儿童重症监护病房入院后的家庭功能和父母行为变化:单中心队列研究
Karina R Charles1,2,3, Belinda Dow1, Jessica A Schults3,4,5
1School of Nursing, Centre for Healthcare Transformation, Queensland University of Technology, Brisbane, Queensland, Australia.
Nursing in critical care
|October 6, 2025
概括
大多数家庭在儿科重症监护室 (PICU) 入院后保持健康的功能,但护理人员的心理健康和儿童的痛苦可能会对家庭动态产生负面影响,需要有针对性的支持.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 家庭系统理论 家庭系统理论
- 心理社会结果.
背景情况:
- 儿科重症监护室 (PICU) 的入院显著影响了家庭动态.
- 儿科重症监护后综合征 (PICS-p) 已得到认可,但其对家庭功能的影响尚不清楚.
研究的目的:
- 描述PICU幸存者的家庭在退院后的家庭功能.
- 研究PICS-p后续对家庭动态的影响.
主要方法:
- 在澳大利亚布里斯班的PICU幸存者的204个护理人员的横截面调查.
- 通过邮件调查 (2018年3月至8月) 收集的护理人员报告的数据.
- 描述性和双变体分析检查了家庭功能和相关因素.
主要成果:
- 大多数家庭 (97%) 在PICU退院后表现出健康的功能 (中位数为25个月的随访).
- 26个家庭报告其运作不佳,主要是纠.
- 较差的家庭功能与护理人员的创伤后压力,精神疾病和5岁以下儿童的痛苦相关.
结论:
- 虽然大多数家庭适应良好,但很大一部分家庭面临着持续的挑战.
- 护理人员的心理健康和儿童的痛苦是不利的家庭结果的关键预测因素.
- 有针对性的心理社会查和心理教育资源对于PICU后的家庭支持至关重要.
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