关键词: 儿童, 牙外伤, 家庭照顾者, 应对体验, 质性研究, 儿科护理学

Abstract:

Objective To explore the experiences of family caregivers in dealing with emergency traumatic dental injuries in children，informing the development of family-centered emergency dental trauma interventions. Methods A phenomenological study design was employed. Using purposive sampling，semi-structured interviews were conducted with 19 family caregivers of children who had experienced dental trauma. Participants were recruited from a tertiary dental hospital in Nanjing between June and October 2025. Data were analyzed using Colaizzi’s seven-step method. Results 5 core themes and 13 sub-themes were extracted，including：①the experience of dual burden during initial management（excessive negative emotions，heavy economic load），②heterogeneous coping behaviors（activation of internal capabilities to enhance coping effectiveness，coping failure triggered by multiple factors，traditional beliefs guiding coping behaviors），③multidimensional challenges in the coping process（insufficient and biased disease knowledge，inadequate ability to identify and utilize information，lack of professional medical support，children resisting medical instructions），④perception of benefits in crisis coping（changing parenting concepts，self-reflection and growth），⑤diverse support needs for disease prevention（needs for family prevention and emergency preparedness，environmental protection and social support needs）. Conclusion Family caregivers encounter multiple pressures and practical dilemmas when responding to emergency dental trauma in children. Clinicians should attach importance to the coping experiences of family caregivers of children with dental trauma，identify the weak links in their coping process，establish targeted assessment and support systems，strengthen health education and guidance on disease response and management，and help improve the comprehensive coping abilities of family caregivers through multidimensional support.

Key words: Children, Dental Trauma, Family Caregivers, Coping Experiences, Qualitative Research, Pediatric Nursing