:::

詳目顯示

回上一頁
題名:唐氏症嬰幼兒父母認知真相後之調適過程
書刊名:護理研究
作者:蔣欣欣喻永生
作者(外文):Chiang, Hsien-hsienYuh, Yeong-Seng
出版日期:1997
卷期:5:1
頁次:頁19-29
主題關鍵詞:唐氏症認知真相父母調適歷程Down syndromeDisclosure of handicapParental coping process
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:2
  • 點閱點閱:32
     本研究旨在瞭唐氏症嬰幼兒的父母親在認知患兒診斷及身體的先天性缺陷後,對此危機的調適過程。為能深入了解這些父母親的主觀經驗,故採用參與觀察的質性研究,主要以會談及觀察法訪談10位母親及6位父親,研究者根據收集的資料做內容比分析,結果發現家庭調適歷程可區分為三個階段:(1)震驚疑慮期,包括當頭被打一棒,獨自哭泣,懷疑是不是診斷錯誤,求家人告訴實情。(2)掙扎期,包括認為是他人的錯,尋找可以接受的病因,保護隔離(有苦在心口難開,擔心他人的眼光)。(3)崩耗(覺得很累而易發脾氣)或接受期(患孩是家中的寶)。最後,依據研究結果討論唐氏症嬰幼兒家庭的動態關係,認知真相的處境,以及專業人員應有的態度。
     The purpose of the study was to detect the subjective experience of parents having Down syndrome children under three years old. The suthors as participant observers, interviewed 8 mothers and 6 fathers about their experience on disclosure of diagnosis of their child's handicap. The interview data were transcribed and analyzed by constant comparative analysis. The results manifested three adaptation stages of these parents. The stages of the adaptive process were shock and suspicion stage, struggling stage, acceptance or burnout. The experience of shock and suspicious stage included feelings of " being hit on the head", "crying alone", "something wrong with the diagnosis", "please tell me the truth". The struggling stage included blaming others, searching for acceptable causes of disease, keeping apart from other people. Acceptance was to see the child as a valued family member. Burnout was the situation of "being tired and getting angry easily". These findings can help health caregivers to understand the situation of families with Down syndrome children. Based on the results, the authors discuss the proper way to interact with these clients.
期刊論文
1.Erickson, M.、Upshur, C. C.(1989)。Caretaking burden and social support: Comparison of mothers of infants with and without disabilities。American Journal on Mental Retardation,94(3),250-258。  new window
2.喻永生(19930100)。唐氏症候群。國防醫學,16(1),35-45。  延伸查詢new window
3.黃璉華(19871000)。遺傳諮詢與遺傳諮詢人員之養成。護理雜誌,34(4),37-40。new window  延伸查詢new window
4.Appleton, P. L.、Minchon, P. E.(1991)。Models of parent partnership and child development centres。Child: Care, Health and Development,17,27-38。  new window
5.Carr, J.(1988)。Six weeks to twenty-one years old: A longitudinal study of children with Down s syndrome and their families。Journal of Children Psychological Psychiatry,29(4),407-431。  new window
6.Chao, Y. M.(1977)。A habitual aborter's self--concept during the course of a successful pregnancy。Maternal Child Nursing Journal,6(3),165-175。  new window
7.Childs, R. E.(1984)。Maternal psychological conflicts associated with the birth of a retarded child。Maternal Child Nursing Journal,14,175-182。  new window
8.Cottrell, D. J.、Summer, K.(1990)。Communicating an evolutionary diagnosis of disability to parents。Child:Care, Health and Development,16,211-218。  new window
9.Cunningham, C. C.、Slope, P.(1977)。A positive approach to pareni and professional collaboration。Health Visit,50,32-37。  new window
10.Cunningham, C. C.、Sloper, P.(1985)。Parents of Down's syndrome babies: Their early needs。Child: Care, Health and Development,3,325-347。  new window
11.Farnham, R.(1988)。Grief work with mothers of retarded children in a group setting。Issues in Mental Health Nursing,9(1),73-82。  new window
12.Humphreys, P.、Berkeley, D.(1987)。Representing risks: Supporting genetic counseling。Birth Defects,23(2),227-250。  new window
13.Kessler, S.、Kessler, H.、Ward, P.(1984)。Psychosocial aspects of genetic counseling III, management of guilt and shame。American Journal of Medical Genetics,17(3),673-697。  new window
14.MeConachie, H. R.(1991)。Home--based teaching: What are we asking of parents。Child: Care, Health, Development,17(2),123-136。  new window
15.MeConachie, H. R.(1991)。What parents think about parenting and teaching。Journal of Mental Deficiency Research,35(Pt1),58-65。  new window
16.Olshansky, S.(1962)。Chronic sorrow: A response to having a mentally defective child。Social Casework,43,190-194。  new window
17.Sloper, S.、Arnljotosdottir, M.、Cunningham, C. C.(1983)。Parent reactions to early intervention with their Down’s syndrome infants。Child: Care, Health and Development,9(6),357-379。  new window
18.Wertz, D. C.、Sorenson, J. R.、Hecreb, T. C.(1986)。Clients' interpretation of risks provided in genetic counseling。American Journal of Human Genetics,39(2),253-264。  new window
圖書
1.Silverman, D.(1987)。Communication and Medical Practice: Social Relations in the Clinic。London:Sage。  new window
2.余玉眉、田聖芳、蔣欣欣(1991)。質性研究。台北:巨流。  延伸查詢new window
3.Aguilera, D. C.、Messick, J. M.(1986)。Crisis intervention。St. Louis:C. V. Mosby Company。  new window
4.Anthony, E.、Benedek, T.(1970)。Parenthood。Boston:Little, Brown and Company。  new window
5.Barnard, K. E.、Powell, M. E.(1972)。Teaching the mental retarded child: A family approach。St. Louis:The C. V. Mosby Company。  new window
6.Glaser, B. G.、Strauss, A. L.(1966)。Awareness of dying。Chicago:Adline PublishingCompany。  new window
7.Strauss, Anselm L.(1987)。Qualitative analysis for social science。Cambridge University Press。  new window
8.Denzin, Norman K.、Lincoln, Yvonna S.(1994)。Handbook of Qualitative Research。Sage。  new window
9.Riessman, C. K.(1993)。Narrative analysis-qualitative research method volune 30。London:Sage。  new window
圖書論文
1.Cohen, F. L.(1986)。Genetic counseling。Comtempory women's health。California:Addison Wesley Publishing。  new window
2.Cunningham, C. C.、Davis, H.(1985)。Early parent counselling。Mental Handicape。London:Bailliere Tindall。  new window
3.Russell, F. F.(1987)。Intervening with families of infants with Down's syndrome。Family and chronic illness。Pennyslvania:Springhouse。  new window
4.Stevenson, D. K.、Goldworth, A.(1989)。The appropriateness of intensive care applications。Fetal and neonatal brain injury。Philadelphia:B. C. Decker Inc.。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE