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Published on: November 7, 2020
Parenting a child with a chronic illness during a pandemic
Cara Gallegos1, Michael D Aldridge2, Kelley Connor1
1School of Nursing, Boise State University, United States of America.
Insights
Parents of children with chronic health conditions experienced increased stress during the COVID-19 pandemic, particularly due to isolation and resource limitations. This highlights the need for mental health support for these families.
Area of Science:
- Pediatric Health
- Mental Health
- Public Health
Background:
- Approximately 20% of US children have chronic health conditions.
- Parents of children with special healthcare needs (CSHCN) face significant caregiving stress.
- The COVID-19 pandemic presented unique challenges for families of CSHCN.
Purpose of the Study:
- To describe the stress levels of parents caring for a child with a chronic illness during the COVID-19 pandemic.
- To identify factors contributing to parental stress during this period.
Main Methods:
- A descriptive study involving 34 parents of CSHCN.
- Utilized the Pediatric Inventory for Parents (PIP) for stress assessment.
- Included specific questions about pandemic-related caregiving challenges.
Main Results:
- Pediatric Inventory for Parents scores were higher than in previous studies.
- Parental stress correlated positively with child's age and diagnosis duration.
- Nearly all parents reported increased stress due to COVID-19, citing isolation, resource scarcity, and concern for other children's mental health.
Conclusions:
- The COVID-19 pandemic likely intensified existing stress for parents of CSHCN.
- The pandemic underscored the vulnerability and high stress levels experienced by these parents.
- Pediatric nurses should advocate for the mental well-being of parents of CSHCN.
Background:
Nearly 20% of children in the United States experience one or more chronic health conditions. Parents of a child with a special healthcare need (CSHCN) experience increased stress caring for a child with chronic illness.
Purpose:
The purpose of this descriptive study is to describe stress in parents of a child with chronic illness during the COVID-19 pandemic.
Methods:
Parents of CSHCN (n = 34) were asked to fill out the Pediatric Inventory for Parents (PIP) and answer two questions related to caring for their child during the COVID-19 pandemic.
Conclusions:
The means of the PIP-F (M = 146.6, SD = 20.5) and PIP-D (M = 141.9, SD = 23.9) were significantly higher than in previous studies. There is statistically significant positive correlation between parent stress and variables of age of the child and the length of time since diagnosis. In response to the questions about the impact of COVID, nearly all parents reported COVID increased their stress and reported their stress was related to isolation, lack of resources, and concern for the mental health of other children in the household.
Practice Implications:
COVID-19 likely exacerbated feelings of stress for parents of children with chronic health conditions. Although unprecedented, COVID-19 shed light on the existing fragility and high stress of parents of CSHCN. Pediatric nurses not only care for children, but must be advocates for the mental health of their patient's parents.
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