McGahey-Oakland Patricia R, Lieder Holly S, Young Anne, Jefferson Larry S
Baylor College of Medicine/Texas Children's Hospital, Houston, Texas 77057, USA.
J Pediatr Health Care. 2007 Jul-Aug;21(4):217-25. doi: 10.1016/j.pedhc.2006.12.001.
Family presence (FP) during resuscitation is a timely and controversial topic. Family members are becoming part of the resuscitation process. Study objectives included: (1) describe experiences of family members whose children underwent resuscitation in a children's hospital emergency department; (2) identify critical information about family experiences to improve circumstances for future families; and (3) assess mental and health functioning of family members.
This descriptive, retrospective study involved a 1-hour audio-taped interview of 10 family members using the Parkland Family Presence During Resuscitation/Invasive Procedures Unabridged Family Survey (FS) and investigator-developed questions. Mental and health functioning were assessed using the Brief Symptom Inventory, the Short Form Health Survey version 2, and the Post Traumatic Stress Disorder Scale. Seven family members were present during resuscitation, and three were not present.
Five thematic categories were identified: (1) It's My Right to Be There; (2) Connection and Comfort Make a Difference; (3) Seeing is Believing; (4) Getting In; and (5) Information Giving. Family members voiced that it was their right to be present, indicating they had a special connection to the child. Seeing or not seeing the events of the resuscitation affected family members' ability to believe the outcome. Measures of mental and health functioning were similar to population norms.
Instituting guidelines that facilitate FP may provide mechanisms to ensure that the needs of patients, family members, and health care providers are met during a stressful event.
复苏期间家属在场是一个当下热门且颇具争议的话题。家属正逐渐成为复苏过程的一部分。研究目标包括：（1）描述在儿童医院急诊科其子女接受复苏的家属的经历；（2）确定有关家属经历的关键信息，以改善未来家属的情况；（3）评估家属的心理和健康状况。
这项描述性回顾性研究包括使用帕克兰复苏/侵入性操作期间家属在场情况完整家庭调查问卷（FS）以及研究人员自行设计的问题，对10名家属进行1小时的录音访谈。使用简明症状量表、健康调查简表第2版和创伤后应激障碍量表评估心理和健康状况。7名家属在复苏期间在场，3名家属不在场。
确定了五个主题类别：（1）我有权在场；（2）情感联结与安慰至关重要；（3）眼见为实；（4）进入现场；（5）信息提供。家属表示在场是他们的权利，表明他们与孩子有特殊的情感联结。目睹或未目睹复苏过程影响了家属对结果的相信程度。心理和健康状况测量结果与总体标准相似。
制定有助于家属在场的指导方针，可能提供机制，以确保在压力事件期间满足患者、家属和医护人员的需求。
