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择期手术和住院患儿的准备:家长视角。

Preparation of children for elective surgery and hospitalisation: A parental perspective.

机构信息

School of Nursing, 66146Midwifery and Health Systems, University College Dublin, Ireland.

出版信息

J Child Health Care. 2022 Dec;26(4):568-580. doi: 10.1177/13674935211032804. Epub 2021 Jul 18.

Abstract

Parents play a central role in the preparation of their child for hospitalisation and surgery. This research examined the parental perspective on educating their child for an elective admission to hospital for surgery. The study employed a qualitative descriptive design and sampled eight parents from a private hospital in Dublin, Ireland, prior to their child's discharge, after ear, nose and throat surgery. A thematic analysis revealed four themes: how parents educate themselves about surgery and hospital, factors influencing parent's decisions on the quantity of information to share, sources of education about hospitalisation and aspects of hospitalisation not discussed by parents. Findings indicated that although the internet was used as a general source of information, parents relied more on information provided by the hospital. Parents used their child's age, individual needs and level of autonomy to determine what information to communicate. Specific areas that parents found difficult to communicate included pain and fasting. This research highlights the need for hospitals to invest and support the delivery of parental education for children prior to surgery. Clarification of the children's nurses' role in the development, implementation and evaluation of education programmes that support education delivery in the home by parents is also warranted.

摘要

父母在为孩子住院和手术做准备方面起着核心作用。本研究从父母的角度出发,探讨了对孩子进行择期住院手术的教育问题。该研究采用定性描述性设计,在爱尔兰都柏林的一家私立医院,从 8 名父母的孩子出院后开始抽取样本,这些父母的孩子在耳鼻喉手术后出院。主题分析揭示了四个主题:父母如何教育自己有关手术和医院的知识;影响父母决定分享信息量的因素;关于住院的教育来源;以及父母未讨论的住院方面。研究结果表明,尽管互联网被用作一般信息来源,但父母更依赖于医院提供的信息。父母根据孩子的年龄、个人需求和自主程度来决定要传达哪些信息。父母发现难以沟通的具体领域包括疼痛和禁食。本研究强调了医院在手术前为儿童提供父母教育的必要性。还需要明确儿科护士在制定、实施和评估支持父母在家中进行教育的方案方面的作用。

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