在新加坡PICU退院后的头六个月内,父母经历的种族差异:一种定性研究
Pei-Fen Poh1,2, Matthew C Carey1, Joseph C Manning3,4
1Faculty of Health, School of Nursing and Midwifery, University of Plymouth, Plymouth, United Kingdom.
Frontiers in pediatrics
|January 22, 2024
概括
来自不同种族背景的重症儿童的父母在出院后遇到了独特的挑战. 量身定制的支持策略对于在儿科重症监护室 (PICU) 退院后的关键六个月内解决情绪,社会和过渡性健康需求至关重要.
科学领域:
- 儿科重症监护 儿科重症监护 儿科重症监护
- 家长的心理健康
- 跨文化心理学跨文化心理学
背景情况:
- 关于少数民族父母在孩子患重病后的经历的研究有限.
- 现有文献表明,来自全球少数民族的父母报告心理状况更差,需要更多的社会支持.
- 了解不同的家长经历对于公平的医疗保健提供至关重要.
研究的目的:
- 探索中国,马来和印度父母在新加坡在孩子从儿科重症监护室 (PICU) 出院后的前六个月的经历.
- 确定这些不同的家长群体面临的具体心理,社会和过渡性挑战.
- 了解来自不同种族背景的父母使用的支持机制.
主要方法:
- 对28名家长进行了连续的半结构性定性访谈.
- 在PICU退院后一个月 (n=28) 和六个月 (n=22) 收集数据.
- 以PICS-p框架为指导的框架分析被用于定性数据分析.
主要成果:
- 从数据中出现了三个领域:情绪健康,社会健康和过渡期健康.
- 观察到种族差异:印度父母在六个月后报告了压力症状;马来人父母更多地依赖宗教;中国人和马来人父母使用补充医学.
- 非华裔家庭,特别是马来人和印度人,报告说,退院后遇到更多的财务挑战和更多的配偶参与;所有群体的家庭支持都很强,马来人父母的社区支持更为突出.
结论:
- 儿童重症后的父母经历受到种族的影响,影响了情感,社会和过渡性福祉.
- 调查结果突出了中国,马来西亚和印度父母在文化上具体的应对策略和支持需求.
- 未来的PICU护理应该包含量身定制的计划和沟通策略,以解决父母在关键的出院后期的独特种族需求.
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