系統識別號 U0026-0902201810281500
論文名稱(中文) 母親面對病童熱痙攣之關注內容與因應行為之現象學研究
論文名稱(英文) Mother Concerns and Coping Behaviors Toward Children with Febrile Convulsion: A Phenomenological Study
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 106
學期 1
出版年 107
研究生(中文) 羅嘉德
研究生(英文) Gst. Kade Adi Widyas Pranata
學號 T26057030
學位類別 碩士
語文別 英文
論文頁數 164頁
口試委員 指導教授-黃美智
中文關鍵字 none 
英文關鍵字 febrile convulsion  mother concerns  coping behaviors  phenomenology 
中文摘要 none
Background: Mother of febrile convulsion (FC) children reported high concerns, adverse consequences in daily life and more likely used maladaptive coping behaviors rather than the father. The previous quantitative studies about concerns and coping behaviors are still less satisfactory since those studies only found two concerns with two consequences that occur in mother life and no explanation about their coping behaviors. Therefore, it necessary to conduct a study that can explore in-depth the experience of mother concerns and coping behaviors toward their children with febrile convulsion.
Purpose: The purpose of this study is to explore and describe mother concerns and coping behavior experience toward their children with febrile convulsion.
Method: Descriptive phenomenology approach with purposive sampling technique were used to captures the essence of mother concerns toward children with febrile convulsion in Bali, Indonesia. Face-to-face in-depth interviews were conducted until data-saturated by applying the Francis method and using semi-structured interview guide with open-ended questions. Interviews were tape-recorded and field notes were taken following each interview. Colaizzi’s (1978) seven steps were used to analyze the verbatim transcripts. Credibility, transferability, dependability, and confirmability by Lincoln and Guba (1994) were applied to ensuring the trustworthiness of results.
Results: Data were collected from 20 mothers who have experience in taking care children with febrile seizures, at least 2 weeks after discharge from the hospital. Three cluster theme “living with the vulnerable”, “living for bear the burden” and “living to struggle” and ten subthemes emerged from the analysis.
Discussion: The lived experience of mother concerns and coping behaviors toward children with febrile convulsion had similarities with the experience of parental concerns towards children with fever and epilepsy or chronic illness. Mothers seemed to share similar perceptions and beliefs that their children are vulnerable despite the facts have shown these two health problems are different. They also seemed to share the similar burden, as well as similar coping behaviors. Although the mother tries to rise up against all existing problems, she tends to use the avoidance coping mechanism and emotion-focused coping that made her adapt negatively to problems encountered.
Conclusion: Concerns “living with the vulnerable”, “living for bear the burden” and “living to struggle” was perceived as the essence of lived experience among mother whose children had febrile convulsion. These findings emphasize the need for further health education and social support to rectify the mothers’ misperception, reduce perceived concerns and burdens, as well as guiding mothers to use more adaptive coping mechanisms toward children with febrile convulsion. Health care professionals should play a significant role in encouraging families to be more care each other and providing trustworthy information to mother to deal with febrile convulsion in order to prevent excessive concerns, burden, and maladaptive coping behaviors.

Keywords: febrile convulsion, mother concerns, coping behaviors, phenomenology.
1.1 Research Background. 1
1.2 Research Purpose 4
2.1 Febrile Convulsion 5
2.2 Mother Concerns Toward Children With Febrile Convulsion 13
2.3 Mother Coping Behavior Toward Children With Febrile Convulsion 17
3.1 Research Design and Participant 24
3.2 Interview Guideline 28
3.3 Data Collection Procedure 31
3.4 Ethical Consideration 33
3.5 Data Analysis 35
3.6 Rigor or Trustworthiness 37
4.1 Participant Characteristic 40
4.2 Themes 42
5.1 Discussion 72
5.2 Conclusion 112
5.3 Limitation and Recommendation 113
5.4 Clinical Implication 114
Appendix 1: IRB Approval 129
Appendix 2: Informed Consent English Version 130
Appendix 3: Informed Consent Indonesian Version 131
Appendix 4: Instrument English Version 138
Appendix 5: Instrument Indonesian Version 140
Appendix 6: Consolidated Criteria for Reporting Qualitative Studies 143
Appendix 7: Field Notes Form and Example from Participant 145
Appendix 8: Member Checking Form and Example from Participant 147
Appendix 9: Validating Step of Colaizzi's Analysis 149
Appendix 10: Diary and Audit Trail of Colaizzi's Analysis 151
Appendix 11: Audit Trail of Data Analysis Document 156
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