小儿心脏移植受者母亲在试点正念静修中的定性体验:对实施的启示。

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Jia Lin, Enid K Selkirk, Sara Ahola Kohut, Joanna Mitchell, Taylor Robertson, Ani Jamyang Donma, Mirna Seifert-Hansen, Heather Telfer, Samantha J Anthony
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引用次数: 0

摘要

目的探讨参与者在参加支持小儿心脏移植(HTx)受者母亲心理健康的正念静修(MBR)试点干预时的共同体验:在一项大型混合方法试点研究中采用了定性描述方法,评估了专门为小儿心脏移植受者人群定制的为期两天的正念静修的实施效果。研究人员从加拿大一家领先的儿科血液透析中心招募了一批有目的的母亲样本,每个样本都代表一名主要的、女性身份的照顾者,她们与一名移植后至少 4 个月的儿科血液透析受者同住。在 MBR 结束后进行了两次焦点小组讨论,并在 MBR 结束 3 个月后进行了 16 次个人访谈,以了解参与者参加 MBR 的深入体验。通过反思性专题数据分析,小组成员在达成共识的基础上反复推敲,最终确定了主题:16位儿科热疗受者的母亲(患者平均年龄9.8岁;移植后平均时间8.2年)参加了在加拿大安大略省举行的MBR。定性研究结果揭示了母亲们参加 MBR 的共同经历,反映出三个主题,描述了除正念练习之外的关键干预要素:"喘息"、"准备 "和 "关系"。研究结果强调了可接受性和适当性,它们是截然不同但又相互关联的实施结果:结论:"喘息"、"准备 "和 "关系 "是 MBR 体验的关键组成部分,它们提供了与母亲心理健康相关的有价值的干预和临床考虑因素。通过量身定制的策略来调整干预的可接受性和适当性,可能会有助于干预的实施。未来的研究有必要考虑与支持干预参与相关的母亲准备情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A qualitative account of mothers of pediatric heart transplant recipients' experience at a pilot mindfulness-based retreat: insights for implementation.

Objective: To explore participants' shared experience attending a pilot mindfulness-based retreat (MBR) intervention supporting the psychological well-being of mothers of pediatric heart transplant (HTx) recipients.

Methods: A qualitative description approach was used within a larger hybrid mixed-methods pilot study evaluating the implementation-effectiveness of a 2-day MBR tailored specifically for a pediatric HTx population. A purposive sample of mothers was recruited from a leading Canadian pediatric HTx center, and each represented a primary, female-identifying caregiver, sharing residence with a pediatric HTx recipient of at least 4 months post-transplant. Two focus groups were conducted after and 16 individual interviews 3 months after the MBR to elicit participants' in-depth experience attending the MBR. Reflexive thematic data analysis led to theme development through an iterative process with consensus among team members.

Results: Sixteen mothers of pediatric HTx recipients (mean patient age 9.8 years; mean time post-transplant 8.2 years) participated in the MBR held in Ontario, Canada. Qualitative findings illuminated mothers' shared experience attending the MBR, reflecting three themes that describe key intervention elements beyond those affiliated with mindfulness practice alone: "respite," "readiness," and "relationships." Findings highlight acceptability and appropriateness as distinct yet interrelated implementation outcomes.

Conclusions: Elements of "respite," "readiness," and "relationships" are key components of the MBR experience that offer valuable intervention and clinical considerations related to mothers' psychological well-being. Aligning intervention acceptability and appropriateness through tailored strategies may aid implementation. Future research considering maternal readiness relative to support intervention participation is warranted.

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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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