The correlation of attachment , receiving family centered care and needs of mothers of children with chronic physical diseases in, Mardani Azari Children's

Abstract

Abstract Background: Chronic illnesses in children cause anxiety in mothers and may disrupt the mother-child relationship. Also, hospitalization of a child in hospitals creates many needs for mothers, which despite years of strengthening family care, mothers' needs are still not widely understood, which can ultimately increase the stress and patients' mothers' exposure to chronic illnesses and cause. Disruption in relationships between medical staff, especially nurses and mothers. This relationship turmoil and the stress and anxiety that exist can affect mothers' attachment. This study was conducted to determine the relationship between attachment, receipt of family care, and the needs of mothers of children with chronic physical illness. Methods: In this descriptive correlational study, 173 mothers of hospitalized children with chronic physical illnesses who were selected from all inpatient wards of Mardani Azari Children's Hospital in Tabriz from August 2023 to January 2024 participated. Data collection was done using questionnaires on demographic information, Postnatal Attachment Scale(MPAS), Measure of Processes of Care 20-item(MPOC-20), and Needs of parents of hospitalized children questionnaire(NPQ), and data analysis was done using SPSS 21 software using descriptive statistics, Pearson correlation, independent t-test, ANOVA test, and Tukey's post hoc test. Results: According to the results, the level of attachment of mothers (10/73) and their met needs (33/62) are higher than average and the level of family-centered care provided (36/70) is lower than average. Also, there is a weak positive significant correlation between the quality of attachment and needs (P = 0.03, r = 0.22), a weak positive significant correlation between the total attachment score and the receipt of family-centered care (P = 0.01, r = 0.19), and a moderate positive significant correlation between mothers' needs and the receipt of family-centered care (P < 0.001, r = 0.63), but there was no statistically significant relationship between the total attachment score and mothers' needs (P = 0.14, r = 0.11). Conclusions: Based on the results of the present study, family-centered care has an impact on the level of attachment of mothers to children with chronic physical illnesses and meeting the mothers' needs as much as possible, and meeting the mothers' needs also has an impact on the quality of attachment.