中华现代护理杂志2024,Vol.30Issue(12) :1575-1580.DOI:10.3760/cma.j.cn115682-20230812-00496

先天性白内障患儿照护者遮盖治疗体验的质性研究

Qualitative study on occlusion therapy experience in caregivers for children with congenital cataract

张亚南 谢婉花 项道满 王蒙蒙
中华现代护理杂志2024,Vol.30Issue(12) :1575-1580.DOI:10.3760/cma.j.cn115682-20230812-00496

先天性白内障患儿照护者遮盖治疗体验的质性研究

Qualitative study on occlusion therapy experience in caregivers for children with congenital cataract

张亚南 1谢婉花 2项道满 1王蒙蒙1
扫码查看

作者信息

  • 1. 广州医科大学附属妇女儿童医疗中心广东省儿童健康与疾病临床医学研究中心眼科,广州 510623
  • 2. 广州医科大学附属妇女儿童医疗中心广东省儿童健康与疾病临床医学研究中心门诊部,广州 510623
  • 折叠

摘要

目的 了解先天性白内障患儿照护者行遮盖治疗的真实体验,为先天性白内障患儿术后视力康复提供参考依据.方法 采用质性研究方法,采用目的抽样法,选取2022年10月—2023年4月在广州医科大学附属妇女儿童医疗中心就诊的14名先天性白内障患儿的照护者,应用现象学研究方法对其进行半结构式访谈.根据Colaizzi 7步分析法对访谈资料进行转录、编码、分析、提炼主题.结果 共提炼出3个主题,7个亚主题,分别为情绪体验(病耻感明显、正性发展);应对困难(遮盖初期存在困难、缺乏有效的应对方式、治疗信心受损);缺乏他人支持(缺乏专业支持、缺乏家庭支持).结论 先天性白内障患儿照护者存在明显的病耻感,进行遮盖治疗存在困难,缺乏有效的应对方式与他人支持.医护人员应关注照护者的心理状况,构建规范的术后视功能康复方案,合理利用健康教育手段,帮助其树立积极的治疗信念,完善医疗专业支持,促进家庭支持.

Abstract

Objective To understand the real experience of occlusion therapy in caregivers for children with congenital cataract,and provide reference for visual rehabilitation of children with congenital cataract after surgery.Methods This article adopts a qualitative research method,using the purposive sampling method,a total of 14 caregivers of children with congenital cataracts who visited Guangzhou Women and Children's Medical Center of Guangzhou Medical University from October 2022 to April 2023 were selected,and a semi-structured interview was conducted using phenomenological research methods.Transcription,coding,analysis and theme extraction of interview data was conduceted using Colaizzi 7-step analysis method.Results A total of three themes and seven sub themes were extracted,namely emotional experience(obvious sense of shame and positive development),difficulties in responding(difficulties in initial occlusion therapy,lack of effective coping methods and impaired confidence in treatment)and lack of support from others(lack of professional support and lack of family support).Conclusions Caregivers of children with congenital cataract have obvious stigma,difficulties in occlusion therapy and lack effective coping styles and support from others.Medical staff should pay attention to the psychology of the caregivers,build a standard postoperative visual function rehabilitation program,make reasonable use of health education means,help them establish positive treatment beliefs,improve medical professional support and promote family support.

关键词

儿童/先天性白内障/遮盖治疗/照护者/依从性/质性研究

Key words

Child/Congenital cataract/Occlusion therapy/Caregiver/Compliance/Qualitative study

引用本文复制引用

基金项目

广州市科学技术局2021年重点研发计划(202103000088)

广州市科学技术局2023年基础研究项目(2023A03J0913)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量21
段落导航相关论文