Araştırma Makalesi
Yıl 2022,
Cilt: 5 Sayı: 2, 467 - 479, 30.09.2022
Öz
The research was conducted to determine the experiences of parents of children who had surgery in the Covid-19 pandemic. The sample of the study conducted as a qualitative study, consists of 14 parents between November-December 2021. Data were collected by face-to-face individual interview technique via a semi-structured question form. The recorded interviews were transcribed using a voice recorder. The Consolidated Criteria for Reporting Qualitative Research were used to structure and report the study. 13 of the parents are mothers and the average age is 32 (SD=4.7) years. The children were admitted to the service for appendectomy (n=4), inguinal hernia repair (n=4), orchiopexy (n=2) and VUR treatment (n=4). According to results of the content analysis, two main themes and six sub-themes were determined. The sub-themes of the main theme “Covid-19 and Emotions Related to Hospitalization” were “loneliness”, “fear”, “anger” and “hopelessness”, while the sub-dimensions of the main theme “Coping” were “positive clinical atmosphere”, “family support” and “experiences of other parents”. Supportive approaches of health professionals towards children and their parents, sharing of parents with similar experience and continuing communication with family members have been identified as sources of support perceived by parents in coping with stress.
Anahtar Kelimeler
Kaynakça
- American College of Surgeons. COVID-19 Guidelines for Triage of Pediatric Patients. [Erişim tarihi: 18 Mart 2022]; at https://www.facs.org/covid-19/clinical-guidance/elective-case/pediatric-surgery
- American College of Surgeons. COVID-19: Guidance for Triage of Non-Emergent Surgical Procedures. [Erişim tarihi: 3 Mart 2021]; https://www.facs.org/for-medical-professionals/covid-19/clinical-guidance/triage/
- Arora, V.M., Chivu, M., Schram, A., & Meltzer, D. (2020). Implementing physical distancing in the hospital: a key strategy to prevent nosocomial transmission of COVID-19. J Hosp Med, 15(5), 290-291. doi: 10.12788/jhm.3434
- Aydogdu, B., & Okur, M.H. (2021). COVİD 19 Hastalığı süreci ve çocuk cerrahisi, Dicle Tıp Dergisi, 48(Özel Sayı), 127-133. DOI:10.5798/dicletip.1005219
- Ayenew, N.T., Endalew, N.S., Agegnehu, A.F., & Bizuneh, Y.B. (2020). Prevalence and factors associated with preoperative parental anxiety among parents of children undergoing anesthesia and surgery: A cross-sectional study. Int J Surg Open 24, 18–26. https://doi.org/10.1016/j.ijso.2020.03.004
- Ben-Amitay, G., Kosov, I., Reiss, A., Toren, P., Yoran-Hegesh, R., Kotler, M., & Mozes, T. (2006). Is elective surgery traumatic for children and their parents?. Journal of paediatrics and child health, 42(10), 618–624. https://doi.org/10.1111/j.1440-1754.2006.00938.x
- Bevan, J. C., Johnston, C., Haig, M. J., Tousignant, G., Lucy, S., Kirnon, V., Assimes, I. K., & Carranza, R. (1990). Preoperative parental anxiety predicts behavioural and emotional responses to induction of anaesthesia in children. Canadian journal of anaesthesia=Journal canadien d'anesthesie, 37(2), 177–182. https://doi.org/10.1007/BF03005466
- Bsiri-Moghaddam, K., Basiri-Moghaddam, M., Sadeghmoghaddam, L., & Ahmadi, F. (2011). The concept of hospitalization of children from the view point of parents and children. Iranian journal of pediatrics, 21(2), 201–208
- Burnard, P. (1991). A method of analysing interview transcripts in qualitative research. Nurse Educ Today 11(6), 461–466. Cagiran, E., Sergin, D., Deniz, M.N., Tanattı, B., Emiroglu, N., & Alper, I. (2014). Effects of sociodemographic factors and maternal anxiety on preoperative anxiety in children. J Int Med Res 42, 572–580
- Committee on Hospital Care and Institute For Patient and Family-Centered Care. (2012). Patient and family-centered care and the pediatrician's role. Pediatrics, 129(2), 394–404
- Cucinotta, D., Vanelli M. (2020). WHO Declares COVID-19 a Pandemic. Acta Biomed. 91(1), 157-160. doi: 10.23750/abm.v91i1.9397
- Darlington, A. E., Morgan, J. E., Wagland, R., Sodergren, S. C., Culliford, D., Gamble, A., & Phillips, B. (2021). COVID-19 and children with cancer: Parents' experiences, anxieties and support needs. Pediatric blood & cancer, 68(2), e28790. https://doi.org/10.1002/pbc.28790
- Dedeilia, A, Esagian SM, Ziogas IA, Giannis D, Katsaros I, & Tsoulfas G. (2020). Pediatric surgery during the COVID-19 pandemic. World J Clin Pediatr, 9(2), 7-16
- Fortier, M. A., & Kain, Z. N. (2015). Treating perioperative anxiety and pain in children: a tailored and innovative approach. Paediatric anaesthesia, 25(1), 27–35. https://doi.org/10.1111/pan.12546
