Hopia Hanna, Paavilainen Eija, Astedt-Kurki Päivi
Department of Nursing Science, University of Tampere, Tampere, Finland.
J Adv Nurs. 2004 Dec;48(6):575-83. doi: 10.1111/j.1365-2648.2004.03246.x.
This paper reports a study whose aim was to describe how nurses in a paediatric unit promote the health of families of children with chronic conditions during the children's hospitalization.
It is stressful for a family when a child has a chronic condition and hospitalized. Nurses have the opportunity to promote family health while a child is hospitalized, and previous studies contain a wealth of recommendations on how this should be done. However, there is little research evidence about family care and how nurses promote the health of a family with a chronically ill child.
Forty nurses who worked in two paediatric units providing care for children with chronic conditions and their families participated in the study. Data were collected in two Finnish hospitals in 2002 using group interviews, and nursing actions were observed in both units for a period of 84 hours. Data analysis was based on the grounded theory method, proceeding to the stage of axial coding. Data were collected until theoretical saturation was reached.
Family care was based on three distinctive strategies. Nurses used a systematic, selective or situation-specific strategy while promoting family health during a child's hospitalization.
The findings indicate that nurses used different strategies while promoting family health during a child's hospitalization. The systematic way of working with families identified in the study seems a useful strategy. All three strategies of family nursing described here should be tested in other paediatric wards and in other geographical locations.
本文报告一项研究，其目的是描述儿科病房的护士在儿童住院期间如何促进慢性病患儿家庭的健康。
当孩子患有慢性病并住院时，家庭会感到压力重重。护士在孩子住院期间有机会促进家庭健康，以往的研究包含了大量关于如何做到这一点的建议。然而，关于家庭护理以及护士如何促进慢性病患儿家庭健康的研究证据很少。
在两个为慢性病患儿及其家庭提供护理的儿科病房工作的40名护士参与了该研究。2002年在芬兰的两家医院采用小组访谈收集数据，并在两个病房对护理行为进行了为期84小时的观察。数据分析基于扎根理论方法，进入轴心编码阶段。持续收集数据直至达到理论饱和。
家庭护理基于三种不同的策略。护士在孩子住院期间促进家庭健康时采用系统、选择性或特定情况的策略。
研究结果表明，护士在孩子住院期间促进家庭健康时采用了不同的策略。本研究中确定的与家庭合作的系统方法似乎是一种有用的策略。这里描述的所有三种家庭护理策略都应在其他儿科病房和其他地理位置进行测试。
