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Parenting experiences among fathers of prematurely-born children with cerebral palsy in South Korea

  • Park, Jisun (Seoul National University Hospital) ;
  • Bang, Kyung-Sook (College of Nursing, Research Institute of Nursing Science, Seoul National University)
  • Received : 2020.12.19
  • Accepted : 2021.01.12
  • Published : 2021.01.31

Abstract

Purpose: The symptoms and impairments caused by cerebral palsy usually require long-term treatment, resulting in a substantial burden on the family of affected children. This study explored the experiences of fathers with prematurely-born children with cerebral palsy, with a focus on how such experiences influenced their families. Methods: A qualitative case study method was used. Nine subjects were recruited from April 2018 to June 2019 at one hospital, and each was interviewed three times by a neonatal nurse. Results: Five core experiences of fathers were identified: "regret for an insufficient initial response", "confronting my child born as a premature baby", "the position of being a dad who can't do anything", "the process of treatment like a tunnel with no exit", and "a father's getting meaning in life through children". These stories covered an individual's timeline and family interactions. Conclusion: Our findings suggest that fathers of prematurely-born children tend to suppress their emotions; therefore, a novel intervention program to encourage fathers' emotional expression and to support healthier interactions with their families is needed. Moreover, our findings could contribute basic information for the construction of a community-based support system to aid families, including prematurely-born children and other persons with impairments.

