Child Life Program, The Bristol-Myers Squibb Children's Hospital at Robert Wood Johnson University Hospital, New Brunswick, New Jersey; and
The Barbara Bush Children's Hospital at Maine Medical Center, Portland, Maine.
Pediatrics. 2021 Jan;147(1). doi: 10.1542/peds.2020-040261.
Child life programs are an important component of pediatric hospital-based care; they address the psychosocial concerns that accompany hospitalization and other health care experiences. Child life specialists focus on the optimal development and well-being of infants, children, adolescents, and young adults while promoting coping skills and minimizing the adverse effects of hospitalization, health care encounters, and/or other potentially stressful experiences. In collaboration with the entire health care team and family, child life specialists provide interventions that include therapeutic play, expressive modalities, and psychological preparation to facilitate coping and normalization at times and under circumstances that might otherwise prove overwhelming for the child. Play and developmentally appropriate communication are used to (1) promote optimal development, (2) educate children and families about health conditions, (3) prepare children and partner with families for medical events or procedures, (4) plan and rehearse useful coping and pain-management strategies with patients and families, (5) help children work through feelings about past or impending experiences, and (6) partner with families to establish therapeutic relationships between patients, siblings, and caregivers. Child life specialists collaborate with the entire interdisciplinary team to promote coping and enhance the overall health care experience for patients and families.
儿童生活项目是儿科医院护理的重要组成部分;它们解决了伴随住院和其他医疗保健体验而来的心理社会问题。儿童生活专家专注于婴儿、儿童、青少年和年轻人的最佳发展和福祉,同时促进应对技能,并最大限度地减少住院、医疗保健遭遇和/或其他潜在压力体验的不利影响。儿童生活专家与整个医疗团队和家庭合作,提供干预措施,包括治疗性游戏、表达模式和心理准备,以在可能对儿童造成压倒性影响的情况下促进应对和正常化。游戏和适合发展阶段的沟通用于:(1)促进最佳发展,(2)教育儿童和家庭有关健康状况,(3)为儿童和合作伙伴准备医疗事件或程序,(4)与患者和家庭一起计划和排练有用的应对和疼痛管理策略,(5)帮助儿童处理过去或即将到来的体验的感受,(6)与家庭合作,在患者、兄弟姐妹和照顾者之间建立治疗关系。儿童生活专家与整个跨学科团队合作,促进应对能力,并增强患者和家庭的整体医疗保健体验。