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KMID : 0606120160220040247
Korean Journal of Child Health Nursing
2016 Volume.22 No. 4 p.247 ~ p.256
Mothers¡¯ Perceived Difficulties in the Management of Chronic Conditions of Children with Spina Bifida: A Qualitative Descriptive Approach
Lim Seoung-Wha

Yi Myung-Sun
Abstract
Purpose: The purpose of the study was to identify and describe the caregiving difficulties that mothers of children with spina bifida experience from their own perspectives.

Methods: A qualitative descriptive study was designed. Data were collected from five mini-focus group interviews and four individual interviews using open-ended questions. Nineteen mothers of children with mild spina bifida participated in the study during 2014-2015. Data were analyzed using qualitative content analysis to identify major difficulties perceived by the mothers.

Results: Five domains were identified with 12 subdomains. ¡°Daily routine continence management¡± describes difficulties arising in bladder and bowel management for the child with spina bifida. ¡°Management of school life of child¡± deals with difficulties in relation to the school facilities, such as the toilets, as well as teachers and friends. ¡°Relationship with family and neighbors¡± illustrates problems in relations with their spouse, normal children, relatives and neighbors. ¡°Maintaining physical and psychological health¡± includes physical and psychological problems of the mothers. ¡°Finance¡± describes economic burden that the mothers face in the management of child¡¯s illness.

Conclusion: The findings from this study provide insight into the practical issues related to the management of chronic conditions of children with spina bifida from the mothers¡¯ perspectives.
KEYWORD
Spinal dysraphism, Mothers, Qualitative research
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