记住幸存童年烧伤的经历:一个叙事调查
Jonathan Bayuo1, Eric Ampomah Adinkrah2
1School of Nursing, The Hong Kong Polytechnic University, Hong Kong; School of Nursing and Midwifery, University of Health and Allied Sciences, Ghana; School of Nursing and Midwifery, University of Southern Queensland, Ipswich Campus, QLD, Australia.
Journal of pediatric nursing
|September 14, 2025
概括
儿童烧伤幸存者经历了严重的创伤,在最初的伤害中进行导航,持续恢复,并努力恢复正常. 持续的心理社会支持对于他们的长期福祉和烧伤后的调整至关重要.
科学领域:
- 儿科烧伤幸存者的经历
- 在烧伤护理中提供心理社会支持.
- 在健康研究中的叙事调查.
背景情况:
- 烧伤是全球主要的健康问题,不成比例地影响着儿童.
- 提高生存率需要了解儿科烧伤幸存者的康复过程.
- 儿科烧伤幸存者的生活经历未被充分探索.
研究的目的:
- 为了捕捉和理解儿科烧伤幸存者的经历.
- 探索从烧伤中康复的儿童的叙述.
- 确定年轻烧伤幸存者的康复之旅中的关键主题.
主要方法:
- 采用了叙事调查方法.
- 使用有目的抽样招募13名儿科烧伤幸存者 (8-16岁,退院后≥1个月).
- 进行了半结构化采访,并使用三维方法 (时间性,社交性,空间性) 分析了数据,以获得元叙事.
主要成果:
- 确定了一个"从创伤中出现"的元叙事.
- 三个叙事线索出现了:导航最初的创伤 (情绪反应,痛苦),导航持续的创伤 (住院治疗,身体变化),并通过后果工作 (极限性,重新定义的正常性).
- 参与者描述了情绪反应,身体痛苦,以及在烧伤后适应生活的过程.
结论:
- 对儿科烧伤幸存者持续提供心理社会支持至关重要.
- 支持应超越初次入院,延伸到出院后的时期.
- 基于证据的烧伤疼痛管理方法对于综合护理也是必不可少的.
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