Nicholas David B, Keilty Krista
Hospital for Sick Children (SickKids), Department of Social Work, Toronto, Canada.
Soc Work Health Care. 2007;44(3):245-59. doi: 10.1300/J010v44n03_08.
This study evaluated a dyadic peer support pilot intervention for parents of technology-assisted children with chronic lung disease. These medically-fragile children, living at home in the primary care of their parents, require continuous or intermittent assistance from technological support such as home oxygen, respiratory or cardiac monitors and/or mechanical ventilators. The intervention consisted of matching parents with similar caregiving responsibilities, in order to reciprocally engage in parent-to-parent support. Results identified mixed outcomes based on quantitative and qualitative methods. Participants conveyed benefits and limitations of this modality of peer-based support. They generally favoured peer support as a clinical resource for caregiving parents as the intervention offered a valued opportunity for mutual sharing with another parent who could understand the unique realities particular to caring for a medically-fragile child. Sharing daily experiences was reported to reduce isolation, increase knowledge, and provide an important sense of feeling understood. Challenges associated with peer support included scheduling difficulties and personality incompatibility. Recommendations for program development in clinical settings are described.
本研究评估了一项针对患有慢性肺病的技术辅助儿童家长的二元同伴支持试点干预措施。这些医学上脆弱的儿童在家中由父母进行初级护理,需要诸如家庭氧气、呼吸或心脏监测器和/或机械呼吸机等技术支持提供持续或间歇性的帮助。该干预措施包括将具有相似护理责任的父母配对,以便相互参与家长对家长的支持。基于定量和定性方法的结果显示了混合结果。参与者表达了这种同伴支持方式的益处和局限性。他们普遍赞成将同伴支持作为护理家长的临床资源,因为该干预措施为与另一位能够理解照顾医学上脆弱儿童的独特现实情况的家长进行相互分享提供了宝贵机会。据报告,分享日常经历可减少孤立感、增加知识并提供被理解的重要感觉。与同伴支持相关的挑战包括安排困难和性格不合。文中描述了临床环境中项目开发的建议。