分娩性臂丛神经损伤患儿家庭抗逆力生成机制质性研究  

Family resilience mechanisms in children with obstetrical brachial plexus palsy: a qualitative study

作　　者：张小菊 朱俞岚[2] 闫鹏飞 ZHANG Xiaoju;ZHU Yulan;YAN Pengfei(East China University of Political Science and Law,Shanghai 201620,China;Huashan Hospital,to Fudan University,Shanghai 200040,China)

机构地区：[1]华东政法大学,上海201620 [2]复旦大学附属华山医院,上海200040

出　　处：《现代医院》2024年第11期1776-1779,1785,共5页Modern Hospitals

基　　金：2023年上海市“医苑新星”青年医学人才培养资助计划“医务社工项目”(沪卫人事〔2024〕70号);复旦大学附属华山医院2024年度医院文化与医学人文研究课题(HSWH202409)。

摘　　要：目的通过调查动态系统中的分娩性臂丛神经损伤患儿家庭抗逆力的生成机制,为制定提升家庭抗逆力水平的干预措施提供有力依据。方法采用现象学研究方法,对10例分娩性臂丛神经损伤患儿主要照料者进行半结构式深入访谈,运用内容分析法对访谈资料进行分析。结果共提炼出3个主题,分别为损伤事件对家庭的巨大冲击、家庭对于损伤事件的积极应对、损伤性事件给家庭带来的隐痛。结论分娩性臂丛神经损伤患儿家庭总体抗逆力水平较高,但还需重视损伤事件给家庭带来的不良影响,巩固家庭损伤应对的积极成果,促进家庭功能恢复与提升。Objective To explore mechanisms of family resilience in children with obstetrical brachial plexus palsy(OBPP)and provide a basis for developing interventions to family resilience.Methods Semi-structured interviews were conducted with 10 primary caregivers,and data were analyzed through content analysis.Results Three themes were distilled,namely,great impact of the injurious event on the family,positive response of the family to the injurious event,and hidden pain that the injurious event brought to the family.Conclusion The overall resilience of families of OBPP children is in a high level.It is essential to address the adverse impact of the injurious event on the families,consolidate the positive results of the family’s response to the injury,and promote the restoration and enhancement of the family’s function.

关 键 词：分娩性臂丛神经损伤 家庭抗逆力 康复治疗 质性研究 

分 类 号：R714.46[医药卫生—妇产科学] R174[医药卫生—临床医学]