小儿日间手术流程中的家长体验及对数字游戏解决方案的需求：定性研究

Parental Experiences of the Pediatric Day Surgery Pathway and the Needs for a Digital Gaming Solution: Qualitative Study.

作者信息

Rantala Arja, Jansson Miia M, Helve Otto, Lahdenne Pekka, Pikkarainen Minna, Pölkki Tarja

机构信息

Research Group of Medical Imaging, Physics and Technology, Research Unit of Nursing Science and Health Management, Faculty of Medicine, University of Oulu, Oulu, Finland.

Research Group of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland.

出版信息

JMIR Med Inform. 2020 Nov 13;8(11):e23626. doi: 10.2196/23626.

DOI:10.2196/23626

PMID:33185556

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7695534/

Abstract

BACKGROUND

The parents of hospitalized children are often dissatisfied with waiting times, fasting, discharge criteria, postoperative pain relief, and postoperative guidance. Parents' experiences help care providers to provide effective, family-centered care that responds to parents' needs throughout the day surgery pathway.

OBJECTIVE

The objective of our study was to describe parental experiences of the pediatric day surgery pathway and the needs for a digital gaming solution in order to facilitate the digitalization of these pathways.

METHODS

This was a descriptive qualitative study. The participants (N=31) were parents whose children were admitted to the hospital for the day surgical treatments or magnetic resonance imaging. The data were collected through an unstructured, open-ended questionnaire; an inductive content analysis was conducted to analyze the qualitative data. Reporting of the study findings adheres to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

RESULTS

Parental experiences of the children's day surgery pathway included 3 main categories: (1) needs for parental guidance, (2) needs for support, and (3) child involved in his or her own pathway (eg, consideration of an individual child and preparation of child for treatment). The needs for a digital gaming solution were identified as 1 main category-the digital gaming solution for children and families to support care. This main category included 3 upper categories: (1) preparing children and families for the day surgery via the solution, (2) gamification in the solution, and (3) connecting people through the solution.

CONCLUSIONS

Parents need guidance and support for their children's day surgery care pathways. A digital gaming solution may be a relevant tool to support communication and to provide information on day surgeries. Families are ready for and are open to digital gaming solutions that provide support and guidance and engage children in the day surgery pathways.

摘要

背景

住院儿童的家长常常对等待时间、禁食要求、出院标准、术后疼痛缓解及术后指导不满。家长的经历有助于护理人员提供有效的、以家庭为中心的护理，以满足日间手术全过程中家长的需求。

目的

我们研究的目的是描述儿科日间手术流程中家长的经历以及对数字游戏解决方案的需求，以促进这些流程的数字化。

方法

这是一项描述性定性研究。参与者（N = 31）是其子女因日间手术治疗或磁共振成像而入院的家长。通过一份非结构化的开放式问卷收集数据；采用归纳性内容分析法对定性数据进行分析。研究结果的报告遵循定性研究报告统一标准（COREQ）清单。

结果

家长对儿童日间手术流程的经历包括3个主要类别：（1）对家长指导的需求，（2）对支持的需求，（3）儿童参与自身流程（如考虑个体儿童情况及为治疗对儿童进行准备）。对数字游戏解决方案的需求被确定为1个主要类别——供儿童和家庭支持护理的数字游戏解决方案。这个主要类别包括3个子类别：（1）通过该解决方案让儿童和家庭为日间手术做好准备，（2）该解决方案中的游戏化，（3）通过该解决方案建立人际联系。