Sillero Sillero Amalia, Ayuso Margañon Raquel, Marques-Sule Elena, Gil Poisa María
Escoles Universitàries Gimbernat, Adscrites a Universitat Autònoma de Barcelona, 08174 Sant Cugat, Spain.
Social Determinants and Health Education Research Group (SDHEd), Hospital del Mar Research Institute, 08003 Barcelona, Spain.
Nurs Rep. 2024 Oct 22;14(4):3138-3149. doi: 10.3390/nursrep14040228.
: Hospitalization can be stressful for children due to the influence of unfamiliar environments, separation from family, and interactions with healthcare professionals. This study aimed to explore children's hospitalization experiences from a child-centered care perspective to develop interventions that better meet their emotional and psychological needs. : This qualitative study employed Husserl's descriptive phenomenology to explore hospitalization experiences among children aged 9-13 years. Conducted at a primary health center in Spain from October 2022 to June 2023, the study used purposive sampling to select participants hospitalized within the past six months. Data were collected through in-depth interviews and children's self-created drawings, analyzed using thematic analysis with ATLAS.ti software. : A total of 10 school-age children (five boys and five girls) were interviewed. Three main themes emerged: (1) Emotions and Feelings-children described fear, anxiety, and loneliness during their hospital stay; (2) Experiences of Pain and Discomfort-participants reported physical pain and discomfort; (3) Interactions with Medical Staff-children expressed a need for more detailed explanations and clearer communication. : The findings highlight the importance of family-centered care and improved communication between healthcare providers and children. Strategies like art therapy and flexible visiting hours could provide better emotional support. Tailored communication to children's developmental levels is crucial. Integrating these strategies into clinical practice could enhance the well-being of hospitalized children. Future research should focus on evaluating these interventions to improve pediatric care.
由于陌生环境的影响、与家人的分离以及与医护人员的互动，住院对儿童来说可能会有压力。本研究旨在从以儿童为中心的护理角度探索儿童的住院经历，以制定能更好满足其情感和心理需求的干预措施。：这项定性研究采用胡塞尔的描述现象学来探索9至13岁儿童的住院经历。该研究于2022年10月至2023年6月在西班牙的一家初级保健中心进行，采用目的抽样法选择过去六个月内住院的参与者。通过深入访谈和儿童自己绘制的图画收集数据，使用ATLAS.ti软件进行主题分析。：总共采访了10名学龄儿童（5名男孩和5名女孩）。出现了三个主要主题：（1）情绪和感受——儿童描述了住院期间的恐惧、焦虑和孤独；（2）疼痛和不适的经历——参与者报告了身体疼痛和不适；（3）与医护人员的互动——儿童表示需要更详细的解释和更清晰的沟通。：研究结果凸显了以家庭为中心的护理以及改善医护人员与儿童之间沟通的重要性。艺术治疗和灵活的探视时间等策略可以提供更好的情感支持。根据儿童的发育水平进行有针对性的沟通至关重要。将这些策略融入临床实践可以提高住院儿童的幸福感。未来的研究应侧重于评估这些干预措施以改善儿科护理。