- Hockenberry MJ, Wilson D, Rodgers CC. (2021). Wong’s essentials of pediatric nursing. St Louis: Mosby Company, p.520-39. Jia, Y., Bao, J., Yi, M., Zhang, Z., Wang, J., Wang, H., Li, Y., & Chen, O. (2021). Impact of the COVID-19 pandemic on asthma control among children: a qualitative study from caregivers' perspectives and experiences. BMJ open, 11(5), e046525. https://doi.org/10.1136/bmjopen-2020-046525
- Kain, Z. N., Mayes, L. C., O'Connor, T. Z., & Cicchetti, D. V. (1996). Preoperative anxiety in children. Predictors and outcomes. Archives of pediatrics & adolescent medicine, 150(12), 1238–1245. https://doi.org/10.1001/archpedi.1996.02170370016002
- Koller, D. F., Nicholas, D. B., Goldie, R. S., Gearing, R., & Selkirk, E. K. (2006). When family-centered care is challenged by infectious disease: pediatric health care delivery during the SARS outbreaks. Qualitative health research, 16(1), 47–60. https://doi.org/10.1177/1049732305284010
- Mahmoud, M. A., Daboos, M., Gouda, S., Othman, A., Abdelmaboud, M., Hussein, M. E., & Akl, M. (2022). Telemedicine (virtual clinic) effectively delivers the required healthcare service for pediatric ambulatory surgical patients during the current era of COVID-19 pandemic: A mixed descriptive study. Journal of pediatric surgery, 57(4), 630–636. doi: 10.1016/j.jpedsurg.2021.11.018
- Milanesi, K., Collet, N., Oliveira, B.R.G., & Vieira, CS. (2006). Sofrimento psíquico da família de crianças hospitalizadas [Psychological suffering of the families of hospitalized chidren]. Rev Bras Enferm 59(6), 769-774
- Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. The Psychologist 28(8), 643-644
- Newell, C., Leduc-Pessah, H., Bell-Graham, L., Rasic, N., & Carter, K. (2020). Evaluating and Enhancing the Preparation of Patients and Families before Pediatric Surgery. Children (Basel, Switzerland), 7(8), 90. https://doi.org/10.3390/children7080090
- Özer, Özlü, N.G. & Vural, F. (2020). COVID- 19 pandemi sürecinde çocuk cerrahisinde uygulamalar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(2), 343-349. https://doi.org/10.17049/ataunihem.749206
- Palaganas, E.C., Sanchez, M.C., Molintas. M.V.P., & Caricativo, R.D. (2017). Reflexivity in qualitative research: A journey of learning. The Qualitative Report, 22(2), 426–438
- Rumor, P.C.F., Boehs, A.E. (2013). O impacto da hospitalização infantil nas rotinas das famílias monoparentais. [The impact of child hospitalization on the everyday lives of single parent families]. Rev Eletr Enferm 15(4), 1007-1015
- Spitzer M. (2020). Masked education? The benefits and burdens of wearing face masks in schools during the current Corona pandemic. Trends in neuroscience and education, 20, 100138. https://doi.org/10.1016/j.tine.2020.100138
- Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., Wang, H., Wang, C., Wang, Z., You, Y., Liu, S., & Wang, H. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American journal of infection control, 48(6), 592–598. https://doi.org/10.1016/j.ajic.2020.03.018
- Tekindal, M., Attepe, Ö.S., Gedik, T.E., Ege, A., Erim, F., & Tekindal, M.A. (2021). Nitel araştırmaların raporlanmasında standartlar: SRQR Kontrol Listesinin Türkçe uyarlaması. OPUS–Uluslararası Toplum Araştırmaları Dergisi 18(42), 5425-5443
- Virani, A.K., Puls, H.T., Mitsos, R., Longstaff, H., Goldman, R.D., & Lantos J. (2020). Benefits and risks of visitor restrictions for hospitalized children during the COVID Pandemic. Pediatrics, 146(2),1-6. doi: 10.1542/peds.2020-000786
Yıl 2022,
Cilt: 5 Sayı: 2, 467 - 479, 30.09.2022
Öz
Araştırma, Covid-19 pandemisinde ameliyat olan çocukların ebeveynlerinin deneyimlerini belirlenmek amacıyla yapılmıştır. Nitel çalışma olarak yürütülen araştırmanın örneklemini Kasım-Aralık 2021 tarihleri arasında 14 ebeveyn oluşturmaktadır. Veriler, yüz yüze bireysel görüşme tekniği ile yarı yapılandırılmış soru formu kullanılarak toplanmıştır. Ses kayıt cihazı kullanılarak kaydedilen görüşmeler yazıya aktarılmıştır. Çalışmayı yapılandırmak ve raporlamak için Niteliksel Araştırm yaş ortalaması 32 (SS=4.7) yıldır. Apendektomi (n=4), kasık fıtığı onarımı (n=4), orşiopeksi (n=2) ve VUR tedavisi (n=4) için çocukların sevise yatışı yapılmıştır. İçerik analizi sonucuna göre iki ana tema ve altı alt tema belirlenmiştir. “Covid-19 ve Hastanede Yatmaya İlişkin Duygular” ana temasının alt temaları “yalnızlık”, “korku”, “öfke” ve “umutsuzluk”, “Baş etme” ana temasının alt boyutları ise “olumlu klinik atmosfer”, “aile desteği” ve “diğer ebeveynlerin deneyimleri” dir. Sağlık profesyonellerinin çocuk ve ebeveynlerine yönelik destekleyici yaklaşımları, benzer deneyime sahip ebeveynlerin paylaşımları ve aile üyelerinin iletişiminin devam etmesi ebeveynlerin stresle baş etmede algıladıkları destek kaynakları olarak tespit edilmiştir.
