小儿心脏重症监护病房家长压力模型：运用定向内容分析法进行优化
The Pediatric Cardiac Intensive Care Unit Parental Stress Model: Refinement Using Directed Content Analysis.
作者信息
Lisanti Amy Jo, Golfenshtein Nadya, Medoff-Cooper Barbara
机构信息
University of Pennsylvania School of Nursing, Philadelphia (Drs Lisanti, Golfenshtein, and Medoff-Cooper); and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Drs Lisanti and Medoff-Cooper).
出版信息
ANS Adv Nurs Sci. 2017 Oct/Dec;40(4):319-336. doi: 10.1097/ANS.0000000000000184.
Abstract
This descriptive, qualitative study used directed content analysis to explore and clarify specific foci of parental stress for mothers of infants with complex congenital heart disease in the pediatric cardiac intensive care unit (PCICU). The PCICU Parental Stress Model was used as the guiding theoretical framework. Three focus groups were conducted with 14 mothers of infants who were being cared for in a PCICU at a large mid-Atlantic children's hospital. Data provided themes to support and refine the PCICU Parental Stress Model that can be used to guide practice, education, and future research in this unique population and setting.
摘要
这项描述性的定性研究采用定向内容分析法，以探究和阐明小儿心脏重症监护病房（PCICU）中患有复杂先天性心脏病婴儿的母亲所面临的特定压力源。PCICU父母压力模型被用作指导理论框架。研究人员对大西洋中部一家大型儿童医院PCICU中正在接受护理的14名婴儿的母亲进行了三次焦点小组访谈。研究所得数据为支持和完善PCICU父母压力模型提供了主题，该模型可用于指导针对这一特殊人群和环境的实践、教育及未来研究。
相似文献
1
The Pediatric Cardiac Intensive Care Unit Parental Stress Model: Refinement Using Directed Content Analysis.
ANS Adv Nurs Sci. 2017 Oct/Dec;40(4):319-336. doi: 10.1097/ANS.0000000000000184.
2
Maternal Stress and Anxiety in the Pediatric Cardiac Intensive Care Unit.
Am J Crit Care. 2017 Mar;26(2):118-125. doi: 10.4037/ajcc2017266.
3
Coping with the Stress in the Cardiac Intensive Care Unit: Can Mindfulness Be the Answer?
J Pediatr Nurs. 2017 Nov-Dec;37:117-126. doi: 10.1016/j.pedn.2017.08.021. Epub 2017 Aug 12.
4
Creating opportunities for parent empowerment: program effects on the mental health/coping outcomes of critically ill young children and their mothers.
Pediatrics. 2004 Jun;113(6):e597-607. doi: 10.1542/peds.113.6.e597.
5
Posttraumatic Stress in Mothers While Their Preterm Infants Are in the Newborn Intensive Care Unit: A Mixed Research Synthesis.
ANS Adv Nurs Sci. 2017 Oct/Dec;40(4):337-355. doi: 10.1097/ANS.0000000000000176.
6
Parent Perception of Their Role in the Pediatric Cardiac Intensive Care Unit.
Dimens Crit Care Nurs. 2022;41(1):2-9. doi: 10.1097/DCC.0000000000000503.
7
Mothers and Fathers Experience Stress of Congenital Heart Disease Differently: Recommendations for Pediatric Critical Care.
Pediatr Crit Care Med. 2018 Jul;19(7):626-634. doi: 10.1097/PCC.0000000000001528.
8
An impact evaluation of a newly developed pediatric cardiac intensive care unit.
Clin Nurse Spec. 2015 Jan-Feb;29(1):38-47. doi: 10.1097/NUR.0000000000000097.
9
The lived experiences of the parents of children admitted to a paediatric cardiac intensive care unit.
Heart Lung. 2018 Nov;47(6):631-637. doi: 10.1016/j.hrtlng.2018.08.002. Epub 2018 Aug 31.
10
Investigation of stress and nursing support in mothers of preterm infants in neonatal intensive care units.
Scand J Caring Sci. 2019 Jun;33(2):351-358. doi: 10.1111/scs.12630. Epub 2018 Nov 14.
引用本文的文献
1
Parenting stress in infancy was associated with neurodevelopment in 24-month-old children with congenital heart disease.
Acta Paediatr. 2025 Jan;114(1):164-172. doi: 10.1111/apa.17421. Epub 2024 Sep 12.
2
Association Between Persistent Hypothermia After Cardiopulmonary Bypass in Neonates and Odds of Serious Complications.
