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Stress, Coping, Social Support and Adjustment Among Families of CHD Children in PICU After Heart Surgery

Saied, Hala
http://rave.ohiolink.edu/etdc/view?acc_num=case1152694720

Abstract Details

2006, Doctor of Philosophy, Case Western Reserve University, Nursing.
The admission of a child with congenital heart disease to the PICU after heart surgery is a uniquely stressful situation for both children and their parents and may impact how parents adjust to this situation. The purpose of this study was to explore the relationship between family and child demographic characteristics, stress, coping, social support and adjustment in families who have a child in the PICU after heart surgery. The study design was a non-experimental, descriptive correlational design. McCubbin and McCubbin’s Resiliency Model of Family Stress, Adjustment and Adaptation provided an organizing framework for the study. A convenience sample of 74 families (8 fathers, 66 mothers) participated in this study. Data were collected using a self-administrated questionnaire in two PICU hospitals in Cleveland, Ohio. Data were analyzed using descriptive statistics, Pearson r product-moment correlation, and simultaneous and hierarchical regression. Instruments used included a modified version of the Family Inventory of Life Events (FILE), the Parental Stressor Scale: PICU, Coping Health Inventory for Parents (CHIP), Inventory of Socially Supportive Behaviors (ISSB), and McMaster’s Family Assessment Device: FAD General Family Functioning and FAD Communication subscales. Stress due to the accumulation of intra-family strain and stressful family life events was significantly correlated with FAD general family functioning and FAD communication. Both fathers and mothers reported that the overall PICU experience was stressful for them and rated the parental role and the child’s behaviors and emotions as the most stressful dimension of their PICU experience. The participants in this study used the three coping patterns of CHIP in different degrees to cope with their situation. Coping pattern É was used more often as compared to the other two patterns. Based on regression analysis, only pattern I coping made the most significant contribution to predicting general family functioning. Controlling for the parent’s age, gender, marital status, prior surgery and the child’s age increased the explained variance to 46% on the FAD general functioning and to 33% on the FAD communication. Social support did not predict family adjustment in this study, but it worked as a moderator variable between intra-family strain, stressful family life events and FAD general family functioning. More family-based research is needed to study stress, coping, social support and adjustment in families faced with other chronic illnesses of childhood as well as CHD.
Carol Musil (Advisor)
PICU; SOCIAL SUPPORT; COPING; McCubbin; Congenital Heart; Intra-family; Stressful

Recommended Citations

Citations

  • Saied, H. (2006). Stress, Coping, Social Support and Adjustment Among Families of CHD Children in PICU After Heart Surgery [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1152694720

    APA Style (7th edition)

  • Saied, Hala. Stress, Coping, Social Support and Adjustment Among Families of CHD Children in PICU After Heart Surgery. 2006. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1152694720.

    MLA Style (8th edition)

  • Saied, Hala. "Stress, Coping, Social Support and Adjustment Among Families of CHD Children in PICU After Heart Surgery." Doctoral dissertation, Case Western Reserve University, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=case1152694720

    Chicago Manual of Style (17th edition)

case1152694720
10,843
© 2006, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.