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100			_e _e _aNaral, Carmelita Alba. _d _b4 _u _c0 _q16
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245		0	_a _aInterparent Support Program (ISP) : _d _ba coping strategy for parents of children with congenital heart disease / _n _cCarmelita Alba Naral _h6 _p
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300			_e _e _c _axvii, 205 pages. _b
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336			_b _atext _2rdacontent
337			_3 _30 _b _aunmediated _2rdamedia
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500			_a _aThesis (M.A.) -- Pamantasan ng Lungsod ng Maynila, Intramuros, Manila, 1999.;A thesis presented to the faculty of Graduate School of Arts, Sciences, Education, and Nursing, Pamantasan ng Lungsod ng Maynila in partial fulfillment of the requirements for the degree of Master of Arts in Nursing. _d _b _c56
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520			_b _b _c _aABSTRACT. Statement of the Problem: The study looked into the impact of Interparent Support Program (ISP) as a cpoing strategy to buffer the magnitude of problems when one has a child affected with congenital heart disease. Specifically, it sought to answer the following questions: 1. What is the socio-demographic profile of parents who have children with congenital heart disease in the control and experimental groups according to: a. Age b. Sex c. Civil status d. Religion e. Educational attainment f. Occupation g. Patient category (socioeconomic status) h. Number of siblings i. Ordinal position of the child with congenital heart disease 2. What do parents find most stressful about having a child with congenital heart disease? 3. What are the traditional coping strategies of parent with children diagnosed of congenital heart disease? 4. What is the degree of coping ability of parents before the implementation of Interparent Support Program when grouped according to : a. Control group b. Experimental group 5. Is there a significant relationship between the coping ability of parents and each of the socio-demograpic profile variables? 6. Is there a significant difference between coping ability of parents in the experimental group before and after their participation to the Interparent Support Program? 7. What significant difference exists between the control and experimental groups as to coping ability of parents with children diagnosed of congenital heart disease? Methodology: This study utilized the quasi specifically the pretest-posttest approach. Simple random technique was used to compe up with a sample size of 80 parents wherein 40 served as the control group and the other 40 as the participants of the experimental group. Three sets of tools were utilized to determine the effects of the Interparent Support Program as a coping strategy for parents of children with congenital heart disease. The first tool was referred to as the Parent Demographic Profile Tool (PDPT) the second one was called the Parent Assessment Sheet (PAS) and the third was the Parents'Coping Strategies Score Checklist (PCSSC) patterned after the Likert Scale which indicated the parents responses on the different coping strategies. Statistical Treatment: The statistical treatment used in this study was in the form of percentages, weighted mean, Independent and Dependent T-test, Spearman Rank Correlation, Chi-Square and One-way Analysis of Variance (ANOVA) Summary and Findings: The following were the result gathered from this study: 1. Parents who had children with congenital heart disease from both the control and experimental groups had the following socio-demographic characteristic: age was within twenty-one to forty-five years old, majority had attained college education and had white collar jobs and the first child usually was the one affected with congenital heart disease. 2. Parent for the control and experimental groups had identified the following to be the most stressful for having a child with congenital heart disease: child's heart condition, child's suffering, hospitalization expenses, procedures to be performed on the child, parental role, uncertainly over outcome, fear of child's death and the need for immediate operation. 3. The parents from both groups had adopted traditional coping strategies to keep them going, which included : praying, talking to spouse, friends, pastors and other member of church, talking to parents of other parents, taking good care of their child, asking help from parents' in-laws, reading the Bible, watching TV, talking to doctors and nurses, hearing mass, reading articles regarding congenital heart diseases, accepting the problem as God's gift, thinking positively, sight-seeing, working, hoping that miracles will happen , comparing child's illness with others, texting and eating. 4. The degree of coping ability of parents before the implementation of Interparent Support Program when grouped according to control group and experimental group showed that parents in the control group had higher mean scores of coping strategies than those in the experimental group. 5. For the control group, occupation and patient category demographic profile variables yielded significant association with parents' coping ability. While educational attainment of parents in the experimental group revealed a significant relationship with parents' coping ability. 6. There was a significant difference between coping ability of parents before and after their immersion in the Interparent Support Program. 7 A significant difference existed between the control group and the experimental group as to coping ability of parents with children diagnosed of congenital heart disease. Parents in the experimental group had greatly improved their coping ability while parents in the control group did not have significant changes in their coping ability. Conclusions: Parents' occupation and patient category have significant association with their coping ability in the control group. On the other hand , parents' educational attainment in the experimental group has a significant relationship with their coping ability. There is a significant difference between the coping ability of parents before and after their participation in the Interparent Support Program. Parent show improvement in their coping ability after participating in the program. There's a difference in coping ability of parents between the control group and experimental group. Parents in the control group do not have any significant changes in their coping ability while parents in the experimental group exhibit an increasing use of coping strategies. Recommendations: In view of the findings and conclusions of the study, the researcher recommends the following: 1. To implement Interparent Support Program continuously in the Division of Pediatric Care of the Nursing Service Office, Philippine Heart Center. 2. Likewise, similar program can be designed for adult cardiovascular patients as well. 3. Knowing the paramount relevance of support groups to the clients, the hospital administrators can be motivated to provide their institution a venue for family conferences and group meetings. 4. Community health nurses can conceptualize similar programs designed for patients suffering from tuberculosis, asthma, diabetes mellitus, renal disease, cancer and other prevalent disease. It can be also serve as a venue to give emphasis on the preventive aspects of these diseases. 5. Parents of children with congenital heart disease can establish a support group which can serve as a network to all parents in similar crisis. 6. This concern calls for health professionals in the academe to strengthen activities of the students in the promotive and preventive aspects of nursing care such as dealing with Congenital Heart Disease Prevention. 7. To replicate this study with a larger sample size in other hospitals with a pediatric cardiology department. 8. Future nursing research could also investigate on the effects of the Interparent Support Program on maternal-child bonding and caregiving roles and consequently, its effects on the child's recovery. Support groups have gained popularity worldwide and have been successful in providing hope, emotional support and coping in families. The Interparent Support Program can be a good nursing strategy in dealing with distressed families who have children diagnosed of congenital heart disease. It can also serve the purpose of a buffer system. It is the most beneficial, efficient and cost effective means to support families during illness. It is a nursing intervention that can make a difference! _u
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