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“他们不知道该拿我们的孩子怎么办”:长期使用呼吸机的儿童家长在喂养和吞咽方面的经历与观点

'They don't know what to do with our children': Experiences and views on feeding and swallowing from parents of children who use long-term ventilation.

作者信息

Lee Sabrena, Marshall Jeanne, Clarke Michael, Smith Christina

机构信息

Evelina London Childrens Hospital, Guy's and St Thomas' Hospital NHS Foundation Trust, University College London, London, UK.

Faculty of Brain Sciences, University College London, London, UK.

出版信息

J Child Health Care. 2024 Apr 9:13674935241242824. doi: 10.1177/13674935241242824.

Abstract

Increasing use of paediatric long-term ventilation (LTV) has been reported around the world over the last two decades and it is anticipated that use of this medical intervention will continue to grow. Research has shown that children who use LTV have risk factors for feeding and swallowing difficulties which result in long-term reliance on non-oral feeding methods. This Patient and Public Involvement (PPI) activity explored experiences of parents of children with LTV on their children's feeding and swallowing journeys. Individual and group interviews with seven parents were conducted. Interview data was then analysed using content analysis. Families discussed a range of themes including impacts on their family, facilitators and barriers to feeding and swallowing journeys, speech and language therapy (SLT) support, their family's healthcare journey in relation to quality of life and future directions for research. This study highlighted potential key areas to explore when identifying ways to improve SLT care and research in feeding and swallowing for children who use LTV.

摘要

在过去二十年里,全球范围内儿科长期通气(LTV)的使用呈上升趋势,预计这种医疗干预措施的使用还将继续增加。研究表明,使用LTV的儿童存在喂养和吞咽困难的风险因素,这导致他们长期依赖非口服喂养方式。这项患者及公众参与(PPI)活动探讨了LTV儿童家长在其子女喂养和吞咽过程中的经历。对七位家长进行了个人访谈和小组访谈。然后使用内容分析法对访谈数据进行了分析。家庭讨论了一系列主题,包括对其家庭的影响、喂养和吞咽过程的促进因素和障碍、言语和语言治疗(SLT)支持、其家庭在生活质量方面的医疗历程以及未来的研究方向。这项研究突出了在确定改善使用LTV儿童的SLT护理和喂养及吞咽研究方法时需要探索的潜在关键领域。

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