Anahtar Kelimeler
Kaynakça
- American College of Surgeons. COVID-19 Guidelines for Triage of Pediatric Patients. [Erişim tarihi: 18 Mart 2022]; at https://www.facs.org/covid-19/clinical-guidance/elective-case/pediatric-surgery
- American College of Surgeons. COVID-19: Guidance for Triage of Non-Emergent Surgical Procedures. [Erişim tarihi: 3 Mart 2021]; https://www.facs.org/for-medical-professionals/covid-19/clinical-guidance/triage/
- Arora, V.M., Chivu, M., Schram, A., & Meltzer, D. (2020). Implementing physical distancing in the hospital: a key strategy to prevent nosocomial transmission of COVID-19. J Hosp Med, 15(5), 290-291. doi: 10.12788/jhm.3434
- Aydogdu, B., & Okur, M.H. (2021). COVİD 19 Hastalığı süreci ve çocuk cerrahisi, Dicle Tıp Dergisi, 48(Özel Sayı), 127-133. DOI:10.5798/dicletip.1005219
- Ayenew, N.T., Endalew, N.S., Agegnehu, A.F., & Bizuneh, Y.B. (2020). Prevalence and factors associated with preoperative parental anxiety among parents of children undergoing anesthesia and surgery: A cross-sectional study. Int J Surg Open 24, 18–26. https://doi.org/10.1016/j.ijso.2020.03.004
- Ben-Amitay, G., Kosov, I., Reiss, A., Toren, P., Yoran-Hegesh, R., Kotler, M., & Mozes, T. (2006). Is elective surgery traumatic for children and their parents?. Journal of paediatrics and child health, 42(10), 618–624. https://doi.org/10.1111/j.1440-1754.2006.00938.x
- Bevan, J. C., Johnston, C., Haig, M. J., Tousignant, G., Lucy, S., Kirnon, V., Assimes, I. K., & Carranza, R. (1990). Preoperative parental anxiety predicts behavioural and emotional responses to induction of anaesthesia in children. Canadian journal of anaesthesia=Journal canadien d'anesthesie, 37(2), 177–182. https://doi.org/10.1007/BF03005466
- Bsiri-Moghaddam, K., Basiri-Moghaddam, M., Sadeghmoghaddam, L., & Ahmadi, F. (2011). The concept of hospitalization of children from the view point of parents and children. Iranian journal of pediatrics, 21(2), 201–208
- Burnard, P. (1991). A method of analysing interview transcripts in qualitative research. Nurse Educ Today 11(6), 461–466. Cagiran, E., Sergin, D., Deniz, M.N., Tanattı, B., Emiroglu, N., & Alper, I. (2014). Effects of sociodemographic factors and maternal anxiety on preoperative anxiety in children. J Int Med Res 42, 572–580
- Committee on Hospital Care and Institute For Patient and Family-Centered Care. (2012). Patient and family-centered care and the pediatrician's role. Pediatrics, 129(2), 394–404
- Cucinotta, D., Vanelli M. (2020). WHO Declares COVID-19 a Pandemic. Acta Biomed. 91(1), 157-160. doi: 10.23750/abm.v91i1.9397
- Darlington, A. E., Morgan, J. E., Wagland, R., Sodergren, S. C., Culliford, D., Gamble, A., & Phillips, B. (2021). COVID-19 and children with cancer: Parents' experiences, anxieties and support needs. Pediatric blood & cancer, 68(2), e28790. https://doi.org/10.1002/pbc.28790
- Dedeilia, A, Esagian SM, Ziogas IA, Giannis D, Katsaros I, & Tsoulfas G. (2020). Pediatric surgery during the COVID-19 pandemic. World J Clin Pediatr, 9(2), 7-16
- Fortier, M. A., & Kain, Z. N. (2015). Treating perioperative anxiety and pain in children: a tailored and innovative approach. Paediatric anaesthesia, 25(1), 27–35. https://doi.org/10.1111/pan.12546
- Hockenberry MJ, Wilson D, Rodgers CC. (2021). Wong’s essentials of pediatric nursing. St Louis: Mosby Company, p.520-39. Jia, Y., Bao, J., Yi, M., Zhang, Z., Wang, J., Wang, H., Li, Y., & Chen, O. (2021). Impact of the COVID-19 pandemic on asthma control among children: a qualitative study from caregivers' perspectives and experiences. BMJ open, 11(5), e046525. https://doi.org/10.1136/bmjopen-2020-046525
