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

Michele H. Salisbury

Vanderbilt University School of Nursing, Nashville

Lynda L. LaMontagne

Vanderbilt University School of Nursing, Nashville lynda.lamontagne{at}vanderbilt.edu.

Joseph T. Hepworth

University of Arizona College of Nursing, Tucson

Frances Cohen

University of California-San Francisco

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.

Key Words: parental stress • coping • scoliosis • adolescents

Clinical Nursing Research, Vol. 16, No. 3, 212-230 (2007)
DOI: 10.1177/1054773807302732
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