여성건강간호학회지 (Women's Health Nursing)

  • 제27권3호
  • /
  • Pages.220-229
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  • 2021
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  • 3022-7666(pISSN)
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  • 3022-8247(eISSN)
한국여성건강간호학회 (Korean Society of Women Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

Mothers' experience of caring for home-quarantined children after close contact with COVID-19 in Korea: an exploratory qualitative study

  • Lee, Hyeyeon (College of Nursing and Brain Korea 21 FOUR Project, Yonsei University) ;
  • Kim, Mihui (College of Nursing and Brain Korea 21 FOUR Project, Yonsei University) ;
  • Kim, Ocksim (College of Nursing and Brain Korea 21 FOUR Project, Yonsei University) ;
  • Kim, Sue (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Choi, Seongmi (College of Nursing and Brain Korea 21 FOUR Project, Yonsei University)
  • 투고 : 2021.08.06
  • 심사 : 2021.09.11
  • 발행 : 2021.09.30
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초록

Purpose: The world saw a shift into a new society consequent to the coronavirus disease 2019 (COVID-19), which made home quarantine mandatory for a person in close contact with those who tested positive. For children, however, home quarantine was not limited only to themselves but parents, especially mothers were involved and required to quarantine. This qualitative study aims to explore and understand mothers' experience and their related psychosocial issues while caring for their school-aged children in Korea, who had to home quarantine after coming in close contact with COVID-19 positive individuals. Methods: Data were collected from October 2020 to January 2021 via in-depth, semi-structured interviews with nine mothers of children who had to home quarantine. Interviews were conducted face-to-face in an independent space near the participant's home or workplace (n=5) or via online platforms or telephone (n=4). The data were analyzed using thematic analysis through several iterative team meetings. Results: Thematic analysis revealed the following four themes: "Unable to be relieved due to uncertain situations surrounding me," "Blame and hurt toward me, others, and one another," "Pulling myself together for my children in my broken daily life," and "Changes in the meaning of life amid COVID-19." Conclusion: The narratives show that mothers experienced psychosocial difficulties while caring for their children during home quarantine. It is necessary to reduce the social stigma toward individuals in home quarantine and establish policies to ensure work-family compatibility for such mothers.

키워드

과제정보

We wish to thank the mothers who shared their personal stories with us.

