Stigma perceived by mothers of children with congenital Zika virus syndrome

Deisyane Vitoria Alves, Paulo Roberto Lima Falcão do Vale, Sheila Santa Barbara Cerqueira, Cleuma Sueli Santos Suto, Aisiane Cedraz Morais, Evanilda Souza de Santana Carvalho
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Abstract

Objective: to understand the experiences of stigma perceived by mothers of children with congenital Zika virus syndrome and its repercussions. Methods: a qualitative study was carried out with 12 mothers who responded to semi-structured interviews. Correspondence Factor Analysis and Descending Hierarchical Classification were carried out using the IRaMuTeQ software. Results: four classes emerged that deal with the experience of perceiving stigma: Perceiving public discrimination; Stigmatizing behaviors and their repercussions; Feeling guilty and adopting coping strategies; Experiencing rejection from the father, others and feeling lonely. Conclusion: stigma is perceived by mothers of children with congenital Zika virus syndrome in affective, family, and social interactions, expressed through rejection, withdrawal and exclusion resulting in suffering for the mothers, who adopt hiding the child and self-isolation as coping strategies. Contributions to practice: nursing should identify signs of social isolation, deep sadness and stress related to the stigma of being the mother of a child with congenital Zika virus syndrome and draw up care plans to prevent maternal illness.
患有先天性寨卡病毒综合征儿童的母亲感到耻辱
目的:了解先天性寨卡病毒综合征患儿母亲的污名化经历及其影响。方法:对12名接受半结构化访谈的母亲进行定性研究。采用IRaMuTeQ软件进行对应因子分析和降序分类。结果:出现了与污名化感知经验相关的四个类:感知公众歧视;污名化行为及其后果;感到内疚并采取应对策略;经历父亲和他人的拒绝,感到孤独。结论:患有先天性寨卡病毒综合征儿童的母亲在情感、家庭和社会互动中感受到耻辱感,表现为拒绝、退缩和排斥,导致母亲遭受痛苦,并采取隐藏孩子和自我隔离作为应对策略。对实践的贡献:护理应识别与作为患有先天性寨卡病毒综合征儿童的母亲的耻辱相关的社会孤立、深感悲伤和压力的迹象,并制定护理计划以预防孕产妇疾病。
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