoring and supporting caregivers' physical and mental well-being and needs.
虽然波兰的研究聚焦于患有德雷维特综合征(DS)的患者的症状、病因和治疗,但对于DS患儿家庭照料者的情况却知之甚少。本研究旨在探索与照料DS患儿相关的经历、日常挑战和需求。我们设计了一份匿名的在线自填问卷。该调查由脸书上隶属于重度难治性癫痫患者协会DRAVET.PL的75名家庭照料者完成。大多数照料者感到负担沉重,原因包括孩子行动能力下降(57.3%)、情绪波动(57.3%)、无法获得康复治疗和药品(56%)以及医疗费用(50.7%)。照料者还抱怨自己缺乏独处时间(76%)以及因照料孩子导致工作受限(72%)。他们因此表示感到疲惫(84%)、心理健康状况恶化(60%)以及与配偶/伴侣存在亲密关系问题(53.4%)。一个重要的压力源是漫长的诊断过程以及为DS患儿争取医疗服务的持续斗争。由于DS照料者的问题和需求常常被忽视,他们可被视为DS中被遗忘的人群。医疗专业人员应接受关于照料DS患儿的挑战、DS照料者的心理社会状况和应对资源的教育,并应专注于识别、监测和支持照料者的身心健康及需求。