在身体约束下鼻管养:了解对父母的影响以及如何支持他们
Sarah Fuller1, Sharon Thomson2, Dasha Nicholls3
1Child and Adolescent Mental Health, Northamptonshire Healthcare NHS Foundation Trust, Northampton, England.
Nursing children and young people
|January 20, 2025
概括
父母发现鼻管 (NGT) 养与身体克制是创伤性的,经历了缓解和羞耻. 了解必要性并没有否定痛苦,强调需要为需要NGT养的儿童提供创伤信息的护理.
科学领域:
- 儿科护理 儿科护理
- 临床心理学 临床心理学
- 儿童精神病学 儿童精神病学
背景情况:
- 鼻胃管 (NGT) 在身体限制下养是医疗不稳定的儿童限制饮食的关键干预措施.
- 这种干预通常对于患有严重饮食障碍或影响营养的医疗状况的儿童是必要的.
- 父母在这个过程中的经验对于理解这种治疗的整体影响至关重要.
研究的目的:
- 为了探索孩子们接受鼻胃管 (NGT) 养的父母的经验.
- 了解这种干预对父母的情感和心理影响.
- 确定在NGT养期间改善家庭支持的潜在领域.
主要方法:
- 从两项先前的研究中获得的定性数据的二次分析,涉及NGT在物理约束下食.
- 对来自家长的31个半结构面试成绩单进行主题分析.
- 从精神卫生和儿童病房设置中综合数据.
主要成果:
- 父母报告了复杂的情绪,包括缓解和羞耻,关于NGT节制养.
- 尽管了解医疗的必要性,父母发现干预创伤.
- 一些家长经历了与工作人员的紧张关系,少数人积极参与限制孩子的行为.
结论:
- 护理人员必须认识到,在NGT养过程中,父母在身体限制下经历的重大痛苦.
- 实施创伤信息化护理框架可以帮助减轻对父母及其子女的不利影响.
- 对儿童NGT养期间父母的支持性干预措施进行进一步研究是有必要的.
相关概念视频
Enteral Nutrition I: Orogastric and Nasogastric Feeding
191
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
191
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
74
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
74
Endotracheal Intubation II: Nursing Management
461
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
461
Endotracheal Intubation I: Procedure
668
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
668
Suctioning the Nasopharyngeal Airway
263
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
263
Administering Oxygen by Nasal Cannula
356
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
356


