Families' situation of caring for a child with a chronic condition: a mixed methods study.
Melissa Joice de Abreu Felizardo, Maísa Mara Lopes Macêdo, Nayara Luiza Henriques and 2 others
PMID 38466905WHAT IT FOUND
Most caregivers saw their child's life as normal despite chronic conditions, yet described constant care effort, worry, guilt, and dependence.
Ask families about these views before assuming they need less support.
Key findings
0138 participants (71.70%) scored above 15 on the child daily life scale, indicating they saw normality in the child's life despite the condition.
0233 participants (60.37%) scored more than 30 on the condition impact scale, indicating greater impact on family life.
0339 participants (73.59%) scored more than 12 on the management effort scale, meaning more attention and time were needed at home.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study is descriptive and cross-sectional, so it cannot show that a family's view causes better or worse management. Only 53 families were studied, and the children had different chronic conditions with different severities, so findings may not apply to a specific child. The scale's consistency was acceptable overall (0.89), but lower for the impact (0.56) and effort (0.51) subscales. Most respondents were mothers (47 of 53), so fathers' and other caregivers' perspectives were limited. Some interviews were by telephone rather than at home, which may limit observation of the care environment.
The easy way to misread this
Do not treat a score above 15 on the Child's Daily Life scale as proof that the child's condition is mild or that the family needs less support. Families with those scores still described dependence, medication, devices, and limited mobility.