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題名:探討父母親照顧家中長期重度慢性疾病兒的感受
書刊名:護理研究
作者:趙明玲高淑芬葉健全
作者(外文):Jaw, Ming-lingKao, Shu-fenYeh, Geng-chang
出版日期:1998
卷期:6:3
頁次:頁219-230
主題關鍵詞:父母親長期重度慢性疾病兒感受質性研究ParentsChild with serious chronic illnessPerceptionQualitative method
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(6) 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:6
  • 共同引用共同引用:42
  • 點閱點閱:27
     本研究主要目的在探討父母親養育家中長期重度慢性疾病兒的經驗感受,並比較父母親反應之異同。採質性研究,以半結構式訪談大綱進行訪談,並將內容錄音,共訪談十對父母親。結果顯示父母親照顧家中長期重度慢性疾病兒的經驗過程可歸納為:(1) 疾病方面的感受為:醫療措施、父母重視病兒的程度、未來發展做計劃、擔心病兒的未來、調整性作法;(2) 本身方面的感受為:情緒方面的感受、認知方面的感受、社會方面的感受、父母親本身的心態;(3) 家庭方面的感受為:對配偶的感受、對家中其他小孩方面的感受和經濟因素。父母親反應異同方面,研究結果發現母親擔負大部份的照顧責任。因此,對母親無論在疾病、本身,以及家庭各方面的影響皆大於父親,例如工作、休閒、社交等等。另外,因家中經濟因素,母親會在照顧病兒的同時,擔負起家中部份的經濟收入。研究也發現配偶 (先生) 是母親最主要的支持來源,而先生對病兒的態度,會影響母親養有慢性病兒的態度。大部份父母抱持相同的心態來養育病兒,並盡力提供最好的照護品質及良好的生長環境。本研究結果可使護理人員對父母親的照顧訊息更為敏感。於提供護理措施時,可評估並協助提供適當的醫療與疾病照顧相關訊息,以提供給病兒一個完整良好的照護品質。
     The purpose of the present study was to explore and compare the lived experiences of parents caring for their children with serious chronic illness. Ten couples caring for such children participated in the study, which was conducted by a qualitative method. Data were collected through interviews recorded on audio tape following a semi-structured interview guide. The present study showed the lived experience of parents caring for their child with serious chronic illness could be categorized as follows’: (1) the perception of illness including medical management, the level of the concern, future planning, worrying about the future, rearrangement. (2) parents' emotional, cognitive and social perceptions. (3) other family-related perceptions including the perceptions of spouse, other children and economic situation. The results revealed that in most of the cases, the mothers took the major role in caring. Many of them were unemployed, and had less leisure time and less social life. For economic reasons, most of the mothers had to share the family income burden in addition to caring for the child. The results also showed that father was the most up sportive source for the mother. Further more, the attitude of the mothers to care for the sick child was significantly by attitude of the fathers. The results revealed that the majority of the parents had similar attitudes of wishing to provide the best quality of care and living environment for their child with serious chronic illness. These results provide informative knowledge intrinsic to the parents' perceptions in caring for their chronically in child. We suggest that equipping public health nurses with such information will improve the quality of home care for these sick children and provide better support for their parents.
