Koller Donna F, Nicholas David B, Goldie Robyn Salter, Gearing Robin, Selkirk Enid K
Department of Child Life, The Hospital for Sick Children, The Hospital for Sick Children, Toronto, Ontario, Canada.
J Dev Behav Pediatr. 2006 Apr;27(2):134-40. doi: 10.1097/00004703-200604000-00010.
Psychosocial issues related to pediatric isolation remain relevant to both clinical practice and research. The early theories of Bowlby and Robertson are central to this discussion for it was predominantly their work that elicited several policy changes aimed at improving psychosocial care in pediatric settings. Recognizing the significant effects of isolating hospitalized children is just as relevant today where serious infectious diseases can lead to separation of family members. An ethnographic, qualitative study examined the experiences and perspectives of children hospitalized because of SARS (severe acute respiratory syndrome), their parents, and pediatric health care providers. The sample included 23 participants: five children, 10 parents, and eight health care providers. Data analyses illuminated a range of perceived experiences for this triadic sample. Themes related to the effects of social isolation on children were predominant. They included emotional upheaval, changes in parental and professional roles, and familial experiences following hospital discharge. Finally, the paper draws on the findings of the present study and other recent work in offering recommendations for effective clinical approaches in the event of future outbreaks.
与儿科隔离相关的社会心理问题在临床实践和研究中都仍然具有重要意义。鲍尔比和罗伯逊的早期理论是这一讨论的核心，因为主要是他们的工作引发了多项旨在改善儿科环境中社会心理护理的政策变革。认识到隔离住院儿童的重大影响在当今同样重要，因为严重的传染病可能导致家庭成员分离。一项人种志定性研究考察了因严重急性呼吸综合征（SARS）住院的儿童、他们的父母以及儿科医疗服务提供者的经历和观点。样本包括23名参与者：5名儿童、10名父母和8名医疗服务提供者。数据分析揭示了这个三元样本的一系列感知经历。与社会隔离对儿童影响相关的主题最为突出。这些主题包括情绪动荡、父母和专业角色的变化以及出院后的家庭经历。最后，本文借鉴本研究的结果和其他近期研究成果，为未来疫情爆发时的有效临床方法提供建议。
