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儿童外科住院后小儿医疗创伤应激(PMTS)发展中的文化差异。

Intercultural Differences in the Development of Pediatric Medical Traumatic Stress (PMTS) in Children Following Surgical Hospitalization.

作者信息

Masalha Bushra, Ben-David Shiri, Benarroch Fortu, Ben-Ari Amichai

机构信息

Herman Dana Division of Child and Adolescent Psychiatry, Hadassah-Hebrew University Medical Center, Jerusalem 91240, Israel.

Department of Psychology, Hebrew University, Jerusalem 9190501, Israel.

出版信息

Children (Basel). 2022 Apr 7;9(4):526. doi: 10.3390/children9040526.

Abstract

BACKGROUND

Illness, surgery and surgical hospitalization are significant stressors for children. Some children who experience such a medical event may develop Pediatric Medical Traumatic Stress (PMTS). PMTS affects physical recovery, and many areas and functions in children's lives, both short- and long-term. The aim of the study is to examine the difference in the rate of PMTS between the Arab and Jewish populations and the difference in risk factors for the development of this syndrome.

METHOD

The study involved 252 parents of children aged 1-6 who were hospitalized in the surgical ward of Hadassah Medical Center. During hospitalization, parents completed questionnaires to identify risk factors for the development of PMTS. At 3 months from the time of discharge, the children's level of PMTS was measured.

RESULTS

The rate of children diagnosed with PMTS among Arab children was significantly higher than the rate in the Jewish population. The affiliation to an ethnic group affected different socioeconomic, demographic, social, linguistic and cultural background variables, which in turn affected the emergence of PMTS.

CONCLUSION

The study emphasizes the nature of PMTS at the intercultural level, which can be an important source for theoretically understanding both the disorder and culture, as well as for clinical implications in developing population-sensitive treatment.

摘要

背景

疾病、手术及外科住院治疗对儿童来说是重大压力源。一些经历此类医疗事件的儿童可能会患上儿童医疗创伤应激障碍(PMTS)。PMTS会影响身体恢复,以及儿童生活中的许多方面和功能,包括短期和长期的影响。本研究的目的是检验阿拉伯和犹太人群中PMTS发病率的差异以及该综合征发展的风险因素差异。

方法

该研究涉及252名1至6岁儿童的父母,这些儿童在哈达萨医疗中心外科病房住院。住院期间,父母填写问卷以确定PMTS发展的风险因素。出院3个月时,测量儿童的PMTS水平。

结果

阿拉伯儿童中被诊断为PMTS的儿童比例显著高于犹太人群中的比例。族群归属影响了不同的社会经济、人口统计学、社会、语言和文化背景变量,这些变量反过来又影响了PMTS的出现。

结论

该研究强调了跨文化层面PMTS的性质,这对于从理论上理解该障碍和文化以及在制定针对不同人群的敏感治疗方法时的临床意义而言,可能是一个重要来源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f7a/9032594/ed7813d55573/children-09-00526-g001.jpg

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