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沉默中的力量:脑积水患儿母亲的养育之旅。

Strength in silence: the journey of mothers raising children with hydrocephalus.

机构信息

Violence, Injury Prevention and Disability Unit, Health Services Academy, Ministry of National Health Services Regulations and Coordination, Government of Pakistan, Islamabad, Pakistan.

Rawalpindi Medical University, Rawalpindi, Pakistan.

出版信息

Childs Nerv Syst. 2024 Nov;40(11):3601-3607. doi: 10.1007/s00381-024-06530-5. Epub 2024 Jul 9.

Abstract

BACKGROUND

Raising a child with hydrocephalus can be very challenging, especially in low- and middle-income countries. In Pakistan, mothers being the primary caregivers for their hydrocephalic children are under tremendous stress.

METHODS

This study explores the challenges faced by Pakistani mothers raising children with hydrocephalus, employing a qualitative methodology through focus group discussions comprising ten mothers of hydrocephalic babies at Tertiary Care Hospital in Pakistan.

RESULTS

The findings highlight three main themes: emotional toll, social isolation, and financial strain. Mothers experience significant emotional stress due to societal stigma and a lack of support, particularly from their husbands and family. Social isolation is prevalent, as mothers fear sharing their burdens and face physical confinement due to their children's needs. Financial strain is another major issue, with high medical costs adding to their economic difficulties.

CONCLUSION

The study emphasizes improved access to specialized care, awareness campaigns to reduce stigma, financial assistance, and stronger community support networks to support these mothers better. Addressing these unmet needs is crucial for empowering Pakistani mothers in their caregiving roles and improving the quality of life for their children with hydrocephalus.

摘要

背景

养育脑积水患儿极具挑战性,在中低收入国家尤其如此。在巴基斯坦,母亲作为脑积水患儿的主要照顾者承受着巨大的压力。

方法

本研究通过对巴基斯坦一家三级护理医院的 10 位脑积水患儿母亲进行焦点小组讨论,采用定性方法探讨巴基斯坦母亲养育脑积水患儿所面临的挑战。

结果

研究结果突出了三个主要主题:情绪困扰、社会孤立和经济压力。母亲因社会污名和缺乏支持而承受着巨大的情绪压力,尤其是来自其丈夫和家庭的支持。社会孤立普遍存在,因为母亲害怕分享自己的负担,而且由于孩子的需要,她们还面临着身体上的限制。经济压力也是一个主要问题,高昂的医疗费用加剧了她们的经济困难。

结论

该研究强调需要更好地获得专门护理,开展减少污名化的宣传活动,提供经济援助,以及建立更强大的社区支持网络,以更好地支持这些母亲。满足这些未满足的需求对于增强巴基斯坦母亲在照顾患儿方面的能力以及提高脑积水患儿的生活质量至关重要。

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