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儿科重症监护病房中个人日记对儿童和家庭的意义:一项定性研究。

The meaning of personal diaries to children and families in the paediatric intensive care unit: A qualitative study.

机构信息

Department of Anestesiology and Intensive Care, Odense University Hospital, Sdr. Boulevard 29, DK-5000 Odense C, Denmark.

出版信息

Intensive Crit Care Nurs. 2018 Apr;45:25-30. doi: 10.1016/j.iccn.2017.10.001. Epub 2017 Nov 26.

DOI:10.1016/j.iccn.2017.10.001
PMID:29183644
Abstract

OBJECTIVE

To explore children's' and families' experiences of using intensive care diaries after discharge and the role of diaries in the process of recovering from a stay in the paediatric intensive care unit.

DESIGN AND SETTING

Qualitative, exploratory design. Data collection consisted of semi-structured interviews with five children and their families, conducted four to six months after discharge from the intensive care unit. Inclusion criteria were children and their families, with a stay for more than three days who had a diary written for them. Data were analysed using thematic analysis FINDINGS: Three main themes emerged: (i) value to the entire family, (ii) creating memories, (iii) the importance of pictures.

CONCLUSION

Diaries were used after discharge as a support for both children and families and played a role in making the paediatric intensive care experience meaningful by providing explanations and coherence. The findings suggest that a diary can serve as a catalyst for the coping process of the family unit. Findings also confirm how the children's memories are characterised by a sense of unreality. The diary could thus help fill in some of the missing picture to support the children in understanding their story.

摘要

目的

探索儿童和家庭在出院后使用重症监护日记的体验,以及日记在从儿科重症监护病房康复过程中的作用。

设计和设置

定性、探索性设计。数据收集包括对五名儿童及其家庭的半结构化访谈,在出院后四个月至六个月进行。纳入标准为住院超过三天并为其撰写日记的儿童及其家庭。使用主题分析进行数据分析。

结果

出现了三个主要主题:(i)对整个家庭的价值,(ii)创造回忆,(iii)图片的重要性。

结论

日记在出院后被用作儿童和家庭的支持,通过提供解释和连贯性,在使儿科重症监护体验有意义方面发挥了作用。研究结果表明,日记可以作为家庭单位应对过程的催化剂。研究结果还证实了儿童记忆的不真实感特征。因此,日记可以帮助填补一些缺失的画面,以支持儿童理解他们的故事。

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