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探索土耳其杜氏肌营养不良症患儿家长的经历:一项描述性现象学研究。

Exploring the experiences of parents of children with Duchenne muscular dystrophy in Turkey: A descriptive phenomenological study.

作者信息

Bakir Ebru, Arslanli Sevilay Ergun

机构信息

Department of Pediatric Nursing, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Turkey.

Department of Midwifery, Faculty of Health Sciences, Erzincan Binali Yildirim University, Erzincan, Turkey.

出版信息

J Pediatr Nurs. 2025 May-Jun;82:65-74. doi: 10.1016/j.pedn.2025.02.015. Epub 2025 Mar 5.

Abstract

PURPOSE

This study aimed to explore the experiences of parents of children with Duchenne Muscular Dystrophy (DMD) in Turkey.

DESIGN AND METHODS

A descriptive phenomenological approach was employed. Ten participants were purposively sampled and interviewed in-depth using semi-structured methods. Data was analyzed thematically. The reporting of this study was informed by the COREQ guidelines.

RESULTS

The data revealed five themes: parental emotional reactions to learning about their child's diagnosis of DMD, parents as medical advocates for their child diagnosed with DMD, parental exhaustion from the day-to-day demands of caring for a child with a diagnosis of DMD, the DMD community as a lifeline for parents whose children have a diagnosis of DMD, barriers to adequate care for children with a diagnosis of DMD.

CONCLUSION

This study offered multifaceted dimensions of parents' experiences with DMD, providing insights into the distinctive challenges, and coping strategies within the Turkish context. Parents encountered intricate and systemic challenges, and their ability to navigate these complexities varied depending on their support networks.

PRACTICE IMPLICATIONS

Nurses can empower parents of children with DMD by addressing their emotional needs, educating them as medical advocates, and connecting them with community resources. Integrating these approaches into nursing practice ensures holistic, empathetic, and effective care, enhancing support and confidence for families navigating the challenges of DMD.

摘要

目的

本研究旨在探索土耳其杜氏肌营养不良症(DMD)患儿家长的经历。

设计与方法

采用描述性现象学方法。通过目的抽样选取了10名参与者,并使用半结构化方法进行深入访谈。对数据进行了主题分析。本研究的报告遵循了COREQ指南。

结果

数据揭示了五个主题:家长对孩子被诊断为DMD的情绪反应、作为孩子医疗倡导者的家长、照顾患有DMD孩子的日常需求导致的家长疲惫、DMD社群作为孩子被诊断为DMD的家长的生命线、对患有DMD孩子的充分护理的障碍。

结论

本研究提供了家长与DMD相关经历的多方面维度,深入了解了土耳其背景下独特的挑战及应对策略。家长面临复杂的系统性挑战,他们应对这些复杂性的能力因支持网络而异。

实践意义

护士可以通过满足家长的情感需求、将他们培养为医疗倡导者以及将他们与社区资源联系起来,增强DMD患儿家长的能力。将这些方法融入护理实践可确保提供全面、有同理心且有效的护理,增强家庭应对DMD挑战的支持和信心。

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