护理重症监护室研究:来自混合方法研究的三年随访结果,研究PICU住院后儿童的心理和行为反应
Janet E Rennick1, Geoffrey Dougherty2, Karen Dryden-Palmer3
1Department of Nursing and Division of Critical Care, Montreal Children's Hospital, McGill University Health Centre and Ingram School of Nursing and Department of Pediatrics, McGill University, Montreal, QC, Canada.
概括
儿科重症监护室 (PICU) 的住院治疗可能会导致儿童的长期情绪和行为变化. 这项研究追踪了这些变化三年,强调了以家庭为中心的后续护理的必要性.
科学领域:
- 儿科心理学 儿科心理学
- 儿童健康结果的结果
- 家庭系统 家庭系统
背景情况:
- 儿科重症监护室 (PICU) 住院对儿童和家庭来说带来了独特的挑战.
- 了解PICU住院的长期心理和行为后果对于有效的护理至关重要.
研究的目的:
- 评估儿童在PICU住院后3年的心理和行为恢复轨迹.
- 为了将这些结果与接受了不那么侵入性的白天手术的儿童进行比较.
主要方法:
- 未来的混合方法研究与并发的三角设计.
- 数量调查和质量访谈与儿童和家长进行,在放学后3年.
- 对照组包括耳鼻喉日常手术的儿童.
主要成果:
- 在初级结果中没有发现任何显著的群体差异.
- 两组都经历了情绪和行为变化,但归因不同.
- 在PICU出院的儿童中,很大一部分 (40.3%) 在3岁时表现出持续的负面变化.
结论:
- 住院治疗可能会导致儿童的慢性情绪和行为挑战.
- 康复是一个以家庭为中心的过程,需要持续的临床支持.
- 未来的研究应该优先考虑家庭识别的结果和长期跟进.
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