Psychological Journey and Coping Styles of Parents of Infants With Biliary Atresia: A Single-Center Qualitative Study.

IF 1.6 4区 医学 Q2 NURSING Advances in Neonatal Care Pub Date : 2023-10-01 Epub Date: 2023-07-13 DOI:10.1097/ANC.0000000000001093
Cheng-Lu Zhang, Ying Wu, Ying Bao, Wen-Yi Jiang, Xiao-Jing Hu
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Abstract

Background: Biliary atresia is a rare and serious neonatal disease that affects the quality of life of both infants and parents. There is currently limited literature on the experiences of parents with infants diagnosed with biliary atresia.

Purpose: To explore the psychological journey and coping styles of parents of infants with biliary atresia in a single center in Shanghai, China.

Methods: A qualitative study design was used. Face-to-face and semistructured interviews were conducted with 10 parents of infants with biliary atresia. Colaizzi's method of data analysis was utilized, using NVivo 11.0 software.

Results: The psychological journey and coping styles of parents could be divided into 4 stages. Different themes were extracted at different stages: before diagnosis, parents experienced complex emotions and actively sought treatment; at the diagnosis stage, negative emotions dominated and parents convinced themselves to accept reality; in the postoperative stage, positive emotions, accepting reality, active response, and the need to learn to take care of their infant gradually appeared; and at the discharge stage, parents accepted the coexistence of positive and negative emotions and the variety of needs that emerged.

Implications for practice: The findings of the study may help healthcare professionals identify and focus on the psychological needs of parents of infants with biliary atresia, leading them to implement effective coping strategies to increase the caregiving ability of parents.

Implications for research: Future research should explore the effects of supportive interventions for parents of infants with serious chronic illnesses.

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胆道闭锁患儿父母的心理历程与应对方式:单中心定性研究。
背景:胆道闭锁是一种罕见而严重的新生儿疾病,影响婴儿和父母的生活质量。目前,关于被诊断为胆道闭锁的婴儿的父母的经历的文献有限。目的:探讨上海某中心胆道闭锁患儿父母的心理历程和应对方式。方法:采用定性研究设计。对10名胆道闭锁婴儿的父母进行了面对面和半结构访谈。采用Colaizzi的数据分析方法,使用NVivo11.0软件。结果:父母的心理历程和应对方式可分为4个阶段。在不同阶段提取了不同的主题:在诊断之前,父母经历了复杂的情绪并积极寻求治疗;在诊断阶段,负面情绪占主导地位,父母说服自己接受现实;在术后阶段,积极的情绪、接受现实、积极的反应以及学会照顾婴儿的需要逐渐出现;在出院阶段,父母接受了积极和消极情绪的共存以及出现的各种需求。实践意义:该研究结果可能有助于医疗保健专业人员识别并关注胆道闭锁婴儿父母的心理需求,使他们能够实施有效的应对策略,提高父母的护理能力。研究意义:未来的研究应该探索支持性干预措施对患有严重慢性病的婴儿父母的影响。
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来源期刊
CiteScore
2.60
自引率
5.90%
发文量
101
期刊介绍: Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.
期刊最新文献
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