Maternal Psychological Distress and Parenting Stress After Gastrostomy Placement in Children
Maternal Psychological Distress and Parenting Stress After Gastrostomy Placement in Children
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DOI：
10.1097/mpg.0b013e31826078bd
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发表时间：
2012-11-01
影响因子：
2.9
通讯作者：
Emblem, Ragnhild
中科院分区：
文献类型：
--
作者：
Avitsland, Tone Lise;Faugli, Anne;Emblem, Ragnhild
方法：采用一般健康问卷(GHQ)、事件影响量表(IES)、育儿压力指数(PSI)对34例胃造口术前、术后6个月和18个月的儿童母亲进行心理困扰和父母压力的测评。记录患儿健康状况和远期胃造瘘术并发症情况。为本研究构建的半结构访谈探讨了母亲的术前期望和儿童的生活质量。结果：插入胃造口术对呕吐或体重身高比低百分位数的儿童数量没有显著影响。所有的儿童都经历了腹膜周围并发症。尽管如此，母亲的总体心理痛苦在6个月和18个月后显著减少，大多数母亲(85%)报告说，她们的术前期望得到满足，孩子的生活质量在放置胃造口术后得到改善。母亲对孩子喂养问题的关注(以侵入性压力衡量)对母亲的总体心理痛苦有影响。结论：尽管经常发生造口并发症，但胃造口术显著减轻了母亲的心理痛苦，提高了孩子的生活质量。
Objectives: The aim of the study was to evaluate stress in mothers of children with feeding problems before and after gastrostomy placement, and to identify changes in child health and variables affecting maternal stress.Methods: Psychological distress and parenting stress in 34 mothers of children referred for gastrostomy were assessed using General Health Questionnaire (GHQ) (overall psychological distress), Impact of Event Scale (IES) (intrusive stress related to child's feeding problems), and Parenting Stress Index (PSI) (stress related to parenting) before, 6, and 18 months after placement of a gastrostomy. Information of child health and long-term gastrostomy complications were recorded. A semistructured interview constructed for the present study explored maternal preoperative expectations and child's quality of life.Results: Insertion of a gastrostomy did not significantly influence vomiting or the number of children with a low weight-for-height percentile. All of the children experienced peristomal complications. Despite this, mothers' overall psychological distress was significantly reduced after 6 and 18 months, and the majority of mothers (85%) reported that their preoperative expectations were fulfilled and that the child's quality of life was improved after gastrostomy placement. Maternal concerns for the child's feeding problems, measured as intrusive stress, had effect on maternal overall psychological distress.Conclusions: Despite frequent stomal complications the gastrostomy significantly reduced the mothers' psychological distress and improved the child's quality of life as reported by the mother.