Linking heart and mind - lived experiences of parents to children with congenital heart disease and mental health issues.

Julie L Hejl, Ditte R Hulgaard, Anne Sofie D Rasmussen, Lærke Emilie N Larsen, Charlotte U Rask
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Abstract

Children with congenital heart disease are more likely to receive special educational services in schools and have an increased risk of mental health issues. We explored the lived experiences of parents caring for a child with heart disease and concurrent mental health issues in Denmark. Semi-structured interviews with ten parents (age 39-57 years) to these children (age 5-17 years) were analysed using interpretative phenomenological analysis. Three Group Experiential Themes (GETs) were generated from the analysis: The first GET, Parental roles and caring behaviours, described parental struggles of fulfilling their parenting role ideals and experiences with stigmatization of MHI. GET two, Parental reflections on their illness explanations, portrayed how parents utilize different illness explanations to make sense of their child's MHI. GET three, Differences in access to help and support, captured how the CHD affected overall access to mental health support. The results may inform various topics of importance for health professionals to address in their clinical encounters with these families.

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心与心的联系--先天性心脏病和心理健康问题患儿父母的生活经历。
患有先天性心脏病的儿童更有可能在学校接受特殊教育服务,而且出现心理健康问题的风险也更高。我们探讨了丹麦父母照顾患有先天性心脏病并同时伴有心理健康问题的儿童的生活经历。我们采用解释现象学分析方法,对十位父母(39-57 岁)和这些孩子(5-17 岁)的半结构式访谈进行了分析。分析结果产生了三个群体体验主题(GET):第一组体验主题 "父母的角色和照顾行为 "描述了父母在履行其养育子女的理想角色时所遇到的困难,以及他们对产妇保健的偏见。第二项 GET "父母对其疾病解释的反思 "描述了父母如何利用不同的疾病解释来解释其子女的 MHI。第三部分 "获得帮助和支持的差异 "反映了慢性疾病如何影响获得心理健康支持的总体情况。这些结果可以为医疗专业人员在与这些家庭的临床接触中解决各种重要问题提供参考。
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