참고문헌

  1. Ministry of Health Welfare. Overview of the social distancing rules [Internet]. Sejong: Author; 2021 [cited 2021 Jun 28]. Available from: http://ncov.mohw.go.kr/socdisBoardView.do?brdId= 6&brdGubun=1
  2. Centers for Disease Control and Prevention. When to quarantine [Internet]. Atlanta (GA): Author; 2021 [updated 2021 Mar 12; cited 2021 Jun 24]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html
  3. Jin M, Sung M, Son A, Yoo J, Lee J, Jang Y. Changes in family life and relationships during the COVID-19 pandemic and their associations with perceived stress. Fam Environ Res. 2020;58(3):447-461. https://doi.org/10.6115/fer.2020.032
  4. Ministry of Health Welfare. Cases in Korea [Internet]. Sejong: Author; 2021 [cited 2021 Aug 24]. Available from: http://ncov.mohw.go.kr/bdBoardList_Real.do?brdId=&brdGubun=&ncvContSeq=&contSeq=&board_id=&gubun=
  5. Ministry of Health Welfare. Daily change of cases in Korea [Internet]. Sejong: Author; 2021 [cited 2021 Aug 24]. Available from: http://ncov.mohw.go.kr/board/doFileDownload.do?file_name=%EC%BD%94%EB%A1%9C%EB%82%98%EB%B0%94%EC%9D%B4%EB%9F%AC%EC%8A%A4%EA%B0%90%EC%97%BC%EC%A6%9D-19%20%ED%99%95%EC%A7%84%ED%99%98%EC%9E%90%20%EB%B0%9C%EC%83%9D%ED%98%84%ED%99%A9_20210825.xlsx&file_path=/upload/ncov/file/202108/1629851537428_20210825093217.xlsx
  6. Wang G, Zhang Y, Zhao J, Zhang J, Jiang F. Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet. 2020;395(10228):945-947. https://doi.org/10.1016/S0140-6736(20)30547-X
  7. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
  8. Central Disease Control Headquarters; The Korea Society of Pediatric Infectious Diseases. Guide for guardians caring for children in home-quarantine (treatment). Sejong: Ministry of Health Welfare; 2020.
  9. Cluver L, Lachman JM, Sherr L, Wessels I, Krug E, Rakotomalala S, et al. Parenting in a time of COVID-19. Lancet. 2020;395(10231):e64. https://doi.org/10.1016/S0140-6736(20)30736-4
  10. Cameron EE, Joyce KM, Delaquis CP, Reynolds K, Protudjer JLP, Roos LE. Maternal psychological distress & mental health service use during the COVID-19 pandemic. J Affect Disord. 2020;276:765-774. https://doi.org/10.1016/j.jad.2020.07.081
  11. Davenport MH, Meyer S, Meah VL, Strynadka MC, Khurana R. Moms are not ok: COVID-19 and maternal mental health. Front Glob Womens Health. 2020;1(1):1. https://doi.org/10.3389/fgwh.2020.00001
  12. Griffith AK. Parental burnout and child maltreatment during the COVID-19 pandemic. J Fam Violence. 2020;1-7. https://doi.org/10.1007/s10896-020-00172-2
  13. Limbers CA, McCollum C, Greenwood E. Physical activity moderates the association between parenting stress and quality of life in working mothers during the COVID-19 pandemic. Ment Health Phys Act. 2020;19:100358. https://doi.org/10.1016/j.mhpa.2020.100358
  14. Central Disease Control Headquarters; Central Disaster Management Headquarters. COVID-19 response guidelines (for local governments). 9-4 ed. Cheongju: Korea Disease Control and Prevention Agency; 2020.
  15. Ministry of Health Welfare. South Korea's quarantine system [Internet]. Sejong: Author; 2021 [updated 2021 Mar 10; cited 2021 Jun 24]. Available from: http://ncov.mohw.go.kr/baroView2.do
  16. Kim H, Park KJ, Shin YW, Lee JS, Chung S, Lee T, et al. Psychological impact of quarantine on caregivers at a children's hospital for contact with case of COVID-19. J Korean Med Sci. 2020;35(28):e255. https://doi.org/10.3346/jkms.2020.35.e255
  17. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. http://doi.org/10.1191/1478088706qp063oa
  18. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357. https://doi.org/10.1093/intqhc/mzm042
  19. Polkinghorne DE. Phenomenological research methods. Existential-phenomenological perspectives in psychology. New York: Springer; 1989. p. 41-60.
  20. Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park (CA): Sage Publications; 1985. https://doi.org/10.1016/0147-1767(85)90062-8
  21. Anney VN. Ensuring the quality of the findings of qualitative research: looking at trustworthiness criteria. JETERAPS. 2014;5(2):272-281.
  22. Bennett P, Noble S, Johnston S, Jones D, Hunter R. COVID-19 confessions: a qualitative exploration of healthcare workers experiences of working with COVID-19. BMJ Open. 2020;10(12):e043949. https://doi.org/10.1136/bmjopen-2020-043949
  23. Deal A, Hayward SE, Huda M, Knights F, Crawshaw AF, Carter J, et al. Strategies and action points to ensure equitable uptake of COVID-19 vaccinations: A national qualitative interview study to explore the views of undocumented migrants, asylum seekers, and refugees. J Migr Health. 2021;4:100050. https://doi.org/10.1016/j.jmh.2021.100050
