Ramirez Marizen, Toussaint Maisha, Woods-Jaeger Briana, Harland Karisa, Wetjen Kristel, Wilgenbusch Tammy, Pitcher Graeme, Jennissen Charles
From the *University of Iowa Injury Prevention Research Center, Department of Occupational and Environmental Health; †Department of Community Behavioral Health, University of Iowa College of Public Health; ‡Department of Surgery, University of Iowa Hospitals and Clinics; §Department of Pediatric Psychology, University of Iowa Children's Hospital; and ∥Department of Emergency Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA.
Pediatr Emerg Care. 2017 Aug;33(8):532-537. doi: 10.1097/PEC.0000000000000535.
Injury, the most common type of pediatric trauma, can lead to a number of adverse psychosocial outcomes, including posttraumatic stress disorder. Currently, few evidence-based parent programs exist to support children hospitalized after a traumatic injury. Using methods in evaluation and intervention research, we completed a formative research study to develop a new program of psychological first aid, Link for Injured Kids, aimed to educate parents in supporting their children after a severe traumatic injury.
Using qualitative methods, we held focus groups with parents and pediatric trauma providers of children hospitalized at a Level I Children's Hospital because of an injury in 2012. We asked focus group participants to describe reactions to trauma and review drafts of our intervention materials.
Health professionals and caregivers reported a broad spectrum of emotional responses by their children or patients; however, difficulties were experienced during recovery at home and upon returning to school. All parents and health professionals recommended that interventions be offered to parents either in the emergency department or close to discharge among admissions.
Results from this study strongly indicate a need for posttrauma interventions, particularly in rural settings, to support families of children to address the psychosocial outcomes in the aftermath of an injury. Findings presented here describe the process of intervention development that responds to the needs of an affected population.
损伤是儿童创伤最常见的类型,可导致多种不良心理社会后果,包括创伤后应激障碍。目前,几乎没有基于证据的家长项目来支持创伤性损伤后住院的儿童。我们运用评估和干预研究方法,完成了一项形成性研究,以开发一个新的心理急救项目“受伤儿童联系项目”,旨在教育家长在儿童遭受严重创伤性损伤后如何支持他们。
我们采用定性方法,于2012年与因受伤而在一家一级儿童医院住院的儿童的家长和儿科创伤护理人员进行了焦点小组访谈。我们要求焦点小组参与者描述对创伤的反应,并审查我们干预材料的草稿。
卫生专业人员和照顾者报告了他们的孩子或患者有广泛的情绪反应;然而,在家康复期间和返校时都遇到了困难。所有家长和卫生专业人员都建议在急诊科或入院接近出院时为家长提供干预措施。
这项研究的结果强烈表明,需要开展创伤后干预,特别是在农村地区,以支持儿童家庭应对受伤后的心理社会后果。此处呈现的研究结果描述了针对受影响人群需求的干预措施开发过程。