Brochard E R
Service de pédiatrie, Centre hospitalier sud Pierre Bénite Lyon.
Agressologie. 1990;31(9):646-8.
In spite of medical and nursing staff competence, as well as the quality of technology, paedriatric and neonatal Intensive Care Unit (I.C.U.) are still dependent on the patient for setting up diagnosis and cares guidance. Parents, by their relation with both child and staff, can amplify or reduce feelings of despair or helplessness which seems to mark the reanimation of some children. Isolating the child from his parents with the aim to reduce tensions which are supposed to be able to slow or prevent him from being cured, proved to generate troubles at term. A psychologist working in paediatrics I.C.U. is needed in difficult situations expressed by patient symptoms or the feeling of such a situation by parents or staff. Psychologic therapy of the child and his parents have been instored and performed during the whole period of stay in the I.C.U. and that whatever the age or consciousness of the child. In spite of the vicissitudes of such taking in charge, it permit to restore a necessary continuity in patient life history and his parental's relationship.
尽管有医护人员的专业能力以及技术质量，但儿科和新生儿重症监护病房（ICU）在确立诊断和护理指导方面仍依赖于患者。父母由于与孩子和医护人员双方的关系，可能会加剧或减轻绝望或无助感，而这种感觉似乎是一些儿童复苏过程的特征。为了减少被认为会减缓或阻止孩子康复的紧张情绪而将孩子与父母隔离，结果证明最终会产生问题。在患者出现症状或父母或医护人员感觉到这种困难情况时，需要有一位在儿科重症监护病房工作的心理学家。在患者入住ICU的整个期间，无论孩子的年龄或意识如何，都要对孩子及其父母进行心理治疗。尽管这种护理过程充满波折，但它有助于在患者的生活历程及其与父母的关系中恢复必要的连续性。
