悲伤,不确定性和社区:对新加坡儿童喂养障碍和喂食管使用的父母经历的定性研究

IF 3.4 3区 医学 Q1 NURSING
Sydney Xi Ning Koh, Marion Margaret Aw, Jing Shi Chua, Jamie Qiao Xin Ng, Nicholas Beng Hui Ng, Shefaly Shorey
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引用次数: 0

摘要

目的探讨家长在照顾需要喂食管(PFD‐T)的儿科喂养障碍儿童时的看法和经验。研究设计本研究采用描述性定性方法。方法采用目的抽样的方法,从新加坡某三级公立医院儿科住院病房和门诊儿科喂养诊所招募12名家长。数据收集时间为2024年7月至12月。与父母(父亲或母亲)进行半结构化的一对一访谈,直到数据饱和。主题分析用于从访谈内容中识别主题。结果共确定了3个主题和6个副主题,概括了家长在护理和饲管管理方面面临的挑战,以及他们所获得的支持来源。主题是:(1)社区意识;(2)为失去正常而悲伤;(3)面对未知。结论:在本研究中,与其他患有PFD - T的孩子的父母在一起,父母感到得到了支持。它使他们能够获得有价值的信息,并为他们提供了一个他们感到被理解的空间。与此同时,他们表达了内疚和孤立的感觉,因为照顾的要求导致他们满足或与其他亲人互动的能力有限。父母面临的其他挑战包括在不同类型的喂食管之间转换,以及医疗保健专业人员的支持不足。试验和方案注册于2024年5月8日获得了国家卫生集团领域特定审查委员会(DSRB 2024/00064)的伦理批准。报告方法本研究遵循报告定性综合标准(COREQ)研究清单概述的报告指南。公众贡献本研究的设计、实施和报告均未包括患者或公众的参与。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Grief, Uncertainty and Community: A Qualitative Study on Parental Experiences of Paediatric Feeding Disorders and Feeding Tube Use in Singapore
AimTo explore the perceptions and experiences of parents caring for children with paediatric feeding disorders requiring feeding tubes (PFD‐T).Study DesignA descriptive qualitative approach was adopted in this study.MethodsUsing purposive sampling, 12 parents were recruited from paediatric inpatient wards and the outpatient paediatric feeding clinic at a tertiary public hospital in Singapore. Data collection was done from July to December 2024. Semi‐structured one‐on‐one interviews were conducted with the parents (fathers or mothers) until data saturation. Thematic analysis was used to identify themes from the interview content.ResultsA total of three themes and six subthemes were identified, encapsulating the challenges experienced by parents with caregiving and feeding tube management, as well as the sources of support they had. The themes are: (1) A sense of community, (2) Grieving over the loss of normalcy and (3) Facing the unknown.ConclusionParents in this study felt supported being in a community of other parents with children who have PFD‐T. It enabled them to gain valuable information and offered them a space where they felt understood. At the same time, they expressed feelings of guilt and isolation, as the caregiving demands led to limited capacity to cater to or interact with other loved ones. Additional challenges parents faced included transitioning between types of feeding tubes and insufficient support from healthcare professionals.Trial and Protocol RegistrationEthical approval was obtained from the National Health Group Domain Specific Review Board (DSRB 2024/00064) on 8 May 2024.Reporting MethodThis study followed the reporting guidelines outlined by the COnsolidated criteria for REporting Qualitative (COREQ) research checklist.Public ContributionThis study did not include patient or public involvement in its design, conduct, or reporting.
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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