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COVID-19:英国脑积水儿童和青少年及其父母的经历和支持需求。

COVID-19- Experiences and support needs of children and young people with Hydrocephalus and parents in the United Kingdom.

机构信息

School of Health Sciences, Centre for Psychosocial Research in Cancer (CentRIC+), University of Southampton, Southampton, SO17 1BJ, England.

Southampton General Hospital, Southampton, England.

出版信息

Childs Nerv Syst. 2023 Nov;39(11):3255-3262. doi: 10.1007/s00381-023-05980-7. Epub 2023 May 20.

Abstract

PURPOSE

Little is known about the impact of COVID-19 on children and young people (CYP) with hydrocephalus and their families. This study explored the experiences and support needs of CYP with hydrocephalus and parents who have a child with hydrocephalus during the COVID-19 pandemic.

METHODS

CYP with hydrocephalus and parents of CYP with hydrocephalus in the United Kingdom completed an online survey with open and closed questions exploring experiences, information, support needs and decision making processes. Qualitative thematic content analysis and descriptive quantitative analyses were undertaken.

RESULTS

CYP aged 12-32 years (n=25) and parents of CYP aged 0-20 years (n=69) responded. Parents (63.5%) and CYP (40.9%) worried about the virus, and both were vigilant for virus symptoms (86.5% and 57.1%). Parents (71.2%) and CYP (59.1%) worried about their child/feeling more isolated during the virus outbreak. Parents felt concerned about having to take their child to hospital with a suspected shunt problem during the virus outbreak (64.0%). Qualitative findings reported the following themes: (1) Healthcare and treatment provision: delays and challenges to access and availability of care (2) Impact of COVID-19/lockdown on daily lives and routines, and (3) Provision of information and support for parents and CYP with hydrocephalus.

CONCLUSION

The impact of COVID-19 and national measures to control the spread of the virus- no contact with anyone outside the household significantly impacted the daily lives and routines of CYP with hydrocephalus and parents. Social engagements were missed, families faced challenges to their work life, education and access to health care and support, which subsequently contributed negatively to their mental wellbeing. CYP and parents highlighted a need for clear, timely and targeted information to address their concerns.

摘要

目的

关于 COVID-19 对患有脑积水的儿童和青少年(CYP)及其家庭的影响知之甚少。本研究探讨了 COVID-19 大流行期间患有脑积水的 CYP 和患有脑积水的儿童的父母的经历和支持需求。

方法

英国患有脑积水的 CYP 和患有脑积水的 CYP 的父母完成了一项在线调查,其中包含开放性和封闭性问题,探讨了他们的经历、信息、支持需求和决策过程。进行了定性主题内容分析和描述性定量分析。

结果

12-32 岁的 CYP(n=25)和 0-20 岁的 CYP 的父母(n=69)做出了回应。父母(63.5%)和 CYP(40.9%)担心病毒,并且都对病毒症状保持警惕(86.5%和 57.1%)。父母(71.2%)和 CYP(59.1%)担心在病毒爆发期间他们的孩子/感到更加孤立。父母担心在病毒爆发期间不得不带孩子去医院看疑似分流器问题(64.0%)。定性研究结果报告了以下主题:(1)医疗保健和治疗提供:延迟和难以获得和提供护理;(2)COVID-19/封锁对日常生活和日常生活的影响;(3)为患有脑积水的父母和 CYP 提供信息和支持。

结论

COVID-19 的影响以及国家为控制病毒传播而采取的措施——与家庭以外的任何人无接触,对患有脑积水的 CYP 和父母的日常生活和日常生活产生了重大影响。社交活动被错过了,家庭在工作生活、教育和获得医疗保健和支持方面面临挑战,这对他们的心理健康产生了负面影响。CYP 和父母强调需要明确、及时和有针对性的信息来解决他们的担忧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71cc/10643305/30c8d25c3bad/381_2023_5980_Fig1_HTML.jpg

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