护理人员和儿童的不良童年经历:一个元分析
Jenney Zhu1,2, Audrey-Ann Deneault3, Jessica Turgeon4
1University of Calgary, Calgary, AB, Canada.
Pediatrics
|January 13, 2025
概括
护理人员的不良童年经历 (ACE) 与儿童ACE得分较高密切相关,这表明代际风险. 为护理人员提供创伤信息的干预措施可以帮助打破这种循环.
科学领域:
- 公共卫生 公共卫生
- 发展心理学 发展心理学
- 流行病学 流行病学
背景情况:
- 暴露于不良童年经历 (ACE) 已知跨世代的负面影响.
- 护理人员的ACE得分与孩子的ACE得分之间的特定关联需要进一步澄清.
研究的目的:
- 进行一项元分析,检查护理人员和儿童ACE分数之间的关联.
- 探索影响护理人员和儿童ACE分数关联的潜在主持人.
主要方法:
- 从1998年到2024年2月,对主要数据库 (MEDLINE,Embase,PsycINFO,CINHAL) 进行了系统的文献搜索.
- 包含的研究是那些完成了护理人员和儿童的ACE问卷,可用的效果大小,并以英语出版的研究.
- 提取的数据包括样本大小,关联大小,人口统计信息和ACE报告方法.
主要成果:
- 十七项研究包括4872个护理人员-儿童二合体,符合纳入标准.
- 一个显著的聚合效应大小 (r = 0.33) 表明,更高的护理人员ACE得分与更高的儿童ACE得分有关.
- 在涉及年轻护理人员和使用护理人员报告与儿童自我报告的研究中,这种关联更为明显.
结论:
- 护理人员的ACE与儿童的ACE有着强烈的关联,突出了代际风险的循环.
- 目前的研究主要集中在北美和女性护理人员上,限制了更广泛的概括性.
- 护理人员的创伤知情预防和干预策略对于加强保护因素和中断代际ACE传播至关重要.
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