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韩国从儿科重症监护病房转至普通病房的患儿家长的转移焦虑:一项混合概念分析

Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis.

作者信息

Park Jisu, Choi Eun Kyoung

机构信息

Graduate Student, Department of Nursing, Yonsei University, Seoul, Korea.

Assistant Professor, College of Nursing ․ Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.

出版信息

Child Health Nurs Res. 2022 Apr;28(2):154-165. doi: 10.4094/chnr.2022.28.2.154. Epub 2022 Apr 30.

Abstract

PURPOSE

This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards.

METHODS

The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards.

RESULTS

Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child's condition worsening due to the parent's caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child's physical and psychological recovery, and 4) decreased quality of life.

CONCLUSION

It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.

摘要

目的

本研究旨在分析从儿科重症监护病房转至普通病房的患儿家长的转移焦虑概念。

方法

采用施瓦茨 - 巴科特和金的混合模型分析从儿科重症监护病房转至普通病房的患儿家长的转移焦虑特征。

结果

转移焦虑由以下属性定义:1)对适应过程的压力;2)担心因家长护理导致患儿病情恶化;3)因治疗导致日常生活的非自愿改变。转移焦虑有以下前驱因素:1)不确定性;2)对疾病、医疗设备和护理缺乏了解;3)缺乏社会支持。它导致了1)照顾者负担;2)应对护理能力下降;3)患儿身体和心理恢复延迟;4)生活质量下降。

结论

有必要制定一个考虑从儿科重症监护病房转至普通病房的患儿家长转移焦虑属性的评估量表。此外,应制定有效的护理干预措施以减轻转移焦虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15e5/9091769/34fe9fb9b253/chnr-28-2-154f1.jpg

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