Peeler Alison, Fulbrook Paul, Kildea Sue
Australian Catholic University, Australia.
Australian Catholic University; The Prince Charles Hospital, Australia
J Child Health Care. 2015 Jun;19(2):216-28. doi: 10.1177/1367493513503587. Epub 2013 Oct 23.
Bronchiolitis is a major cause of children's admission to hospital. The study aim was to describe the experiences of parents who had, or nurses who cared for, a child admitted to hospital for severe bronchiolitis requiring oxygen therapy. A descriptive phenomenological approach was used to interview 12 mothers and 12 nurses. The findings were clustered into three domains: fear, parent-child interaction and technical caring. The mothers found the experience to be extremely frightening, based on their fear that their child could die. This was compounded by their lack of knowledge and understanding about what was happening and their inability to fulfil their mothering role. Although nurses recognised that parents were anxious, they did not seem to appreciate fully the depth of fear and emotion that mothers were experiencing and tended to describe procedural aspects of their role. The mothers' relationship with their child was focused upon physical contact and the desire to comfort their child. Their ability to do so was significantly impacted upon by the method of oxygen delivery to their child. For nurses, although they recognised the psychosocial dimension, their emphasis was on health and safety aspects of oxygen therapy, both for the child and themselves.
细支气管炎是儿童住院的主要原因。该研究的目的是描述孩子因严重细支气管炎住院并需要吸氧治疗的家长或护理护士的经历。采用描述性现象学方法对12位母亲和12位护士进行了访谈。研究结果分为三个方面：恐惧、亲子互动和技术护理。母亲们认为这种经历极其可怕，因为她们担心自己的孩子可能会死亡。她们对所发生的事情缺乏了解，无法履行母亲的职责，这使情况更加糟糕。尽管护士们认识到家长们很焦虑，但他们似乎没有充分意识到母亲们所经历的恐惧和情感的深度，而是倾向于描述自己工作中的程序方面。母亲与孩子的关系主要集中在身体接触和安慰孩子的愿望上。给孩子输氧的方式严重影响了她们这样做的能力。对于护士来说，尽管他们认识到心理社会层面的因素，但他们强调的是吸氧治疗对孩子和自身健康与安全的影响。
