The caring experience: Being a woman, mother and caregiver from patients diagnosed with mucopolysaccharidosis

Enfermeria clinica (English Edition) Pub Date : 2025-03-01 Epub Date: 2025-03-15 DOI:10.1016/j.enfcle.2025.502167
Marcela Campos-Sánchez , Nolly Nataly Castañeda-Ibáñez
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Abstract

Introduction

Rare or orphan diseases represent a challenge for the health system and the quality of life of patients and their families. In Colombia, mothers assume the main role of caregivers, facing physical, emotional, and financial challenges. This study aims to understand the experience of women who are mothers and caregivers of patients with Mucopolysaccharidosis in Colombia, and the variables associated with caregiver burden.

Method

A mixed study was conducted in which the Zarit Caregiver Overload Scale was applied to 48 female caregivers of children with Mucopolysaccharidosis, and they were given an individual structured interview.

Results

The Zarit scale showed that 92% of the participants did not have overload. However, the interviews revealed a variety of negative emotions and feelings, such as loneliness, sadness, fear, and guilt. The women expressed an unfinished life project, with overloaded social roles and a constant permanent crisis. The main emotional resource and support wase faith in God. Tensions were found in the relational fabric with the child or patient, between overprotection and independence.

Conclusions

Understanding the experience of the caregivers of patients with MPS allowed unveiling the complex elements of caregiving through the three intertwined roles: being a woman, being a mother and being a caregiver. The use of religiosity as an indicator of physical and mental well-being confirms its benefit in the processes of coping with the difficulties related to the experience of diagnosis and treatment.
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护理经验:从被诊断为粘多糖病的患者身上扮演一个女人、母亲和照顾者的角色。
导言:罕见病或孤儿病是对医疗系统和患者及其家庭生活质量的挑战。在哥伦比亚,母亲是照顾者的主要角色,她们面临着身体、情感和经济方面的挑战。本研究旨在了解哥伦比亚作为粘多糖病患者母亲和照顾者的妇女的经历,以及与照顾者负担相关的变量:采用扎里特(Zarit)照顾者超负荷量表对48名照顾黏多醣症患儿的女性进行了混合研究,并对她们进行了个别结构化访谈:结果:扎里特量表显示,92%的参与者没有超负荷现象。然而,访谈显示了各种负面情绪和感受,如孤独、悲伤、恐惧和内疚。妇女们表达了一种未完成的生活计划,社会角色超负荷,危机持续不断。主要的情感资源和支持是对上帝的信仰。在与孩子或病人的关系结构中,发现了过度保护与独立之间的紧张关系:通过了解马普托瘫痪病人护理者的经历,可以揭示出护理工作的复杂因素,包括三个相互交织的角色:作为一名女性、作为一名母亲和作为一名护理者。使用宗教信仰作为身心健康的指标,证实了宗教信仰在应对与诊断和治疗经历有关的困难过程中的益处。
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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