Parent and Family Functioning after a Preschooler's Head Trauma: 6 Months Post-Discharge

2.50
Hdl Handle:
http://hdl.handle.net/10755/153066
Type:
Presentation
Title:
Parent and Family Functioning after a Preschooler's Head Trauma: 6 Months Post-Discharge
Abstract:
Parent and Family Functioning after a Preschooler's Head Trauma: 6 Months Post-Discharge
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Youngblut, JoAnne, PhD, RN, FAAN
P.I. Institution Name:Florida International University
Title:Professor
Co-Authors:Dorothy Brooten, PhD, RN, FAAN
[Research Paper or Poster Presentation] Aims: Investigate effects of a preschool child's head trauma on mothers' mental health, mother-child relationship, and family functioning 6 months after the child's hospital discharge. Methods: Sample - 89 mothers of previously healthy preschool children hospitalized with head injury û event where head trauma was possible, at least one physical finding suggesting head injury. Exclusion criteria û severe cognitive deficits prior to injury, suspected child abuse, child being evaluated with brain death criteria, parent(s) hospitalized or died in injury event. 51% of the mothers were white, 33% Black, 16% Hispanic; 67% were partnered. 53% of the children were hospitalized initially in the PICU. Most sustained only head injury, and 40% experienced loss of consciousness at the scene. Half of the head injuries were serious (19%) or severe (30%). Based on Family Resiliency Model, mothers completed Mental Health Inventory (MHI), Parenting Stress Index, FACES II, Multidimensional Scale of Perceived Social Support at 6 months post-discharge and perceived injury severity, Parental Stressor Scale: PICU, MHI (baseline) at 24-48 hours after hospital admission. Injury severity scale was completed through chart review. Results: Mothers' mental health, mother-child relationship, and family functioning did not differ between the PICU group and the general care unit group (t-tests). Bivariate correlations indicated that greater maternal stress (PSS:PICU) in the hospital, lower baseline mental health, longer hospital stays, and greater injury severity were related to decreased psychological wellbeing for mothers at 6 months post-discharge. Mothers' greater psychological distress in the hospital was related to greater parenting stress and psychological distress, and lower family cohesion at 6 months post-discharge. Continuing social support was related to great family cohesion and adaptability, less distress and greater wellbeing at 6 months. Conclusions: Baseline mental health and ongoing social support had important influences on mother, mother-child, and family outcomes at 6 months. Funding: NINR #R01 NR04430.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleParent and Family Functioning after a Preschooler's Head Trauma: 6 Months Post-Dischargeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153066-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Parent and Family Functioning after a Preschooler's Head Trauma: 6 Months Post-Discharge</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Youngblut, JoAnne, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Florida International University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">youngblu@fiu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Dorothy Brooten, PhD, RN, FAAN</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Aims: Investigate effects of a preschool child's head trauma on mothers' mental health, mother-child relationship, and family functioning 6 months after the child's hospital discharge. Methods: Sample - 89 mothers of previously healthy preschool children hospitalized with head injury &ucirc; event where head trauma was possible, at least one physical finding suggesting head injury. Exclusion criteria &ucirc; severe cognitive deficits prior to injury, suspected child abuse, child being evaluated with brain death criteria, parent(s) hospitalized or died in injury event. 51% of the mothers were white, 33% Black, 16% Hispanic; 67% were partnered. 53% of the children were hospitalized initially in the PICU. Most sustained only head injury, and 40% experienced loss of consciousness at the scene. Half of the head injuries were serious (19%) or severe (30%). Based on Family Resiliency Model, mothers completed Mental Health Inventory (MHI), Parenting Stress Index, FACES II, Multidimensional Scale of Perceived Social Support at 6 months post-discharge and perceived injury severity, Parental Stressor Scale: PICU, MHI (baseline) at 24-48 hours after hospital admission. Injury severity scale was completed through chart review. Results: Mothers' mental health, mother-child relationship, and family functioning did not differ between the PICU group and the general care unit group (t-tests). Bivariate correlations indicated that greater maternal stress (PSS:PICU) in the hospital, lower baseline mental health, longer hospital stays, and greater injury severity were related to decreased psychological wellbeing for mothers at 6 months post-discharge. Mothers' greater psychological distress in the hospital was related to greater parenting stress and psychological distress, and lower family cohesion at 6 months post-discharge. Continuing social support was related to great family cohesion and adaptability, less distress and greater wellbeing at 6 months. Conclusions: Baseline mental health and ongoing social support had important influences on mother, mother-child, and family outcomes at 6 months. Funding: NINR #R01 NR04430.</td></tr></table>en_GB
dc.date.available2011-10-26T12:01:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:01:08Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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