Keywords

References

  1. Statistics Korea. Birth statistics in 2019 [Internet]. Daejeon: Statistics Korea; 2020 [Cited 2020 December 19]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/2/1/index.board?bmode=read&bSeq=&aSeq=384631&pageNo=2&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=
  2. Gorzilio DM, Garrido E, Gaspardo CM, Martinez FE, Linhares MBM. Neurobehavioral development prior to term-age of preterm infants and acute stressful events during neonatal hospitalization. Early Human Development. 2015;91(12):769-775. https://doi.org/10.1016/j.earlhumdev.2015.09.003
  3. Perez-Pereira M, Fernandez P, Gomez-Taibo M, Gonzalez L, Trisac JL, Casares J, et al. Neurobehavioral development of preterm and full term children: Biomedical and environmental influences. Early Human Development. 2013;89(6):401-409. https://doi.org/10.1016/j.earlhumdev.2012.12.008
  4. Kim S, Song IG, Kim YJ, Kim YJ, Shin SH, Lee SH, et al. Outpatient follow-up status and neurodevelopmental outcomes of extremely low birth weight infants. Journal of the Korean Society of Neonatology. 2012;19(1):17-25. https://doi.org/10.5385/jksn.2012.19.1.17
  5. Mikkola K, Ritari N, Tommiska V, Salokorpi T, Lehtonen L, Tammela O, et al. Neurodevelopmental outcome at 5 years of age of a national cohort of extremely low birth weight infants who were born in 1996-1997. Pediatrics. 2005;116(6):1391-1400. https://doi.org/10.1542/peds.2005-0171
  6. Wilson-Costello D, Friedman H, Minich N, Fanaroff AA, Hack M. Improved survival rates with increased neurodevelopmental disability for extremely low birth weight infants in the 1990s. Pediatrics. 2005;115(4):997-1003. https://doi.org/10.1542/peds.2004-0221
  7. Basaran A, Karadavut KI, Uneri SO, Balbaloglu O, Atasoy N. The effect of having children with cerebral palsy on quality of life, burn-out, depression and anxiety scores: A comparative study. European Journal of Physical and Rehabilitation Medicine. 2013; 49(6):815-822.
  8. Cheshire A, Barlow JH, Powell LA. The psychosocial wellbeing of parents of children with cerebral palsy: A comparison study. Disability and Rehabilitation. 2010;32(20):1673-1677. https://doi.org/10.3109/09638281003649920
  9. Unsal-Delialioglu S, Kaya K, Ozel S, Gorgulu G. Depression in mothers of children with cerebral palsy and related factors in Turkey: A controlled study. International Journal of Rehabilitation Research. 2009;32(3):199-204. https://doi.org/10.1097/MRR.0b013e32832607b6
  10. Kim JW, Kim YJ. Analysis of trends in research on Korean fathers with young children published in journals between 1980 and 2006. Family and Environment Research. 2007;45(5):25-38.
  11. Yang S. Men's fathering experiences focused on tensions and conflict of multiple roles. Journal of Digital Convergence. 2013;11 (2):375-383. https://doi.org/10.14400/JDPM.2013.11.2.375
  12. Han A. The perceptions on the fatherhood of fathers with young children: Q-methodological approach [master's thesis]. Busan: Pusan National University; 2015. p. 1-109.
  13. Yin RK. Case study research: Design and methods. 5th ed. Los Angeles: Sage publications; 2013.
  14. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco: Jossey-Bass; 1981.
  15. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  16. Park JE, Lee BS. Experience of becoming a father of a high risk premature infant. Journal of Korean Academy of Nursing. 2017;47(2):277-288. https://doi.org/10.4040/jkan.2017.47.2.277
  17. Hugill K, Letherby G, Reid T, Lavender T. Experiences of fathers shortly after the birth of their preterm infants. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2013;42(6):655-663. https://doi.org/10.1111/1552-6909.12256
  18. Choi E, Lee Y. A mother's experience of hospitalization of her newborn in the neonatal intensive care unit. Child Health Nursing Research. 2018;24(4):407-419. https://doi.org/10.4094/chnr.2018.24.4.407
  19. Kim TI. A study on the perceived stress level of mothers in the neonatal intensive care unit patients. Child Health Nursing Research. 2000;6(2):224-239.
  20. Feeley N, Waitzer E, Sherrard K, Boisvert L, Zelkowitz P. Fathers' perceptions of the barriers and facilitators to their involvement with their newborn hospitalised in the neonatal intensive care unit. Journal of Clinical Nursing. 2013;22(3-4):521-530. https://doi.org/10.1111/j.1365-2702.2012.04231.x
  21. Lundqvist P, Westas LH, Hallstrom I. From distance toward proximity: Fathers lived experience of caring for their preterm infants. Journal of Pediatric Nursing. 2007;22(6):490-497. https://doi.org/10.1016/j.pedn.2007.04.008
  22. Hollywood M, Hollywood E. The lived experiences of fathers of a premature baby on a neonatal intensive care unit. Journal of Neonatal Nursing. 2011;17(1):32-40. https://doi.org/10.1016/j.jnn.2010.07.015
  23. Howe TH, Sheu CF, Wang TN, Hsu YW. Parenting stress in families with very low birth weight preterm infants in early infancy. Research in Developmental Disabilities. 2014;35(7):1748-1756. https://doi.org/10.1016/j.ridd.2014.02.015
  24. Tooten A, Hoffenkamp HN, Hall RA, Braeken J, Vingerhoets AJ, Bakel HJ. Parental perceptions and experiences after childbirth: A comparison between mothers and fathers of term and preterm infants. Birth. 2013;40(3):164-171. https://doi.org/10.1111/birt.12052
  25. Kim ES, Cho YA. The effect of fathers' kangaroo care experience of preterm babies on paternal attachment. Journal of Korean Critical Care Nursing. 2017;10(2):45-55.
  26. Lee SJ, Choi EK, Park J, Kim HS. Correlations between a flexible parental visiting environment and parental stress in neonatal intensive care units. Child Health Nursing Research. 2019;25(4):377-387. https://doi.org/10.4094/chnr.2019.25.4.377
  27. Kang HJ. Experiences of mothers of premature infants receiving rehabilitation therapy. Child Health Nursing Research. 2018;24(3):298-309. https://doi.org/10.4094/chnr.2018.24.3.298
  28. Kim M. New types of masculinity represented in TV and its limitations: Focusing on weekend variety programs. The Journal of the Korea Contents Association. 2014;4(1):88-96. https://doi.org/10.5392/JKCA.2014.14.01.088
  29. Ji ES, Byun JL, Park HW, Kim MH. Study on the effects of the family support in the very low birth weight infants follow-up: Focus on Dodam Dodam bring-up center. Korean Journal of Perinatology. 2014;25(2):75-82. https://doi.org/10.14734/kjp.2014.25.2.75
  30. Chang YS. Future of neonatology in Korea: The way forward. Journal of the Korean Medical Association. 2016;59(7):506-513. https://doi.org/10.5124/jkma.2016.59.7.506