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

本研究的目的是为2004年至2007年间接受医疗护理的严重运动和智力残疾（SMID）儿童的母亲制定创伤后应激障碍（PTSD）经历的护理策略。最初，进行了文献综述，以确定为子女提供医疗护理的父母中PTSD的患病率。研究结果显示，PTSD/PTSS/Trauma在母亲身上表现出来。随后，根据文献回顾中收集的数据，使用生活故事方法定性地研究了为子女提供医疗服务的母亲的PTSD状况。结果表明，当母亲被告知其子女的状况需要医疗护理时，她们经历了创伤。研究还发现，母亲们在“做出接受医疗护理的决定”、“评估医疗护理的有效性”和“在医疗护理引入后提供护理”时感到“无助”、“责任”、“内疚”和“孤立”，为了制定预防创伤经历和从创伤经历中恢复的护理策略，对子女接受医疗护理的母亲进行了重点访谈。根据访谈数据，提取了以下护理要求：“做好准备”，“感到安全”和“被认可”。目前的研究结果被用来开发护理PTSD的父母谁提供照顾SMID谁需要医疗护理的儿童。

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.