在照顾没有穿孔的门的儿童时,导致情绪困扰的因素:中国的一项多站点横截面研究
Meng Lv1, Ya Feng-Fang1, Yi Wang1
1Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Frontiers in medicine
|December 25, 2023
概括
超过一半的无孔门 (IA) 儿童的护理人员经历了严重的痛苦. 诸如照顾者健康问题,耻辱感,不确定性和低社会支持等因素增加了这种痛苦,特别是在手术后.
科学领域:
- 儿科外科手术 儿科外科手术
- 护理人员心理健康 护理人员心理健康
- 生活质量生活的质量.
背景情况:
- 不穿孔门 (IA) 给患者和家人带来了终身的挑战.
- 患有IA (CoCIA) 儿童的照顾者可能会经历严重的身体和精神痛苦.
- 现有的关于COCIA危险的研究是有限的.
研究的目的:
- 为了调查CoCIA中痛苦的流行情况.
- 为了确定与CoCIA中痛苦相关的因素.
- 为支持受IA影响的家庭提供有针对性的干预信息.
主要方法:
- 在三个三级儿童医院 (2018年11月 - 2019年2月) 进行的横截面研究.
- 使用凯斯勒心理困扰量表 (中文版) 评估困扰程度.
- 通过照顾者反应评估,家长耻辱度表,家长对不确定性感知度表和社会支持度表评估的决定因素;使用多重回归分析.
主要成果:
- 在229名CoCIA中,52.9%的人报告了高危险水平.
- 照顾者的健康问题,耻辱感,不确定性和社会支持显著预测了痛苦.
- 一年前或更早接受门重建手术的儿童也是一个显著的预测因素,解释了50.1%的差异.
结论:
- 在CoCIA中,高危情绪很普遍,特别是那些孩子在一年前接受过手术的人.
- 诸如健康问题,耻辱感,不确定性和社会支持等可修改因素显著影响护理人员的痛苦.
- 临床工作人员应该认识到护理人员的痛苦,并实施以家庭为中心的干预措施,解决这些因素.
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