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五岁以下儿童烧伤病房的换药:对母亲经历的定性研究。

Dressing changes in a burns unit for children under the age of five: A qualitative study of mothers' experiences.

作者信息

Morley Jessica, Holman Natalie, Murray Craig D

机构信息

Faculty of Health & Medicine, Lancaster University, Lancaster, UK.

Alder Hey Children's NHS Foundation Trust, Liverpool, UK.

出版信息

Burns. 2017 Jun;43(4):757-765. doi: 10.1016/j.burns.2016.11.015. Epub 2017 Jan 6.

DOI:10.1016/j.burns.2016.11.015
PMID:28069342
Abstract

This study aimed to investigate the experiences of mothers who had attended their child's burn dressing changes. Participants were recruited from a burns unit based within a children's hospital. Face-to-face interviews were conducted with five mothers of children under the age of five who had undergone a series of dressing changes taking place on the burns unit. The interview guide explored parents' experience of initial and subsequent dressing changes. Participants were prompted to explore their expectations, thoughts, feelings and behaviours associated with these experiences. The interviews were recorded and transcribed verbatim. Transcripts were analysed using interpretative phenomenological analysis. The analysis identified four themes: 'needing to fulfil the responsibilities associated with being a mother'; 'emotional synchrony between mother and child'; 'being informed and knowing what to expect'; and 'the importance of establishing rapport with nurses performing dressing changes'. Findings from this research can inform services to help optimise mothers' experiences of dressing changes in this stage of pediatric burn care.

摘要

本研究旨在调查那些参与过孩子烧伤换药过程的母亲们的经历。参与者是从一家儿童医院的烧伤科招募而来的。对五名五岁以下儿童的母亲进行了面对面访谈,这些孩子在烧伤科接受了一系列的换药。访谈指南探讨了家长对初次及后续换药的体验。促使参与者探讨他们与这些经历相关的期望、想法、感受和行为。访谈进行了录音并逐字转录。使用解释现象学分析方法对转录文本进行了分析。分析确定了四个主题:“需要履行作为母亲的责任”;“母婴之间的情感同步”;“了解情况并知道预期会发生什么”;以及“与进行换药的护士建立融洽关系的重要性”。本研究的结果可为相关服务提供参考,以帮助优化母亲们在小儿烧伤护理这一阶段的换药体验。

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Scars Burn Heal. 2018 Mar 21;4:2059513118764878. doi: 10.1177/2059513118764878. eCollection 2018 Jan-Dec.
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Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care.在小儿烧伤伤口护理期间,父母急性心理困扰通过养育行为差异对幼儿疼痛相关行为的影响。
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