儿童枪支伤害后的初始经验:一个多方面的定性方法
Jennifer M Schuh1, Christina Georgeades2, Taylor Schleusner2
1Division of Pediatric Surgery, Children's Hospital of Wisconsin, Milwaukee, Wisconsin; Medical College of Wisconsin, Milwaukee, Wisconsin.
The Journal of surgical research
|October 19, 2024
概括
儿童心理学笔记显示,枪支伤害对儿童的影响不同于机动车祸,更少提到家庭和支持. 了解这些差异可以改善对受伤儿童的干预措施.
科学领域:
- 儿科心理学 儿科心理学
- 创伤护理 创伤护理
- 心理健康研究 心理健康研究
背景情况:
- 枪支伤害不成比例地影响了儿童的心理健康.
- 住院儿科心理咨询联络 (CL) 服务提供关键的伤害后评估.
- 了解不同类型伤害的最初心理影响对于有针对性的护理至关重要.
研究的目的:
- 质量地探索CL文档,以了解儿科枪支伤害幸存者的初始心理经验.
- 为了比较被枪支伤害的儿童与机动车辆事故 (MVCs) 的心理经验.
- 为了确定CL笔记中的主题,情绪和关键术语的差异,用于枪支与MVC受伤的儿童.
主要方法:
- 在一级儿科创伤中心 (2016-2021) 的回顾性研究.
- 包括5至17岁的儿童,入院时间≥48小时.
- 枪支受伤儿童与MVC受伤儿童的倾向分数匹配.
- 对CL笔记进行主题,情绪和词云分析.
主要成果:
- 临床辅导服务评估了71%的枪支受伤儿童和65%的MVC受伤儿童.
- 确定的主题包括资源,医疗系统遭遇,先前的影响,认知反应和社会因素.
- 情绪分析显示,在两组人群中,消极词语比积极词语多,枪支伤害的消极词语数量更高.
- 字云表明"创伤"在枪支伤害笔记中更频繁,而"家庭"和"支持"在MVC伤害笔记中更频繁.
结论:
- 儿科CL笔记表明,枪支伤害和MVC导致不同的患者体验,特别是在家庭和支持方面.
- 临床临床文档涵盖了超出直接心理影响范围的广泛问题.
- 识别受伤机制特定的经验可以为儿童创伤幸存者制定有针对性的干预策略.
相关概念视频
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:28Traumatic Brain Injury l: Introduction
DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...