参与,打断或忽略? 在儿童非紧急的X射线手术中进行三元沟通
H Saron1, B Carter1, C Wilkinson1
1Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK.
Radiography (London, England : 1995)
|September 19, 2025
概括
儿科X射线通信影响儿童的体验. 以儿童为中心,灵活的沟通增强了信心,而成年人主导的谈话可以在成像过程中将儿童边缘化.
科学领域:
- 儿科放射学 儿科放射学
- 医疗保健通讯 医疗保健通讯
- 儿童心理学 儿童心理学
背景情况:
- X射线是常见的儿科手术,但儿童经常经历焦虑和排斥.
- 在这些程序期间,儿童,家长和放射科医生之间的三元沟通动态尚未得到充分理解.
研究的目的:
- 探索在非紧急的儿科X射线手术过程中,儿童,父母和放射科医生之间发生的三元沟通.
- 了解沟通方式如何影响孩子的体验和参与感.
主要方法:
- 定性构造主义基于理论的方法.
- 45个儿科X射线手术 (4-11岁儿童) 的非参与者观察.
- 与儿童 (n=17) 和家长 (n=9) 进行半结构面试,然后进行持续比较分析.
主要成果:
- 确定了三个沟通类别:参与 (重视孩子的声音),中断 (成年人主导) 和忽视 (忽视孩子的声音).
- 孩子们对沟通方法和参与水平表示偏好.
- 真正的,量身定制的,儿童主导的沟通促进了信心;编剧的,成年人主导的沟通导致了边缘化.
结论:
- 三元沟通的复杂性显著影响了儿童的放射科手术经验.
- 个性化,以儿童为中心的沟通实践在放射学中至关重要.
- 放射科医生应该优先考虑灵活的,基于儿童偏好的沟通,而不是编写的,由成年人主导的互动.
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