虐待儿童和医疗创伤性压力 - 一把双刃剑
Rony Kapel Lev-Ari1,2,3, Roy Aloni1, Amit Shalev4
1Department of Behavioral Sciences, Ariel University, Ariel 40700, Israel.
Children (Basel, Switzerland)
|January 25, 2025
概括
有虐待儿童史的儿童在医疗过程中经历了更多的痛苦. 早期创伤显著增加了心理痛苦,影响了儿童和他们的父母,需要量身定制的医疗支持.
科学领域:
- 儿科心理学 儿科心理学
- 创伤研究 创伤研究
- 医学社会学 医学社会学
背景情况:
- 医疗手术对孩子和父母来说可能是创伤性的.
- 有虐待史或早期创伤的儿童面临更高的情绪和行为问题的风险.
- 这种增加的风险包括医疗程序后增加的痛苦.
研究的目的:
- 调查与对照组相比,在有儿童虐待史的儿童中,医疗程序后出现痛苦症状的风险.
- 为了确定影响医疗手术的儿童痛苦的因素.
主要方法:
- 一项针对儿科外科病房内219名家长和儿童的前性研究.
- 参与者被分为研究 (早期创伤史) 和对照组.
- 在手术前和退院后3-5个月进行的心理困扰问卷.
主要成果:
- 患有创伤史的儿童在手术前后表现出明显更多的痛苦,并且在手术后显著增加.
- 患有先前创伤的孩子的父母也报告了高的手术前痛苦.
- 早期的创伤,家庭支持,社会经济地位和父母的痛苦影响了孩子的术后痛苦.
结论:
- 儿童虐待和创伤史的儿童在医疗程序后面临心理痛苦的风险增加.
- 医疗团队必须认识到这种高风险,并提供适当的支持.
- 了解像家庭支持这样的促成因素对于有效的干预至关重要.
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