Perceived Experiences of Families of Children with Unilateral Cerebral Palsy in the Implementation of a Task-Specific Intervention in the Home Environment with an Upper Limb Splint: A Qualitative Study.

IF 2 4区 医学 Q2 PEDIATRICS
Patricia Roldán-Pérez, Vanesa Abuín-Porras, Isabel Rodríguez-Costa, María Ortiz-Lucas, Pablo Bellosta-López, Almudena Buesa-Estéllez
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引用次数: 0

Abstract

Introduction: Specific home tasks and the use of splints seem to positively affect altered structures and functions, as well as the activities and participation, of children with unilateral cerebral palsy (UCP). However, how did families experience the implementation of these therapies?

Objective: To describe the experiences as they were perceived by the families of children with UCP before, during, and after a specific task intervention in the home environment, either with or without upper limb splinting.

Methods: A qualitative, descriptive, phenomenological study was conducted in a natural environment. Fourteen families caring for children with UCP who participated in a previous randomized controlled trial were included. Data from unstructured and semi-structured interviews were analyzed through a thematic analysis.

Results: Fourteen families (17 parents, age 37-47 years) caring for children with UCP (14 children, ages 6-10 years, 64% female) were interviewed. The following three themes emerged: "The project itself", in which families explained that they enrolled because of their trust in therapists; "Results obtained", where the main improvement was the integration of the assisting hand in the body schema; and "Lights and shadows", where families showed what they learned as positive points and some negative aspects related to the assessments and splints.

Conclusions: The perceptions of the parents after the specific task intervention in the home environment showed a greater integration of the most affected side. Nevertheless, although the support of a splint on the hand can have beneficial results in terms of performance, other drawbacks leading to the disuse of the splint were highlighted.

单侧脑瘫儿童家庭在家庭环境中使用上肢夹板实施特定任务干预时的感知体验:定性研究。
导言:特定的家庭任务和夹板的使用似乎对单侧大脑性麻痹(UCP)儿童的结构和功能改变以及活动和参与产生了积极影响。然而,家庭是如何体验这些疗法的?描述单侧脑瘫儿童的家人在家庭环境中进行特定任务干预之前、期间和之后所感受到的体验,无论是否使用上肢夹板:在自然环境中进行了一项定性、描述性、现象学研究。研究对象包括 14 个照顾 UCP 患儿的家庭,这些家庭曾参加过一项随机对照试验。通过主题分析法对非结构化和半结构化访谈的数据进行了分析:对 14 个照顾 UCP 儿童的家庭(17 位家长,年龄在 37-47 岁之间)(14 名儿童,年龄在 6-10 岁之间,64% 为女性)进行了访谈。出现了以下三个主题:在 "项目本身 "中,家庭解释说,他们报名参加是因为对治疗师的信任;在 "取得的成果 "中,主要的改进是将辅助手纳入了身体图式;在 "光与影 "中,家庭展示了他们学到的与评估和夹板相关的积极方面和消极方面:结论:在家庭环境中对特定任务进行干预后,家长们的感受表明,受影响最严重的一侧得到了更大程度的整合。尽管如此,虽然手部夹板的支持可以在表现方面产生有益的结果,但也强调了导致不使用夹板的其他缺点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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