Youngblut J M, Jay S S
AACN Clin Issues Crit Care Nurs. 1991 May;2(2):329-37. doi: 10.4037/15597768-1991-2020.
To identify parental concerns when a child is suddenly admitted to the pediatric intensive care unit, 17 parents of ten critically ill children were interviewed using a structured format between 20 and 36 hours after admission about their concerns around the time of admission and at the time of interview using the Parental Concerns Scale. The individual concern items receiving the highest ratings were the child's survival, the possibility of mental or physical impairment, the child's diagnosis, and the amount of pain experienced by the child. Total concern scores decreased over time for both mothers and fathers when the child's prognosis was good and, for mothers only, when the child had an infectious illness rather than accidental injuries. Implications for nursing practice are discussed.
为了确定儿童突然入住儿科重症监护病房时家长的担忧，研究人员在10名重症患儿的17名家长在患儿入院后20至36小时接受访谈，采用结构化形式询问他们在入院时和访谈时的担忧，并使用家长担忧量表进行评估。得分最高的个体担忧项目包括孩子的生存、精神或身体受损的可能性、孩子的诊断以及孩子经历的疼痛程度。当孩子预后良好时，父母双方的总体担忧得分随时间下降；仅母亲一方的总体担忧得分在孩子患有传染病而非意外伤害时随时间下降。文中讨论了对护理实践的启示。
