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巴西儿科重症监护病房中父母的心理社会需求。

Parental psychosocial needs in Brazilian paediatric intensive care units.

机构信息

Centro Universitário de Lavras, Rua Padre José Poggel, 506, Centenario, Lavras, Minas Gerais 37200-000, Brazil.

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Av. dos Bandeirantes, 3900, Campus Universitário, Bairro Monte Alegre, Ribeirão Preto, São Paulo, Brazil.

出版信息

Intensive Crit Care Nurs. 2022 Oct;72:103277. doi: 10.1016/j.iccn.2022.103277. Epub 2022 Jun 4.

Abstract

BACKGROUND

Having children admitted in the intensive care unit is a demanding experience for parents. They encounter several difficulties during this process, and it is important to properly identify their psychosocial needs for the health team to address appropriately.

OBJECTIVE

The aim of the study is to identify the psychosocial needs encountered by parents of children in pediatric intensive care units in Brazil.

METHODS

A descriptive study with a qualitative approach was used to increase understanding of psychosocial experiences of parents. Individual semi-structured interviews were conducted with 11 parents of hospitalized children in pediatric intensive care units in Brazil. Thematic analysis was used to analyze the data. The university ethics review committee approved the research protocol. All parents were informed on study details and provided written consent prior to the interview.

RESULTS

Four themes were constructed: 1) Support from family and peers; 2) Support from the healthcare team; 3) Parental role; and 4) Emotional recovery. Parents expressed diverse psychosocial needs based on family and peer social support, child's clinical condition, as well as the structure, norms, and routines of health care teams during hospitalization.

CONCLUSIONS

The findings highlight the importance of nursing assessment of psychosocial experiences encountered by parents of children in pediatric intensive care units, which will guide planning of individualized interventions and to increase family-centered care in pediatric intensive care units.

摘要

背景

儿童入住重症监护病房对父母来说是一种极具挑战性的经历。他们在这个过程中会遇到各种困难,因此,医疗团队必须正确识别他们的心理社会需求,以便提供相应的支持。

目的

本研究旨在确定巴西儿科重症监护病房患儿父母所经历的心理社会需求。

方法

采用描述性定性研究方法,旨在深入了解父母的心理社会体验。对巴西儿科重症监护病房 11 名住院患儿的家长进行了个体半结构化访谈。采用主题分析法对数据进行分析。大学伦理审查委员会批准了该研究方案。在访谈前,向所有家长详细介绍了研究细节,并获得了书面同意。

结果

构建了 4 个主题:1)家庭和同伴的支持;2)医疗团队的支持;3)父母的角色;4)情绪恢复。父母根据家庭和同伴的社会支持、孩子的临床状况以及住院期间医疗团队的结构、规范和常规表达了多样化的心理社会需求。

结论

研究结果强调了护理评估儿科重症监护病房患儿父母心理社会体验的重要性,这将指导个体化干预措施的制定,并增加儿科重症监护病房以家庭为中心的护理。

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