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家长对小儿烧伤护理的感知质量。

Parents' perceived quality of pediatric burn care.

机构信息

Department of Neuroscience, Psychiatry, Uppsala University, 751 85 Uppsala, Sweden; Burn Center, Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital, 751 85 Uppsala, Sweden.

Department of Clinical and Experimental Medicine, Linköping University, 581 83 Linköping, Sweden.

出版信息

J Crit Care. 2018 Feb;43:256-259. doi: 10.1016/j.jcrc.2017.08.037. Epub 2017 Aug 30.

Abstract

PURPOSE

To describe parents' perceived quality of pediatric burn care and evaluate factors associated with differences in perceived quality among parents.

METHODS

62 parents of children with burns were recruited on a Swedish national basis 0.8 to 5.6years after the child's injury. Measures were an adaptation of the Quality of Care Indices - Parent questionnaire consisting of 8 subscales and one overall question, the Impact of Event Scale -Revised, Montgomery Åsberg Depression Rating Scale, and Injury-specific fear-avoidance.

RESULTS

Ratings of quality of care were high, especially regarding Staff Attitudes, Medical Treatment, and Caring Processes. Overall satisfaction rated from 1 to 10 was on average 9.1 (SD=1.2). Overall satisfaction and specific indices of Quality of care were not associated with burn severity, parent gender, or parent age. However, Quality of care was associated with current symptoms of posttraumatic stress and depression, and parents of girls expressed being less satisfied with Participation.

CONCLUSIONS

Parents' perceived quality of care is associated with psychological health, but not with characteristics of the child's injury or age. The results suggest that burn care can improve by involving parents of girls more and by being more attentive towards parents who themselves appear stressed or worried.

摘要

目的

描述父母对儿科烧伤护理的感知质量,并评估与父母感知质量差异相关的因素。

方法

在儿童受伤后 0.8 至 5.6 年,在瑞典全国范围内招募了 62 名烧伤儿童的父母。测量方法是对护理质量指数-父母问卷进行改编,该问卷由 8 个分量表和一个总体问题、事件影响量表-修订版、蒙哥马利抑郁评定量表和损伤特异性恐惧回避组成。

结果

护理质量的评分很高,特别是在工作人员态度、医疗护理和护理过程方面。从 1 到 10 的总体满意度平均为 9.1(SD=1.2)。总体满意度和护理质量的具体指标与烧伤严重程度、父母性别或父母年龄无关。然而,护理质量与创伤后应激和抑郁的当前症状有关,女孩的父母表示对参与的满意度较低。

结论

父母对护理质量的感知与心理健康有关,但与儿童受伤的特征或年龄无关。结果表明,通过让更多的女孩父母参与,并更加关注那些自己看起来压力大或担忧的父母,可以改善烧伤护理。

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