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[与绷带相伴:关于大疱性表皮松解症患儿家庭观点的混合方法研究]

[Living with bandages: a mixed-methods-study on the view of families of children with epidermolysis bullosa].

作者信息

Hartenstein-Pinter Almut, Hübner-Möhler Bettina, Zernikow Boris, Wager Julia

机构信息

Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik, Datteln.

Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Fakultät für Gesundheit, Department für Humanmedizin, Universität Witten / Herdecke.

出版信息

Pflege. 2020 Apr;33(2):75-84. doi: 10.1024/1012-5302/a000719. Epub 2020 Feb 12.

Abstract

Living with bandages: a mixed-methods-study on the view of families of children with epidermolysis bullosa Children with epidermolysis bullosa (EB) often need new bandages regularly due to sore skin and blistering. The question about the experiences of parents and children affected by EB with dressing materials is intended to identify starting points for effective support of families. In the first part of the sequential mixed-methods study, guideline-based interviews were conducted and evaluated with qualitative content analysis. Based on the results, a questionnaire was developed and implemented as an online survey. After analysis with descriptive statistics, these results were combined with the qualitative results. In the "Find out what works" process, the cutting of the materials and the importance of flexibility come to the fore. The parents' confidence in their actions is particularly evident in the application of the bandages and in their knowledge of the materials. The removal of glued dressings is often associated with pain. Dirty bandages are the most common problem in everyday life. Both aspects relate to the wearability of the bandages. When bandages are integrated into everyday family life, the most important role is played by cost absorption and expertise in the organisation. Parents develop specific competences on EB, on their child and dressings. With counselling and education, nursing takes a central function within the multi-professional accompanying interventions to support and relieve families.

摘要

与绷带相伴

一项关于大疱性表皮松解症患儿家庭看法的混合方法研究 大疱性表皮松解症(EB)患儿由于皮肤疼痛和起泡,经常需要定期更换新绷带。关于受EB影响的父母和孩子使用敷料材料的经历的问题,旨在确定有效支持家庭的切入点。在这项顺序混合方法研究的第一部分,进行了基于指南的访谈,并采用定性内容分析进行评估。根据结果,编制了一份问卷并作为在线调查实施。经过描述性统计分析后,将这些结果与定性结果相结合。在“找出有效的方法”过程中,材料的裁剪和灵活性的重要性凸显出来。父母在绷带应用及其对材料的了解方面,对自己行为的信心尤为明显。去除粘贴式敷料往往会带来疼痛。脏绷带是日常生活中最常见的问题。这两个方面都与绷带的可穿戴性有关。当绷带融入家庭日常生活时,成本承担和组织方面的专业知识发挥着最重要的作用。父母在EB、自己的孩子和敷料方面培养了特定的能力。通过咨询和教育,护理在多专业陪伴干预中发挥核心作用,以支持和帮助家庭。

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