在患有肺静脉狭窄症的儿童的护理人员中探索压力和应对:混合方法研究
Mark Fuller1, Christina Ireland1, Rachel Zmora2
1Department of Cardiology, Boston Children's Hospital, Boston, MA 02115, USA.
Children (Basel, Switzerland)
|August 29, 2024
概括
患有肺静脉狭窄症 (PVS) 的儿童的护理人员经历了高度的压力. 支持系统至关重要,但提供者和卫生系统可以更好地协助沟通和父母角色的运作.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心理社会健康 心理健康
- 护理人员支持护理人员支持
背景情况:
- 肺静脉狭窄症 (PVS) 对受影响的儿童及其家人构成重大挑战.
- 父母的压力因素和 PVS 儿童的照顾者应对机制需要详细的调查.
研究的目的:
- 识别和描述与急性和长期育儿压力因素相关的因素.
- 描述患有内肺静脉狭窄症 (PVS) 的儿童的照顾者所采用的应对策略.
主要方法:
- 混合方法方法结合了调查 (家长的儿科清单,家长的应对健康清单) 和半结构面试.
- 确定社会脆弱性指数 (SVI);使用多变量线性回归和主题分析.
- 分析了定量和定性数据,分析了趋同和分歧.
主要成果:
- 护理人员报告高压力水平 (PIP评分120),明显高于先天性心脏病社区.
- 在SVI和家长的压力或应对之间没有发现显著的关联.
- 确定的主要主题包括医疗保健,医院体验,家庭动态,支持系统和家庭医疗程序.
结论:
- 高水平的与疾病相关的家长压力在患有PVS的儿童的照顾者中很普遍.
- 父母的压力从"生存模式"演变为面向未来的视角.
- 加强提供者和卫生系统对沟通和家长角色的支持可以改善照顾者的应对能力.
相关概念视频
Coping Strategies: Problem Focused
54
Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
For example, consider a student who struggles to understand their...
For example, consider a student who struggles to understand their...
54
Psychological Responses to Stress
49
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
49
Components of Stress
206
Stress analysis under multiple loading conditions is intricate, necessitating a comprehensive grasp of normal and shearing stresses. Consider a small cube at point O, subjected to stress on all six faces, visible or not. Normal stress components σx, σy, σz act perpendicularly to the x, y, and z axes. Shearing stress components τxy and τxz are exerted on faces perpendicular to these axes.
Interestingly, the hidden cube faces also experience these stresses, equal and...
Interestingly, the hidden cube faces also experience these stresses, equal and...
206
Physiological Foundation of Stress
52
Stress triggers a coordinated physiological response involving the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenal (HPA) axis. This dual activation ensures that the body is prepared for both immediate and prolonged stress management. The process begins with the perception of a stressor. This initial phase activates the SNS, leading to the rapid release of adrenaline (epinephrine) from the adrenal glands.
Role of the Sympathetic Nervous System
Adrenaline triggers the...
Role of the Sympathetic Nervous System
Adrenaline triggers the...
52
Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.7K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.7K
Coping Strategies: Emotion Focused
63
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
63


