Pediatric cardiac surgery under the parents sight: a qualitative study

• Published in: Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular Vol. 26; no. 1; p. 36
• Main Authors: Salgado, Christiana Leal, Lamy, Zeni Carvalho, Nina, Rachel Vilela de Abreu Haickel, de Melo, Lívia Arruda, Lamy Filho, Fernando, Nina, Vinicus José da Silva
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil 01-01-2011
• Subjects: Adaptation, Psychological - physiology; Cardiac Surgical Procedures - psychology; Child; Female; Heart Defects, Congenital - psychology; Heart Defects, Congenital - surgery; Humans; Male; Mothers - psychology; Parents - psychology; Qualitative Research
• DOI: 10.1590/S0102-76382011000100009

Congenital heart defects can often be corrected through surgery, providing for parents to expect a normal life, but the hospitalization experience often early, causes more pain, for which surgery is the worst moment.
The aim of this study was to analyze the experience of families of children undergoing cardiac surgery and to identify the coping resources used by the families.
A qualitative approach was the metodology of choice for this study, which took place with six semi-structured interviews and 100 hours of observation. Thematic analysis was used to understand the data.
The results were categorized into four themes: feelings and emotions facing the illness of the child; heart disease under the watchful mother, mother and child on the ICU and coping resources. The speech of mothers demonstrated the importance of the heart due to its symbolism that enhances their emotional fragility in the face of illness. Religiosity and a solid social network of support were contributing factors for the maintenance of the adaptive behaviors. The presence of mothers in all stages of the child's treatment contributed to minimizing the suffering generated by hospitalization.
The experience of families was characterized by ambivalent feelings such as fear of death, guilt and helplessness against the different stages of treatment. The anguish and anxiety prevailed in the face of unknown situations when information were required before therapeutic procedures, hospital routines and the actual life situation of the families.