在ICU住院后,儿童及其父母的压力症状
Hannah R Daughtrey1, Justin Lee2, Derek B Boothroyd2
1Pediatric Cardiac Critical Care Medicine, Children's National Heart Institute, Washington, DC, USA.
Journal of intensive care medicine
|September 25, 2023
概括
在孩子入院重症监护室 (ICU) 后,父母的压力与孩子的压力增加有关. 西班牙裔种族也可能会提高孩子在重症监护后的压力风险.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 儿童和青少年心理学 儿童和青少年心理学
- 家庭系统和健康系统.
背景情况:
- 儿童存活率重症监护室 (ICU) 住院情况有所改善.
- 儿童和父母在儿科ICU住院期间和之后都会经历严重的急性压力.
- 在这种情况下,缓解代际压力传播的因素尚不清楚.
研究的目的:
- 评估家长和儿童在儿童ICU住院治疗后的急性压力之间的关联.
- 确定可能影响这种代际压力关系的个人和家庭特征.
- 检查社会决定因素在儿科急性压力后ICU中的作用.
主要方法:
- 对88名入住儿科ICU或CVICU的亲子二合体进行前性,横截面的队列研究.
- 8-18岁的儿童在ICU停留时间超过24小时 (不包括发育迟缓);英语/西班牙语熟练的护理人员.
- 经过验证的尺度 (儿童压力CRIES-8,父母压力斯坦福急性压力反应问卷) 在出院前进行.
主要成果:
- 严重的压力是普遍存在的:39.8%的儿童和56.8%的父母报告过度压力.
- 父母的压力显著增加了儿童的压力风险 (aOR 2.58,p < .01),独立于社会因素.
- 在未经调整的分析中,西班牙裔种族与更高的儿童压力有关;种族,收入,ICU长度和语言不是显著的调节因素.
结论:
- 父母的压力是儿童在儿童ICU住院后的压力的一个显著相关因子.
- 西班牙裔种族可能是儿童压力增加的风险因素,需要进一步调查.
- 需要进一步的研究来阐明各种社会和临床因素对代际压力的影响.
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