Siblings of young children with congenital heart disease: parent perspectives from a crowdsourcing study.

IF 2.1 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Christina M Amaro, Melissa A Alderfer, Sarah E Wawrzynski, Jennifer Christofferson, Linda G McWhorter, Abigail C Demianczyk, Anne E Kazak, Erica Sood
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引用次数: 0

Abstract

Objective: To gather parents' perspectives on the experiences of siblings of young children with congenital heart disease (CHD), the impact of CHD on siblings, and the types of resources and supports they need to adjust to CHD within their family.

Methods: A community advisory council guided the study. Parents of children with CHD, currently 1-7 years old, who had surgery in their first year of life, were eligible for participation if they were fluent in written English and had internet access. Recruitment through several CHD-specific nonprofit organizations produced a national sample of parents (N = 108). Of the 73 who had non-bereaved heart-healthy children, 59 (81%) provided sibling-relevant data for this study. Most parents were non-Hispanic White (n = 54; 91.5%) mothers (n = 41; 69.5%; Mage = 36.10; SDage = 5.0) reporting on siblings older than the child with CHD (n = 44; 74.6%). Data were qualitative, collected through crowdsourcing, and coded to distill themes.

Results: Three themes emerged: (1) CHD directly affects siblings' psychosocial functioning and daily activities, (2) CHD alters roles and relationships within the family, with impacts to siblings, and (3) families seek and appreciate support for heart-healthy siblings from extended family and friends, the healthcare team, and the community, but resources are variable.

Conclusion: Parents described specific ways that CHD impacts their heart-healthy children, including their psychosocial functioning, role in the family, and support from the community. Findings highlight the need for family-centered care in CHD, including screening to identify siblings at risk for psychosocial difficulties and provision of appropriate supports to meet sibling and family needs.

患有先天性心脏病的幼儿的兄弟姐妹:来自众包研究的父母观点
目的:收集父母对患有先天性心脏病(CHD)的幼儿的兄弟姐妹的经历的看法,冠心病对兄弟姐妹的影响,以及他们在家庭中适应冠心病所需的资源和支持类型。方法:社区咨询委员会指导研究。目前1-7岁的CHD儿童的父母,如果他们在一岁前做过手术,如果他们的书面英语流利并且可以上网,就有资格参加。通过几个针对冠心病的非营利组织的招募,产生了一个全国性的父母样本(N = 108)。在73名没有失去心脏健康孩子的人中,59名(81%)为本研究提供了与兄弟姐妹相关的数据。大多数父母是非西班牙裔白人(n = 54; 91.5%)母亲(n = 41; 69.5%; Mage = 36.10; SDage = 5.0)报告的兄弟姐妹比患有冠心病的孩子大(n = 44; 74.6%)。数据是定性的,通过众包收集,并编码提炼主题。结果:出现了三个主题:(1)冠心病直接影响兄弟姐妹的心理社会功能和日常活动;(2)冠心病改变了家庭中的角色和关系,并对兄弟姐妹产生影响;(3)家庭寻求并感激来自大家庭和朋友、医疗团队和社区的支持,但资源是可变的。结论:父母描述了冠心病影响其心脏健康儿童的具体方式,包括他们的社会心理功能、在家庭中的角色和来自社区的支持。研究结果强调了在冠心病中需要以家庭为中心的护理,包括筛查有心理社会困难风险的兄弟姐妹,并提供适当的支持以满足兄弟姐妹和家庭的需求。
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
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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