Association of nurse–mother partnerships with parenting stress and family resilience among South Korean mothers of children with congenital heart disease

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Abstract

Purpose

Advances in the management of congenital heart disease (CHD) have significantly decreased mortality rates, indicating a need for continuous care as a chronic condition throughout the child's lifespan. This study examined the association of nurse–mother partnerships with parenting stress and family resilience among South Korean mothers of children with CHD.

Design and methods

This descriptive study involved 93 mothers of children aged six years or younger with CHD admitted to a hospital. Data were collected from September to November 2020 and analyzed using SPSS/WIN (version 29.0) for t-tests, analyses of variance, Pearson's correlation coefficient, and multiple regression analyses.

Results

The means and standard deviations of the nursemother partnership, parenting stress, and family resilience were 4.13 ± 0.47, 76.98 ± 16.6, and 56.54 ± 7.86 points, respectively. Parenting stress increased as the number of hospitalizations and surgeries increased and with complex types of CHD. Nurse–mother partnerships were stronger with longer hospital stays. Family resilience was higher with younger children, fewer rehospitalizations, and shorter hospital stays. A positive correlation was found between nurse–mother partnerships and family resilience, and a negative correlation between parenting stress and family resilience. Factors influencing parenting stress included family resilience, rehospitalizations, and complex types of CHD, and those affecting family resilience were nurse–mother partnerships, parenting stress, and the child's age.

Conclusion

Nurse–mother partnerships significantly affect family resilience.

Practical implications

Enhancing nurse–mother partnerships can improve family resilience, which in turn can reduce parenting stress, thus offering guidance for future nursing interventions.

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韩国先天性心脏病患儿母亲的育儿压力和家庭复原力与护士-母亲伙伴关系的关系
目的 先天性心脏病(CHD)治疗方面的进步大大降低了死亡率,这表明在儿童的整个生命周期中,作为一种慢性疾病,需要持续的护理。本研究探讨了韩国先天性心脏病患儿母亲中护士-母亲伙伴关系与养育压力和家庭复原力之间的关系。设计与方法本描述性研究涉及93名在医院住院的六岁或六岁以下先天性心脏病患儿的母亲。结果护士-母亲伙伴关系、养育压力和家庭复原力的平均值和标准差分别为 4.13 ± 0.47 分、76.98 ± 16.6 分和 56.54 ± 7.86 分。随着住院和手术次数的增加以及先天性心脏病类型的复杂化,养育压力也随之增加。住院时间越长,护士与母亲之间的合作关系越紧密。孩子年龄越小、再次住院次数越少、住院时间越短,家庭的抗压能力就越强。研究发现,护士-母亲合作关系与家庭复原力呈正相关,而养育压力与家庭复原力呈负相关。影响养育压力的因素包括家庭复原力、再次住院和复杂类型的心脏病,影响家庭复原力的因素包括护士-母亲合作关系、养育压力和儿童年龄。
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来源期刊
CiteScore
3.70
自引率
8.30%
发文量
291
审稿时长
65 days
期刊介绍: Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.
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