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在急性儿科环境中进行治疗性对话干预是否对呼吸道合胞病毒(RSV)引起毛细支气管炎的儿童的家庭有影响?

Does a therapeutic conversation intervention in an acute paediatric setting make a difference for families of children with bronchiolitis caused by respiratory syncytial virus (RSV)?

机构信息

Children's Hospital at Landspitali University Hospital, Reykjavik, Iceland.

出版信息

J Clin Nurs. 2013 Oct;22(19-20):2723-33. doi: 10.1111/j.1365-2702.2012.04330.x. Epub 2013 Jun 14.

DOI:10.1111/j.1365-2702.2012.04330.x
PMID:23763441
Abstract

AIMS AND OBJECTIVES

To measure the benefit of a short-family therapeutic conversation (STC) intervention in an acute paediatric unit.

BACKGROUND

Studies of children with bronchiolitis caused by respiratory syncytial virus (RSV) have shown that this virus may have an impact on their respiratory system in the form of a wheezing disorder, asthma and even allergy during their childhood. Studies of the parents of these children indicate that they experience distress, vulnerability and anxiety through the illness period and therefore need support from healthcare professionals. However, little is known about what intervention is of most benefit for these parents.

DESIGN

Quasi-experimental.

METHOD

Data were collected from a convenience sample from February throughout April 2009 at an acute unit at a children's hospital in Iceland. Parents of infants diagnosed with bronchiolitis caused by RSV were invited to attend. In total, there are 41 participants: 21 in the intervention group (n = 21) and 20 in the control group (n = 20). Parents in both groups answered questionnaires about perceived support and family expressive functioning both before the intervention and on an average of 11 days after the intervention.

RESULTS

The main findings showed that mothers in the intervention group perceive significantly higher support after the intervention compared with the control group. The findings also showed a significant difference between the genders (mothers and fathers) in the intervention group. The mothers perceived higher cognitive support than the fathers.

CONCLUSIONS

Despite the often chaotic environment in an acute care setting, the research findings give paediatric nurses reason to conclude that a STC intervention benefits mothers of infants with bronchiolitis caused by RSV.

RELEVANCE TO CLINICAL PRACTICE

A STC intervention offered by a nurse within an acute paediatric unit can support families in handling the illness experience.

摘要

目的和目标

测量短家庭治疗对话(STC)干预在急性儿科病房中的益处。

背景

呼吸道合胞病毒(RSV)引起毛细支气管炎的儿童研究表明,该病毒可能会以喘息障碍、哮喘甚至过敏的形式对其呼吸系统产生影响。这些儿童的父母的研究表明,他们在患病期间会感到痛苦、脆弱和焦虑,因此需要医疗保健专业人员的支持。然而,对于这些父母来说,哪种干预最有帮助,人们知之甚少。

设计

准实验设计。

方法

数据是从 2009 年 2 月到 4 月在冰岛一家儿童医院的急性病房从方便样本中收集的。邀请被诊断为 RSV 引起毛细支气管炎的婴儿的父母参加。共有 41 名参与者:干预组 21 名(n = 21),对照组 20 名(n = 20)。两组父母在干预前和干预后平均 11 天都回答了关于感知支持和家庭表达功能的问卷。

结果

主要发现表明,干预组的母亲在干预后感知到的支持明显高于对照组。研究结果还表明,干预组中存在性别差异(母亲和父亲)。母亲感知到的认知支持高于父亲。

结论

尽管急性护理环境通常很混乱,但研究结果使儿科护士有理由得出结论,即短家庭治疗对话干预有益于 RSV 引起毛细支气管炎的婴儿的母亲。

临床相关性

急性儿科病房的护士提供的短家庭治疗对话干预可以支持家庭应对疾病体验。

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