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瑞典 COVID-19 大流行期间残疾儿童的经历:一项定性访谈研究。

Experiences of children with disabilities during the COVID-19 pandemic in Sweden: a qualitative interview study.

机构信息

Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden

Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

出版信息

BMJ Paediatr Open. 2022 Apr;6(1). doi: 10.1136/bmjpo-2021-001398.

Abstract

BACKGROUND

The impact of the COVID-19 pandemic on people with disabilities has been described as a 'triple jeopardy'. Not only have they experienced the negative social impacts of disease control measures, but access to required health services has been affected, and, not least, they are at increased risk of severe outcomes from COVID-19. This study aimed to determine how children with disabilities have experienced the pandemic in Sweden and its impact on their lives.

METHODS

Six children (5-13 years) were interviewed via video conferencing. An interview guide was adapted based on the children's communicative abilities and included augmentative and alternative communication support. Reflective field notes were included in the analysis. The data were analysed using qualitative content analysis.

RESULTS

Two themes were identified: The child's knowledge of Corona raises anxiety and fear; and Boring Corona makes the child even lonelier. The children had knowledge about and were worried about COVID-19, primarily about illness and death of their grandparents. The children longed for their grandparents and other social contacts at school, and life was described as boring and lonely. Many families lacked adequate tools to communicate with their children about the pandemic.

CONCLUSION

Given adequate support, children with disabilities and communication difficulties can give insights to their unique life situations. The interviewed children reported significant impact on their life and school life. Children were worried about their grandparents based on their knowledge about the virus. The enthusiasm with which the children engaged in the interviews is testament to the need and right of all children, regardless of communicative competence, to voice their experiences.

摘要

背景

COVID-19 大流行对残疾人士的影响被描述为“三重困境”。他们不仅经历了疾病控制措施带来的负面社会影响,而且获得所需医疗服务的机会受到了影响,尤其是他们感染 COVID-19 后出现严重后果的风险增加了。本研究旨在确定瑞典残疾儿童如何经历大流行以及对他们生活的影响。

方法

通过视频会议对六名儿童(5-13 岁)进行了访谈。访谈指南根据儿童的沟通能力进行了调整,包括了辅助和替代沟通支持。在分析中纳入了反思性实地笔记。使用定性内容分析对数据进行了分析。

结果

确定了两个主题:孩子对 Corona 的了解引起了焦虑和恐惧;无聊的 Corona 让孩子更加孤独。孩子们了解并担心 COVID-19,主要是担心他们的祖父母生病和死亡。孩子们渴望见到他们的祖父母和学校里的其他社交接触,他们的生活被描述为无聊和孤独。许多家庭缺乏与孩子沟通大流行的适当工具。

结论

在获得适当支持的情况下,残疾和沟通困难的儿童可以提供他们独特生活情况的见解。接受采访的儿童报告说,他们的生活和学校生活受到了重大影响。孩子们根据对病毒的了解,担心他们的祖父母。孩子们对访谈的热情证明了所有儿童,无论沟通能力如何,都有表达自己经历的需要和权利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/568b/8983410/c766ef262d09/bmjpo-2021-001398f01.jpg

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