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对可能希望探访重症监护病房(ITU)中危重症成年人的儿童可获得的支持的探索。

An exploration of the support available to children who may wish to visit a critically adult in ITU.

作者信息

Vint Pauline E

出版信息

Intensive Crit Care Nurs. 2005 Jun;21(3):149-59. doi: 10.1016/j.iccn.2004.09.002. Epub 2004 Dec 10.

Abstract

There has been growing evidence to suggest that by not actively supporting children who have a critically ill loved one in an Intensive Therapy Unit (ITU), we may be doing them a great disservice. Decreased understanding and feelings of abandonment and helplessness can prevail. The primary purpose of this research was to explore the resources currently available to support a child with a critically ill adult member of their family (or significant other) in ITU, whom they may wish to visit. Available support for nursing staff that enables them to do this has also been explored. A descriptive postal survey was used in 2003 to collect data from 46 adult general and cardiothoracic ITUs nationally. The findings illustrated that there was a lack of written policy and very little written information for adult visitors regarding the needs of children who have a loved one in ITU. There was also a dearth of resources for nursing staff pertaining to children and their needs (when visiting a critically ill adult), including a lack of any formal or informal education on the subject. Clearly, restrictions were still being imposed on children visiting a loved one either by the well parent/carer or by the nursing staff, mainly for reasons unsubstantiated by research.

摘要

越来越多的证据表明,在重症监护病房(ITU)中,如果不积极支持那些有重症亲人的儿童,我们可能会对他们造成极大的伤害。他们对亲人病情的理解可能会减少,被遗弃和无助的感觉可能会占上风。本研究的主要目的是探索目前可用于支持那些希望探望在ITU中患有重症的成年家庭成员(或重要他人)的儿童的资源。同时,也探讨了能使护理人员做到这一点的现有支持措施。2003年采用了描述性邮寄调查,从全国46个成人综合及心胸外科重症监护病房收集数据。研究结果表明,缺乏针对成年探视者的书面政策,关于在ITU中有亲人的儿童的需求的书面信息也很少。对于护理人员而言,与儿童及其需求(在探视重症成人时)相关的资源也很匮乏,包括缺乏关于该主题的任何正式或非正式教育。显然,健康的父母/照顾者或护理人员仍然对儿童探视亲人施加限制,主要原因并无研究依据。

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