期刊論文
1.Brust, J. D.、Leonard, B. J.、Sielaff, B. H.(1992)。Maternal time and the care of disabled children。Public Health Nursing,9(3),177-184。  new window
2.Newacheck, P. W.、Taylo, W. R.(1992)。Childhood chronic illness: prevalence, severity, and impact。American Journal of Public Health,82(3),364-371。  new window
3.Holaday, Bonnie(1984)。Challenges of rearing a chronically ill child: caring and coping。Nursing Clinics of North America,19(2),361-368。  new window
4.Koegel, R. L.、Schreibman, L.、Loos, L. M.、Dirlich-Wilhelm, H.、Dunlap, G.、Robbins, F. R.、Plienis, A. J.(1992)。Consistent stress profiles in mothers of children with autism。Journal of Autism and Developmental Disorders,22(2),205-215。  new window
5.Gibson, C. H.(1995)。The process of empowerment in mothers of chronically ill children。Journal of Advanced Nursing,21(6),1201-1210。  new window
6.Austin, J. K.(1990)。Assessment of coping mechanisms used by parents and children with chronic illness。Maternal Child Nursing,15(2),98-102。  new window
7.Cole, M. P.(1990)。A parent's view of quality health care。Maternal Child Nursing,15,371-372。  new window
8.Finch, J.、Groves, D.(1984)。Community care: Developing nonsexist alternatives。Critical Social Policy,9,6-18。  new window
9.Diamond, J.(1994)。Family-centered care for children with chronic illnesses。Journal of Pediatric Health Care,8,196-197。  new window
10.Coyne, I. T.(1995)。Parental participation in care: A critical review of the literature。Journal of Advanced Nursing,21,716-722。  new window
11.Jessop, D. J.、Stein, R. K.(1988)。Essential concepts in the care of children with chronic illness。Pediatrician,15,5-12。  new window
12.Horowitz, A.(1985)。Sons and daughters as caregivers to older parents: Differences in role performance and consequences。The Gerontologist,25(5),612-617。  new window
13.Hatton, D. L.、Canam, C.、Thome, S.、Hughes, A. M.(1995)。Parents' perceptions of caring for an infant or toddler with diabetes。Journal of Advanced Nursing,22(3),569-577。  new window
14.Lynn-Mchale, D. J.、Smith, A.(1991)。Comprehensive assessment of families of critically ill。AACN Clinical Issues in Critical Care Nursing,2(2),195-209。  new window
15.Steele, K. H.(1987)。Caring parents of critically ill neonates during hospitalization: Strategies for health care professionals。Maternal Child Nursing,16(1),13-27。  new window
16.Schultz, C. L.、Smyrnios, K. X.、Grbich, C. F.、Schultz, N. C.(1993)。Caring for family caregivers in Australia: A model of psychoeducational support。Aging and Society,13(1),1-25。  new window
17.柯美加、徐曉萍、康秀萍、張維琴、張美娟、陳文慧、曾慶錨(19920300)。小兒加護病房患孩父母心理調適過程與輔導。榮總護理,9(1),9-14。new window  延伸查詢new window
18.Breslau, N.、Staruch, K. S.、Mortimer, E. A.(1982)。Psychological distress in mothers of disabled children。American Journal of Disease of Children,136,682-686。  new window
19.Clements, D. B.、Copeland, L. G.、Loftus, M.(1990)。Critical times for families with a chronically ill child。Pediatric Nursing,16(2),157-161。  new window
20.徐亞瑛、張媚(19921200)。都市及鄉村社區居家殘病中老年人家庭照顧者之照顧工作及照顧工作感受之探討。護理雜誌,39(4),57-64。new window  延伸查詢new window
21.白瑞生、黃愛娟(19910200)。慢性疾病兒童對家庭的影響。榮總護理,8(1),32-39。new window  延伸查詢new window
22.程子芸(19941200)。一位生下先天缺陷兒的母親其壓力源及克服行為。護理雜誌,41(4),39-48。new window  延伸查詢new window
23.Brody, Elaine M.(1981)。"Women in the Middle" and Family Help to Older People。The Gerontologist,21(5),471-480。  new window
學位論文
1.沈淑滿(1995)。重型β型海洋性貧血患童父母親的壓力、因應方式與需求之探討(碩士論文)。國立臺灣大學。  延伸查詢new window
2.劉雅惠(1995)。社區中情感性障礙病患主要照顧者的需要及影響因素(碩士論文)。高雄醫學院。  延伸查詢new window
3.曹堅華(1994)。β型重型海洋性貧血兒童之雙親的壓力源相對剝削壓力感與因應策略(碩士論文)。高雄醫學大學。  延伸查詢new window
4.曾紀瑩(1993)。癌症患童母親之壓力與調適行為(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.Miles, M. B.、Huberman, A. M.(1994)。Qualitative Data Analysis。Sage。  new window
2.余玉眉、田聖芳、蔣欣欣(1991)。質性研究:田野研究法於護理學之應用。臺北:巨流。  延伸查詢new window
3.Denzin, Norman K.、Lincoln, Yvonna S.(1994)。Handbook of Qualitative Research。Sage。  new window
4.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage Publications。  new window
5.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
 
 
 
 
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