- Kain, Z. N., Mayes, L. C., O'Connor, T. Z., & Cicchetti, D. V. (1996). Preoperative anxiety in children. Predictors and outcomes. Archives of pediatrics & adolescent medicine, 150(12), 1238–1245. https://doi.org/10.1001/archpedi.1996.02170370016002
- Koller, D. F., Nicholas, D. B., Goldie, R. S., Gearing, R., & Selkirk, E. K. (2006). When family-centered care is challenged by infectious disease: pediatric health care delivery during the SARS outbreaks. Qualitative health research, 16(1), 47–60. https://doi.org/10.1177/1049732305284010
- Mahmoud, M. A., Daboos, M., Gouda, S., Othman, A., Abdelmaboud, M., Hussein, M. E., & Akl, M. (2022). Telemedicine (virtual clinic) effectively delivers the required healthcare service for pediatric ambulatory surgical patients during the current era of COVID-19 pandemic: A mixed descriptive study. Journal of pediatric surgery, 57(4), 630–636. doi: 10.1016/j.jpedsurg.2021.11.018
- Milanesi, K., Collet, N., Oliveira, B.R.G., & Vieira, CS. (2006). Sofrimento psíquico da família de crianças hospitalizadas [Psychological suffering of the families of hospitalized chidren]. Rev Bras Enferm 59(6), 769-774
- Morrow, R., Rodriguez, A., & King, N. (2015). Colaizzi’s descriptive phenomenological method. The Psychologist 28(8), 643-644
- Newell, C., Leduc-Pessah, H., Bell-Graham, L., Rasic, N., & Carter, K. (2020). Evaluating and Enhancing the Preparation of Patients and Families before Pediatric Surgery. Children (Basel, Switzerland), 7(8), 90. https://doi.org/10.3390/children7080090
- Özer, Özlü, N.G. & Vural, F. (2020). COVID- 19 pandemi sürecinde çocuk cerrahisinde uygulamalar. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(2), 343-349. https://doi.org/10.17049/ataunihem.749206
- Palaganas, E.C., Sanchez, M.C., Molintas. M.V.P., & Caricativo, R.D. (2017). Reflexivity in qualitative research: A journey of learning. The Qualitative Report, 22(2), 426–438
- Rumor, P.C.F., Boehs, A.E. (2013). O impacto da hospitalização infantil nas rotinas das famílias monoparentais. [The impact of child hospitalization on the everyday lives of single parent families]. Rev Eletr Enferm 15(4), 1007-1015
- Spitzer M. (2020). Masked education? The benefits and burdens of wearing face masks in schools during the current Corona pandemic. Trends in neuroscience and education, 20, 100138. https://doi.org/10.1016/j.tine.2020.100138
- Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., Wang, H., Wang, C., Wang, Z., You, Y., Liu, S., & Wang, H. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American journal of infection control, 48(6), 592–598. https://doi.org/10.1016/j.ajic.2020.03.018
- Tekindal, M., Attepe, Ö.S., Gedik, T.E., Ege, A., Erim, F., & Tekindal, M.A. (2021). Nitel araştırmaların raporlanmasında standartlar: SRQR Kontrol Listesinin Türkçe uyarlaması. OPUS–Uluslararası Toplum Araştırmaları Dergisi 18(42), 5425-5443
- Virani, A.K., Puls, H.T., Mitsos, R., Longstaff, H., Goldman, R.D., & Lantos J. (2020). Benefits and risks of visitor restrictions for hospitalized children during the COVID Pandemic. Pediatrics, 146(2),1-6. doi: 10.1542/peds.2020-000786
Toplam 28 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Hemşirelik |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2022 |
| Gönderilme Tarihi | 24 Ağustos 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 5 Sayı: 2 |
