Ramsdell Katharine Donlon, Morrison Melissa, Kassam-Adams Nancy, Marsac Meghan L
Department of Psychology, Virginia Tech, Blacksburg (Ms Ramsdell); Department of School Psychology, Temple University, Philadelphia, Pennsylvania (Ms Morrison); The Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Drs Kassam-Adams and Marsac); and Departments of Pediatrics (Dr Kassam-Adams) and Psychiatry, University of Pennsylvania (Dr Marsac), Perelman School of Medicine, Philadelphia.
J Trauma Nurs. 2016 Jul-Aug;23(4):194-201. doi: 10.1097/JTN.0000000000000217.
Children who sustain injuries are at risk for experiencing traumatic stress reactions. Few studies have obtained detailed, qualitative information regarding children's and parents' own understanding of their experiences during the peritrauma period. Understanding children's injury and early hospital experiences is crucial to inform the development of early interventions during the peritrauma period, which speak to these concerns. The primary purpose of this study was to understand child and parent views of the stressors experienced by children hospitalized for an injury. A secondary aim was to identify children's feelings and thoughts about injury- and hospital-related stressors. Ten children and their parents participated in semistructured interviews. Interviews were audio-recorded, transcribed, and coded. Stressors were classified into 5 domains: procedural concerns, uncertainty, sleep and nutrition challenges, being confined to the hospital, and home preparation. Children and parents were more likely to articulate feelings about stressors than thoughts about stressors. Feelings reported by children and parents were predominantly negative. Children and parents may have an easier time expressing feelings than thoughts, which has implications for communicating with medical teams as well as for psychological treatment. Future research should examine how children's perceptions of their injury- and hospital-related experiences relate to later outcomes such as traumatic stress reactions.
受伤儿童有经历创伤应激反应的风险。很少有研究获得关于儿童及其父母对创伤期自身经历的详细定性信息。了解儿童的受伤情况和早期住院经历对于制定创伤期早期干预措施至关重要，这些措施可以解决这些问题。本研究的主要目的是了解儿童和家长对因伤住院儿童所经历的应激源的看法。次要目的是确定儿童对与受伤和医院相关的应激源的感受和想法。10名儿童及其父母参与了半结构化访谈。访谈进行了录音、转录和编码。应激源分为5个领域：程序问题、不确定性、睡眠和营养挑战、被限制在医院以及家庭准备。儿童和父母更倾向于表达对应激源的感受而非对应激源的想法。儿童和父母报告的感受主要为负面。儿童和父母可能表达感受比表达想法更容易，这对与医疗团队沟通以及心理治疗都有影响。未来的研究应该考察儿童对其与受伤和医院相关经历的认知如何与诸如创伤应激反应等后期结果相关联。
