Knutsson Susanne, Samuelsson Ingrid Pramling, Hellström Anna-Lena, Bergbom Ingegerd
The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Sciences, Göteborg, Sweden.
J Adv Nurs. 2008 Jan;61(2):154-62. doi: 10.1111/j.1365-2648.2007.04472.x.
This paper is a report of a study of children's experiences of visiting a seriously ill/injured relative in an intensive care unit.
Little attention has been paid to children's experiences and needs when visiting a relative being cared for at a high technological adult intensive care unit. Instead, the focus has been on adult's experiences and needs.
In 2004, 28 children (14 girls, 14 boys) aged 4-17 years who had visited an adult relative were interviewed 3 months after the visit. A hermeneutic approach was used when interpreting and analysing the text.
Four themes were generated from the data: It meant waiting, It was strange, It was white and It was good. Waiting was experienced as difficult, increasing the feeling of uncertainty, exclusion and separation, which in turn led to tension and concern. 'It was strange' was perceived as unfamiliar but also with interest and curiosity. The experience of the intensive care unit was that it was white. Everything in the patient's room was experienced as white and gloomy. It lacked joy. 'It was good' was stated about the outcome of the visit because through this they were given the opportunity to meet and see the relative by themselves. This evoked feelings of relief and joy. The visit did not seem to frighten the child; instead it generated feelings of release and relief.
Children's experiences of visiting an adult intensive care unit seem to support theories that emphasize the involvement and participation of children in family matters.
本文是一项关于儿童探望重症监护病房中重病/重伤亲属经历的研究报告。
在探望高科技成人重症监护病房中接受治疗的亲属时,儿童的经历和需求很少受到关注。相反,重点一直放在成人的经历和需求上。
2004年,对28名年龄在4至17岁之间、探望过成年亲属的儿童在探望3个月后进行了访谈。在解释和分析文本时采用了诠释学方法。
从数据中得出了四个主题:意味着等待、很奇怪、是白色的以及是美好的。等待被体验为困难的,增加了不确定感、被排斥感和分离感,进而导致紧张和担忧。“很奇怪”被认为既陌生又带有兴趣和好奇心。对重症监护病房的体验是它是白色的。病房里的一切都被体验为白色且阴沉的。它缺乏欢乐。“是美好的”是针对探望的结果而言的,因为通过这次探望他们有机会亲自见到并看望亲属。这唤起了宽慰和喜悦之情。这次探望似乎并没有吓到孩子;相反,它产生了解脱和宽慰的感觉。
儿童探望成人重症监护病房的经历似乎支持了强调儿童参与家庭事务的理论。