Parisien Rachel B, Gillanders Kirstie, Hennessy Erin K, Herterich Lisa, Saunders Kendra, Lati Jamil, Dos Santos Stephanie, Hassall Alison, O'Brien Kelly K
Department of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Hospital for Sick Children, Toronto, ON, Canada.
J Pediatr Rehabil Med. 2016 May 31;9(2):159-68. doi: 10.3233/PRM-160374.
The aim of this study was to conduct a preliminary investigation into parents' experiences of physical therapy and early mobility (EM) for their children in a pediatric critical care unit (PCCU).
We conducted a series of four qualitative case studies using in-depth semi-structured face-to-face interviews. We recruited parents of children who had undergone surgery and received at least one EM physical therapy intervention while intubated. We conducted a thematic analysis of transcribed interviews to illuminate the factors that influenced EM experiences.
Four parents participated in the study. We developed an overview of Parental Experiences with Physical Therapy and Early Mobility in a PCCU, which includes four themes that parents believed influenced their experiences: (1) environmental factors; (2) awareness of physical therapist and health care professional (HCP) roles; (3) communication among parents and HCPs; and (4) parental participation in their child's EM, within the overarching parental experiences in the PCCU.
This study affords a preliminary understanding of parents' experiences with physical therapy and EM in a PCCU setting. Results provide an important foundation for future research on mobility in the context of pediatric critical care research and practice.
本研究旨在对儿科重症监护病房（PCCU）中家长关于其子女接受物理治疗和早期活动（EM）的经历进行初步调查。
我们采用深入的半结构化面对面访谈进行了一系列四项定性案例研究。我们招募了子女接受过手术且在插管期间至少接受过一次EM物理治疗干预的家长。我们对转录的访谈进行了主题分析，以阐明影响EM体验的因素。
四位家长参与了该研究。我们编制了一份PCCU中家长物理治疗和早期活动体验概述，其中包括家长认为影响其体验的四个主题：（1）环境因素；（2）对物理治疗师和医护人员（HCP）角色的认知；（3）家长与HCP之间的沟通；以及（4）在PCCU总体家长体验范围内家长对其子女EM的参与。
本研究为初步了解PCCU环境中家长的物理治疗和EM体验提供了依据。研究结果为儿科重症监护研究与实践背景下未来的活动研究提供了重要基础。
