A qualitative study on the experiences of caregivers of children undergoing surgery for congenital heart diseases

IF 2.3 4区 医学 Q2 NURSING Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-01-01 Epub Date: 2024-11-28 DOI:10.1016/j.pedn.2024.11.016
Eda Ayten Kankaya , Nazife Gamze Özer Özlü , Nihal Müezzinler Evsine
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Abstract

Objective

This study explores the experiences of caregivers of pediatric cardiac surgery patients, aiming to deepen understanding of their role and improve the caregiving process.

Methods

A qualitative, phenomenological approach was employed using individual, semi-structured interviews with a heterogeneous sample of caregivers (both mothers and fathers) of children who had undergone surgery for congenital heart disease. Interviews were conducted face-to-face from June 2023 to May 2024, following Creswell's interview techniques. Data collection and analysis were performed simultaneously using MAXQDA software.

Results

Participants included caregivers of children aged 2 months to 17 years, with caregivers themselves aged 25 to 50 years. Most children had undergone surgery for congenital heart valve disease, with surgeries ranging from one to three. Three main themes and nine sub-themes were identified: (1) “Comprehensive health journey” described caregivers' experiences from diagnosis through treatment and their interactions with healthcare professionals; (2) “Challenges” encompassed social isolation, financial strain, work-life balance issues, and the impact on the education process; and (3) “Uncertainty” captured caregivers' anxiety about the future and concerns regarding home care.

Conclusion

The findings offer valuable insights into the challenges and needs of caregivers in the pediatric cardiac surgery context, highlighting areas where support services and interventions could be beneficial.

Implications to practice

The study emphasizes the importance of healthcare professionals providing caregivers with clear information and empathetic support, which can enhance both caregiver well-being and patient outcomes.
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先天性心脏病患儿手术护理人员经验的定性研究
目的探讨小儿心脏手术患者护理人员的护理经验,加深对护理人员角色的认识,改进护理过程。方法采用定性、现象学的方法,对接受先天性心脏病手术的儿童的照顾者(包括母亲和父亲)的异质性样本进行了半结构化的个人访谈。访谈于2023年6月至2024年5月进行,遵循Creswell的访谈技巧。使用MAXQDA软件同时进行数据采集和分析。结果研究对象包括2个月至17岁儿童的照顾者和25至50岁儿童的照顾者。大多数儿童都接受过先天性心脏瓣膜疾病的手术,手术次数从一到三次不等。研究确定了3个主题和9个副主题:(1)“全面健康之旅”描述了护理人员从诊断到治疗的经历以及他们与医护人员的互动;(2) “挑战”包括社会孤立、财政紧张、工作与生活平衡问题以及对教育进程的影响;(3)“不确定性”反映了照顾者对未来的焦虑和对家庭护理的担忧。结论研究结果为儿科心脏外科护理人员的挑战和需求提供了有价值的见解,突出了支持服务和干预可能有益的领域。该研究强调了医疗保健专业人员为护理人员提供清晰的信息和共情支持的重要性,这可以提高护理人员的幸福感和患者的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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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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