在接受开放心脏手术的幼儿的照顾者中通过治疗性对话探索家庭功能:一种定性研究
Chih-Han Yang1, Shu-Chien Huang2, Chieh-Yu Liu3
1Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
治疗谈话帮助心脏手术儿童的护理人员应对焦虑,并为未来做好计划. 这种支持改善了家庭在关键恢复期间的功能.
科学领域:
- 儿童重症监护护
- 家庭心理学
- 健康传播
背景情况:
- 儿童心脏手术给家庭带来了独特的挑战,
- 在重症监护期间, 有效的情感和发育支持对家庭至关重要.
- 儿童手术恢复的不确定性对护理人员的幸福感产生了重大影响.
研究的目的:
- 研究治疗对话如何影响家庭的认知,情感和行为方面.
- 探讨幼儿心脏手术护理人员的经验.
- 评估特定沟通模式对护理人员适应的影响.
主要方法:
- 使用半结构化治疗对话的内容分析进行定性研究.
- 32名儿童心脏手术患者的护理人员参与了这项研究.
- 谈话使用了卡尔加里家庭干预模型 (CFIM) 的循环询问方法,
主要成果:
- 关于照顾者的认知,情感和行为变化出现了六个主题.
- 起初,护理人员专注于应对压力和减少不确定性.
- 后来的主题包括调整角色,预测挑战,重组家庭生活.
结论:
- 通过CFIM引导的治疗对话使护理人员的情绪从焦虑转变为希望和计划.
- 护士可以通过在重症监护中提供有针对性的基于关系的支持来提高护理人员的幸福感.
- 在儿科手术患者的术后康复过程中, 加强家庭功能是关键.
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