  24. O'Sullivan K, Clark S, McGrane A, Rock N, Burke L, Boyle N, et al. A qualitative study of child and adolescent mental health during the COVID-19 pandemic in Ireland. Int J Environ Res Public Health. 2021;18(3):1062. https://doi.org/10.3390/ijerph18031062
  25. Won S. State policy? Traditional gender stereotypes? Relative contributions of factors affecting positive work-family interface for working mothers in Korea. Gend Work Organ. 2016;23(2):147-164. http://doi.org/10.1111/gwao.12118
  26. Uddin M. Addressing work-life balance challenges of working women during COVID-19 in Bangladesh. Int Soc Sci J. 2021;71(239-240):7-20. https://doi.org/10.1111/issj.12267
  27. Korea Ministry of Government Legislation. Laws to be enforced in first half of 2020 [Internet]. Sejong: Author; 2019 [updated 2019 Dec 26; cited 2021 Jun 24]. Available from: https://www.moleg.go.kr/board.es?mid=a10501000000&bid=0048&tag=&act=view&list_no=89932&nPage=1
  28. Chung I. International responses to child care problems caused by COVID-19 and their implications. Glob Soc Secur Rev. 2020;13(Summer):47-59.
  29. Sun S, Goldberg SB, Lin D, Qiao S, Operario D. Psychiatric symptoms, risk, and protective factors among university students in quarantine during the COVID-19 pandemic in China. Glob Health. 2021;17(1):15. http://doi.org/10.1186/s12992-021-00663-x
  30. Karatzias T, Shevlin M, Murphy J, McBride O, Ben-Ezra M, Bentall RP, et al. Posttraumatic stress symptoms and associated comorbidity during the COVID-19 pandemic in Ireland: a population-based study. J Trauma Stress. 2020;33(4):365-370. https://doi.org/10.1002/jts.22565
  31. Vazquez C, Valiente C, Garcia FE, Contreras A, Peinado V, Trucharte A, et al. Post-traumatic growth and stress-related responses during the COVID-19 pandemic in a national representative sample: the role of positive core beliefs about the world and others. J Happiness Stud. 2021 Jan 11 [Epub]. https://doi.org/10.1007/s10902-020-00352-3
  32. National Center for Disaster Trauma. Disaster mental health service operating system [Internet]. Seoul: Author; 2021 [cited 2021 Jun 24]. Available from: https://nct.go.kr/businessIntro/business01.do
  33. Park H, Yu S. Mental healthcare policies in South Korea during the COVID-19 epidemic. Health Policy Technol. 2020;9(3):279-280. https://doi.org/10.1016/j.hlpt.2020.06.006
  34. Bhattacharya P, Banerjee D, Rao TS. The "untold" side of COVID-19: social stigma and its consequences in India. Indian J Psychol Med. 2020;42(4):382-386. https://doi.org/10.1177/0253717620935578
  35. Lohiniva AL, Dub T, Hagberg L, Nohynek H. Learning about COVID-19-related stigma, quarantine and isolation experiences in Finland. PLoS One. 2021;16(4):e0247962. https://doi.org/10.1371/journal.pone.0247962
  36. Stangl AL, Earnshaw VA, Logie CH, van Brakel W, C Simbayi L, Barre I, et al. The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC Med. 2019;17(1):31. https://doi.org/10.1186/s12916-019-1271-3
  37. Ryu K, Cho SH. The effects of visual information on anxiety and uncertainty in elderly patients after the total knee arthroplasty. J Muscle Jt Health. 2015;22(1):48-56. http://doi.org/10.5953/JMJH.2015.22.1.48
  38. Yang I, Kim H, Jang Y, Kang YA. Associations among uncertainty, depression, and anxiety in isolated inpatients. J Korean Acad Psychiatr Ment Health Nurs. 2019;28(3):216-225. http://doi.org/10.12934/jkpmhn.2019.28.3.216
  39. Moon SH, Oh E, You SY. The changed parenting experiences of mothers of elementary school students in the face of the COVID-19 pandemic. J Korean Acad Community Health Nurs. 2021;32(2):162. https://doi.org/10.12799/jkachn.2021.32.2.162
  40. Haj-Yahia MM, Sokar S, Hassan-Abbas N, Malka M. The relationship between exposure to family violence in childhood and post-traumatic stress symptoms in young adulthood: the mediating role of social support. Child Abuse Negl. 2019;92:126-138. http://doi.org/10.1016/j.chiabu.2019.03.023
  41. Kalaitzaki A. Posttraumatic symptoms, posttraumatic growth, and internal resources among the general population in Greece: A nation-wide survey amid the first COVID-19 lockdown. Int J Psychol. 2021;56(5):766-771. https://doi.org/10.1002/ijop.12750
  42. Chen D, Song F, Tang L, Zhang H, Shao J, Qiu R, et al. Quarantine experience of close contacts of COVID-19 patients in China: a qualitative descriptive study. Gen Hosp Psychiatry. 2020;66:81-88. https://doi.org/10.1016/j.genhosppsych.2020.07.006