Development of nursing care for posttraumatic stress disorder among parents who provide care for children with severe motor and intellectual disabilities who require medical care

本研究旨在为2004至2007年间接受医疗护理的严重运动和智力残疾儿童(SMID)的母亲制定创伤后应激障碍(PTSD)经历的护理策略。最初，为了确定为孩子提供医疗护理的父母中创伤后应激障碍的患病率，进行了一项文献综述。研究结果表明，创伤后应激障碍/创伤后应激障碍/创伤后应激障碍在母亲身上表现出来。随后，基于文献综述中收集的数据，采用生活故事方法定性地考察了为子女提供医疗服务的母亲的创伤后应激障碍状况。结果表明，当母亲被告知孩子的情况需要医疗护理时，她们经历了创伤。研究还发现，母亲在“决定接受医疗护理”、“评估医疗护理的效果”和“在医疗护理实施后提供护理”时感到“无助”、“有责任”、“内疚”和“孤立”。为了制定预防和恢复创伤经历的护理策略，对接受医疗护理的孩子的母亲进行了集中访谈。根据访谈数据，提炼出以下关怀要求：“做好准备”、“感觉安全”和“被认可”。本研究结果被用于在为需要医疗护理的SMID儿童提供护理的父母中开展对PTSD的护理。

The present study was conducted in order to develop nursing care strategies for posttraumatic stress disorder (PTSD) experiences among mothers of children with severe motor and intellectual disabilities (SMID) who received medical care between 2004 and 2007. Initially, a literature review was conducted in order to determine the prevalence of PTSD in parents who provide medical care for their children. The findings indicated that PTSD/PTSS/Trauma manifested itself in the mothers.Subsequently, based on data collected during the literature review, the life story method was used to qualitatively examine the conditions of PTSD among mothers who provide medical care to their children. The results demonstrated that the mothers experienced trauma when informed that the condition of their child requires medical care. It was also found that the mothers felt "helpless", "responsible", "guilty" and "isolated" while "making the decision to accept medical care", "evaluating the effectiveness of medical care" and "providing nursing care after the introduction of medical care".In order to develop care strategies for the prevention of and recovery from traumatic experiences, focused interviews were conducted on mothers whose children received medical care. Based on the interview data, the following requirements of care were extracted : "getting prepared", "feeling secure" and "being approved". The present results were used to develop nursing care for PTSD among parents who provide care to children with SMID who require medical care.