被强迫是很痛苦的:儿童关于在医疗过程中保持克制的叙述
Maria Forsner1, Monika Cyrén2, Anna Gerdin2
1Department of Nursing Umeå University Umeå Sweden.
Paediatric & neonatal pain
|December 27, 2023
概括
强迫医疗手术会给儿童带来严重的痛苦和无能感,留下持久的负面影响. 医疗保健专业人员必须优先考虑儿童在医疗环境中的自决权和诚信.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 儿童心理学 儿童心理学
- 医学伦理 医学伦理
背景情况:
- 联合国儿童权利公约 (UNCRC) 确认儿童有权参与医疗决策.
- 医疗保健专业人员经常努力让儿童参与决策,导致违背他们的意愿进行手术.
研究的目的:
- 探索儿童和青少年在医疗过程中感到被迫的经历.
- 从儿科患者的角度了解克制的现象.
主要方法:
- 来自四个数据集 (2001-2020) 的叙事数据的二次定性分析.
- 对12名儿童和年轻人 (6-19岁) 的9次叙事采访和3次书面叙事进行分析.
- 现象学解释学方法应用于探索生活经验.
主要成果:
- 在医疗程序期间的克制会造成严重的伤害,通过以下主题来描述:身体痛苦,情绪叛乱,被忽视的感觉,身体限制,逃跑的欲望和持久的负面影响.
- 孩子们认为克制是被压倒的,医疗保健专业人员是漠不关心的,与福柯的理论和关心/不关心的动态保持一致.
- 强迫医疗手术的经历导致无能感和深刻的,长期的情感和心理影响.
结论:
- 限制医疗保健对儿童有害,导致疼痛,无能为力和深刻的情绪痕.
- 研究结果强调,医疗保健系统需要积极支持儿童的自决,参与和身体完整性.
- 从儿童的角度进行进一步的研究对于改善与克制有关的医疗保健实践至关重要.
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