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“你必须做最好的选择”:孩子因急性下呼吸道感染而反复住院的真实生活写照。

'You have to do what is best': The lived reality of having a child who is repeatedly hospitalized because of acute lower respiratory infection.

机构信息

School of Nursing, Midwifery and Health Practice, Wellington Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.

Kidz First Hospital, Middlemore Hospital, Counties Manukau District Health Board, Auckland, New Zealand.

出版信息

Health Expect. 2022 Feb;25(1):466-475. doi: 10.1111/hex.13408. Epub 2021 Dec 20.

Abstract

INTRODUCTION

Hospitalization of children is traumatic for children and their families. Little is known about the impact of repeated acute admissions on families, or of these experiences in Indigenous populations and ethnic minorities. This study explores the societal and health experiences for families who have a child under two years of age, admitted to hospitals more than twice for lower respiratory infections.

METHODS

Underpinned by a reflective lifeworld research methodology, this article presents results from 14 in-depth interviews in Aotearoa/New Zealand.

RESULTS

Families learn to identify illness early and then navigate hospital systems. These families struggle to create safe spaces for their children at home or in society. Wider social and economic support are central to family resilience, without which they struggle.

CONCLUSION

This study reinforces the importance of bringing meaningful, culturally-responsive care to the fore of treatment, particularly when managing vulnerable minorities. Formal referral and support processes are key to this responsiveness to lessen the burdens of acute admissions for families.

PATIENT OR PUBLIC CONTRIBUTION

Families chose to be involved in this study to highlight the importance of the topic and their experiences with accessing health care. The cultural advisors to the project provided feedback on the analysis and its applicability for the participant community.

摘要

简介

儿童住院对儿童及其家庭来说是一种创伤。对于反复急性住院对家庭的影响,或者在原住民和少数民族群体中的这些经历,人们知之甚少。本研究探讨了有 2 岁以下儿童因下呼吸道感染而两次以上住院的家庭的社会和健康体验。

方法

本研究基于反思性生活世界研究方法,呈现了来自新西兰的 14 次深度访谈的结果。

结果

家庭学会了及早识别疾病,然后驾驭医院系统。这些家庭努力为孩子在家里或在社会中创造安全的空间。广泛的社会和经济支持是家庭韧性的核心,没有这些支持,他们就会挣扎。

结论

这项研究强调了将有意义的、文化响应的护理置于治疗的前沿的重要性,特别是在管理弱势群体时。正式的转介和支持过程是对这种反应能力的关键,以减轻家庭急性住院的负担。

患者或公众贡献

家庭选择参与这项研究是为了强调这个话题的重要性以及他们在获得医疗保健方面的经验。该项目的文化顾问就分析及其对参与者社区的适用性提供了反馈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/191b/8849375/bee21cbec4b1/HEX-25-466-g002.jpg

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