1型脊髓性肌萎缩症患儿家长的丧亲经历。

IF 3.5 2区 医学 Q2 CLINICAL NEUROLOGY
Christina M Mulé, Abigail Riley, Debra Lerner, Tamara Vesel, Claudio Galea, Michael Song, Samantha Truong, Lisa Belter, Stacey Kowal, David Fox, Sheila Shapouri, Colleen McCarthy O'Toole, Tara A Lavelle
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引用次数: 0

摘要

背景:先前的研究表明,由于孩子死于慢性病,父母的悲伤会影响父母的健康和工作效率。然而,研究人员还没有充分研究与健康相关的生活质量(HRQOL)生产力,以及因1型脊髓性肌萎缩症(SMA)死亡的儿童的丧亲父母之间的社会联系。本研究的目的是在这一人群中定性地探讨这些结果。方法:我们对因1型SMA死亡儿童的父母进行半结构化定性访谈(n = 16),探讨丧亲结局。我们使用描述性统计分析参与者的特征。我们对两位研究人员的采访进行了录音、转录和独立编码,直到我们达成共识。我们进行了定性专题分析,以确定访谈主题。结果:1型SMA儿童的死亡对父母来说是一个改变人生的经历,影响了他们对生活、健康、人际关系和就业的看法。大多数父母在孩子被确诊时第一次经历悲伤,这种悲伤贯穿孩子的一生,甚至在孩子死后。父母们报告说,社会支持、寻找生活的意义和目标以及建立日常习惯有助于减轻他们的悲伤,而社会孤立、适应不良的应对机制和后悔则加剧了悲伤。结论:本研究描述了丧亲父母所经历的一系列社会心理和功能后遗症。本研究可用于制定适当的干预措施,以支持失去亲人的父母,并开展调查,可用于研究与悲伤相关的纵向结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bereavement Experiences Among Parents of Children with Spinal Muscular Atrophy Type 1.

Background: Previous research has demonstrated that parental grief due to the death of a child from a chronic illness can impact a parent's health and work productivity. However, researchers have not adequately studied health-related quality of life (HRQOL) productivity, and social connection among bereaved parents of children who have died from spinal muscular atrophy (SMA) type 1. The goal of this study was to qualitatively explore these outcomes in this population.

Methods: We conducted semi-structured qualitative interviews with parents whose children died from SMA type 1 (n = 16) to explore bereavement outcomes. We analyzed participant characteristics using descriptive statistics. We audio-recorded, transcribed, and independently coded interviews with two researchers until we reached consensus. We conducted qualitative thematic analyses to identify interview themes.

Results: The death of a child from SMA type 1 is a life-changing experience for parents and impacts their outlook on life, health, relationships, and employment. Most parents first experienced grief when their child was diagnosed, and grief continued throughout their child's life and after death. Parents reported that social support, finding meaning and purpose in their life, and building routines helped to mitigate their grief, while social isolation, maladaptive coping mechanisms, and regret intensified grief.

Conclusions: This study characterizes the array of psychosocial and functional sequelae that bereaved parents undergo. This research can be used to develop appropriate interventions to support bereaved parents and develop surveys that can be used to study the longitudinal outcomes associated with grief.

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来源期刊
CiteScore
8.90
自引率
6.40%
发文量
821
审稿时长
26 days
期刊介绍: The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.
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