Thunberg Gunilla, Buchholz Margret, Nilsson Stefan
DART - Center for AAC and Assistive Technology, the Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden CHILD, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden
J Child Health Care. 2016 Jun;20(2):224-33. doi: 10.1177/1367493514568298. Epub 2015 Feb 12.
There is a lack of research on the use of augmentative and alternative communication (AAC) in paediatric care, despite the fact that most children in need of AAC frequently need to visit hospitals and sometimes have to stay for long periods. The aim of this study was to investigate parents' experiences of the hospital visits with their children with communicative disabilities and to collect their ideas about how to optimize communication in this situation. Ten parents who had children with communicative disability took part in three focus group interviews. The analysis had a retrospective qualitative content theory. In the qualitative content analysis of the focus group interviews, 4 categories and 17 subcategories were identified. Overall, the results highlighted the importance of enabling direct communication between the child and the staff during the hospital stay. Parents of children with communication difficulties highlighted the importance of listening to their children and understanding their needs during hospital care and that hospital staff are in need of more knowledge in communicative disability and AAC to accomplish this. Training programmes for health-care professionals should be established to facilitate these requirements and connect to the United Nations conventions. Hospitals should provide and use AAC/communicative support.
尽管大多数需要使用辅助和替代沟通方式(AAC)的儿童经常需要去医院就诊,有时还需要长时间住院,但目前关于AAC在儿科护理中的应用研究较少。本研究的目的是调查有沟通障碍儿童的家长带孩子就医的经历,并收集他们关于如何在这种情况下优化沟通的想法。十位有沟通障碍儿童的家长参加了三次焦点小组访谈。分析采用回顾性定性内容理论。在对焦点小组访谈的定性内容分析中,确定了4个类别和17个子类别。总体而言,结果强调了在住院期间让儿童与医护人员进行直接沟通的重要性。有沟通困难儿童的家长强调了在医院护理期间倾听孩子心声、理解他们需求的重要性,并且医院工作人员需要更多关于沟通障碍和AAC的知识来实现这一点。应建立针对医护专业人员的培训项目,以满足这些要求并与联合国公约相联系。医院应提供并使用AAC/沟通支持。