Darbyshire Philip
Women's and Children's Hospital, University of South Australia and Flinders University, Adelaide, Australia.
J Child Health Care. 2003 Dec;7(4):291-312. doi: 10.1177/13674935030074005.
Decreasing hospital stays, increasing day surgery and the assumption that parents will manage their child at home necessitate research into children's recovery. Given the scarcity of studies seeking parents' perspectives, this exploratory and interpretive study is timely, presenting a detailed account of mothers' experiences of managing their child's recovery in hospital and at home. The study supports the view that recovery begins not with discharge, but with admission and before, as hospital experiences directly shape the recovery process. Mothers' experiences of hospital's recovery enablers and inhibitors suggest that good recovery practices and policies remain erratic. Following discharge, parents help the child 'back to normal' by 'reading the recovering child' and balancing the child's desire for activity with the need for caution and safety. Developing a deeper understanding of parents' recovery experiences and perceptions would help nurses to form an empathic 'grounding' upon which to base improvements in children's recovery care.
住院时间的缩短、日间手术的增加以及认为父母将在家中照顾孩子的假设，都使得对儿童康复情况的研究成为必要。鉴于很少有研究探讨父母的观点，这项探索性和解释性研究很及时，详细阐述了母亲在医院和家中照顾孩子康复的经历。该研究支持这样一种观点，即康复并非始于出院，而是始于入院时及入院前，因为住院经历直接影响康复过程。母亲对医院康复促进因素和阻碍因素的经历表明，良好的康复实践和政策仍然不稳定。出院后，父母通过“解读正在康复的孩子”，并在孩子活动的愿望与谨慎和安全的需求之间取得平衡，帮助孩子“恢复正常”。更深入地了解父母的康复经历和看法，将有助于护士形成一种共情的“基础”，在此基础上改进儿童康复护理。
