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Parents' Self-Identified Stressors and Coping Strategies During Adolescents' Spinal Surgery Experiences

Author

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  • Michele H. Salisbury

    (Vanderbilt University School of Nursing, Nashville)

  • Lynda L. LaMontagne

    (Vanderbilt University School of Nursing, Nashville lynda.lamontagne@vanderbilt.edu.)

  • Joseph T. Hepworth

    (University of Arizona College of Nursing, Tucson)

  • Frances Cohen

    (University of California-San Francisco)

Abstract

Spinal fusion surgery for idiopathic scoliosis during adolescence is a tremendous stressor for parents. This study investigated parents' pre- and postoperative stressors and their coping strategies. Ninety-two parents identified their predominant stressor and completed the Ways of Coping Questionnaire during their adolescent's preoperative clinic visit and 77 completed this procedure 4 days postoperatively. Results showed that primary stressors were parental role loss (28.26%), possibility of poor surgical outcomes (28.26%), and uncertainty about successful recovery (27.17%) preoperatively, and concerns about pain (32.47%) and parental role loss (32.47%) postoperatively. The greatest increase from pre- to postoperative periods occurred in concerns about pain. Parents used both emotion-focused and problem-focused coping strategies with significant increases postoperatively in confrontive coping, planful problem solving, and positive reappraisal and significant decreases in self-control and seeking social support. Providers should target interventions to alleviate stress and bolster coping for parents.

Suggested Citation

  • Michele H. Salisbury & Lynda L. LaMontagne & Joseph T. Hepworth & Frances Cohen, 2007. "Parents' Self-Identified Stressors and Coping Strategies During Adolescents' Spinal Surgery Experiences," Clinical Nursing Research, , vol. 16(3), pages 212-230, August.
    • Handle: RePEc:sae:clnure:v:16:y:2007:i:3:p:212-230
    DOI: 10.1177/1054773807302732
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