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探索肠衰竭儿童父母的信息需求:主题分析。

Exploring Informational Needs of Parents of Children with Intestinal Failure: A Thematic Analysis.

机构信息

Faculty of Nursing, University of Calgary, Alberta, Canada.

Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

出版信息

J Pediatr Nurs. 2021 Sep-Oct;60:230-237. doi: 10.1016/j.pedn.2021.07.008. Epub 2021 Jul 16.

Abstract

PURPOSE

Information seeking has been observed to be important for the coping and empowerment of parents of children with rare diseases. This study was conducted to understand the education needs of families of children with pediatric intestinal failure (IF) and how technology might be effectively leveraged to address these needs.

DESIGN AND METHODS

A qualitative methodology using thematic analysis was utilized. Purposeful sampling was adopted to recruit 10 parents/caregivers of children with IF. Participants participated in a 1:1 semi-structured interview. Interviews were recorded, transcribed and themes identified through open and focused coding.

RESULTS

Four themes emerged: (1) reliable electronic or printed information resources relevant to their child's unique needs were lacking; (2) an educational program with in-person and hands-on learning was preferred for transition to home; (3) practical and relatable information was valued over medical knowledge as children's needs evolved; and (4) creation of electronic resources would be useful for information seeking and sharing.

CONCLUSION

To cope with the responsibilities of caring for a child with IF, participants sought information beyond what they received. Participants preferred a blended approach of care team discussions and electronic tools for receiving knowledge and skills. Parents' connections with other caregivers was important for practical day-to-day management information, as well as supporting their well-being.

PRACTICE IMPLICATIONS

Development and implementation of accessible digital resources with emphasis on practical information is required. Beyond medical and practical informational needs, building resilience and supporting psychologic needs for parents/caregivers of children with IF emerged as important needs to address.

摘要

目的

信息检索对于患有罕见病儿童的父母应对疾病和增强能力很重要。本研究旨在了解小儿肠衰竭(IF)患儿家庭的教育需求,以及如何有效地利用技术来满足这些需求。

设计与方法

采用定性方法和主题分析。采用目的性抽样招募了 10 名患有 IF 的儿童的家长/照顾者。参与者参加了 1 对 1 的半结构化访谈。访谈被记录、转录,并通过开放式和聚焦式编码来确定主题。

结果

出现了四个主题:(1)缺乏与孩子独特需求相关的可靠电子或印刷信息资源;(2)他们更倾向于接受面对面和实操学习的教育计划,以实现向家庭过渡;(3)随着孩子需求的发展,实用且相关的信息比医学知识更有价值;(4)创建电子资源将有助于信息检索和共享。

结论

为了应对照顾 IF 患儿的责任,参与者寻求了超出他们所获得的信息。参与者更喜欢将护理团队的讨论和电子工具结合起来,以获取知识和技能。家长与其他照顾者的联系对于日常管理信息以及支持他们的幸福感很重要。

实践意义

需要开发和提供易于获取的数字资源,重点是实用信息。除了医疗和实际信息需求之外,培养韧性和支持 IF 患儿的家长/照顾者的心理需求也是需要解决的重要问题。

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