Crit Care Explor. 2024 Aug 20;6(8):e1137. doi: 10.1097/CCE.0000000000001137. eCollection 2024 Aug 1.
3
Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study.
J Pediatr (Rio J). 2025 Jan-Feb;101(1):54-60. doi: 10.1016/j.jped.2024.06.011. Epub 2024 Aug 9.
4
Perceived family-centered care and post-traumatic stress in parents of infants cared for in the paediatric cardiac intensive care unit.
Nurs Crit Care. 2024 Sep;29(5):1059-1066. doi: 10.1111/nicc.13094. Epub 2024 May 30.
5
Mental Health Care for Children with Heart Disease and Their Families: Practical Approaches and Considerations for the Pediatric and Pediatric Cardiology Clinician.
Pediatr Cardiol. 2025 Apr;46(4):757-768. doi: 10.1007/s00246-024-03518-5. Epub 2024 May 16.
6
Mental Health Symptoms in Parents of Infants 3 Months After Discharge Following Neonatal Cardiac Surgery.
Am J Crit Care. 2024 Jan 1;33(1):20-28. doi: 10.4037/ajcc2024404.
7
Toxic Stress as a Potential Factor Inducing Negative Emotions in Parents of Newborns and Infants with Cyanotic Congenital Heart Disease.
Children (Basel). 2023 Dec 6;10(12):1893. doi: 10.3390/children10121893.
8
Contingent Mother's Voice Intervention Targeting Feeding in Hospitalized Infants with Critical Congenital Heart Defects.
Children (Basel). 2023 Sep 30;10(10):1642. doi: 10.3390/children10101642.
9
Life situation of a caregiver of a child with congenital heart defect and/or other cardiac problems: structure and preliminary validation of a new questionnaire.
Front Psychol. 2023 Jun 15;14:1194031. doi: 10.3389/fpsyg.2023.1194031. eCollection 2023.
10
Parental communication satisfaction with the clinical team in the paediatric cardiac ICU.
Cardiol Young. 2024 Feb;34(2):282-290. doi: 10.1017/S1047951123001555. Epub 2023 Jun 26.
本文引用的文献
1
Maternal Stress and Anxiety in the Pediatric Cardiac Intensive Care Unit.
Am J Crit Care. 2017 Mar;26(2):118-125. doi: 10.4037/ajcc2017266.
2
Developmental Care in North American Pediatric Cardiac Intensive Care Units: Survey of Current Practices.
Adv Neonatal Care. 2016 Jun;16(3):211-9. doi: 10.1097/ANC.0000000000000264.
3
Developmental Care Rounds: An Interdisciplinary Approach to Support Developmentally Appropriate Care of Infants Born with Complex Congenital Heart Disease.
Clin Perinatol. 2016 Mar;43(1):147-56. doi: 10.1016/j.clp.2015.11.010.
4
Parents' experiences of having a child undergoing congenital heart surgery: An emotional rollercoaster from shocking to blessing.
Heart Lung. 2016 Mar-Apr;45(2):154-60. doi: 10.1016/j.hrtlng.2015.12.007. Epub 2016 Jan 30.
5
Surgical Quality Predicts Length of Stay in Patients with Congenital Heart Disease.
Pediatr Cardiol. 2016 Mar;37(3):593-600. doi: 10.1007/s00246-015-1319-x. Epub 2016 Jan 7.
6
Recommendations for mental health professionals in the NICU.
J Perinatol. 2015 Dec;35 Suppl 1(Suppl 1):S14-8. doi: 10.1038/jp.2015.144.
7
Predictors of Health Status in Mothers of Premature Infants with Implications for Clinical Practice and Future Research.
Worldviews Evid Based Nurs. 2015 Aug;12(4):217-27. doi: 10.1111/wvn.12101. Epub 2015 Jul 28.
8
Parents' experiences of family functioning, health and social support provided by nurses--a pilot study in paediatric intensive care.
Intensive Crit Care Nurs. 2015 Feb;31(1):29-37. doi: 10.1016/j.iccn.2014.08.001. Epub 2014 Nov 18.
9
Shhh… I'm growing: noise in the NICU.
Nurs Clin North Am. 2014 Sep;49(3):329-44. doi: 10.1016/j.cnur.2014.05.007.
10
Predictors of stress among parents in pediatric intensive care unit: a prospective observational study.
Indian J Pediatr. 2014 Nov;81(11):1167-70. doi: 10.1007/s12098-014-1415-6. Epub 2014 Apr 15.
Zotero 插件