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在校重新融入期间:对小儿肾移植术后父母心理体验的质性研究

During school reintegration: a qualitative study of parental psychological experiences following paediatric kidney transplantation.

作者信息

Maomao L V, Bai Shuo, Huang Jing, Qi Jiwei, Shi Zhuo, Jia Lili

机构信息

pediatrics, Nanjing Jinling Hospital, Nanjing, Jiangsu, China.

pediatrics, Nanjing Jinling Hospital, Nanjing, Jiangsu, China

出版信息

BMJ Paediatr Open. 2025 Aug 3;9(1):e003429. doi: 10.1136/bmjpo-2025-003429.

Abstract

OBJECTIVE

To understand the psychological experience of parents of children who have undergone kidney transplantation during school reintegration and to provide a basis for developing targeted interventions.

METHOD

Using purposive sampling, parents of 11 children admitted to the paediatric department of a tertiary-level hospital in Jiangsu Province following kidney transplantation from June 2022 to June 2024 were selected as study participants. One-to-one, semistructured in-depth interviews were conducted, and Colaizzi's seven-step analysis was applied to analyse the interview data.

RESULTS

Four themes emerged: the dilemma between parental expectations and school acceptance, complexity and ambivalence before returning to school, optimism and gratitude after returning to school and expectation of social support.

CONCLUSION

Parents of kidney-transplanted children face various dilemmas regarding school reintegration. Clinical caregivers should pay attention to their psychological experience of parents, develop personalised intervention systems and enhance the caregivers' coping ability in order to improve the children's quality of life.

摘要

目的

了解肾移植患儿家长在孩子复学过程中的心理体验,为制定针对性干预措施提供依据。

方法

采用目的抽样法,选取2022年6月至2024年6月在江苏省某三级甲等医院儿科接受肾移植术后的11名患儿的家长作为研究对象。进行一对一、半结构式深度访谈,并运用Colaizzi七步法对访谈资料进行分析。

结果

提炼出四个主题:家长期望与学校接纳的两难境地、复学前期的复杂矛盾情绪、复学后的乐观感恩心态以及对社会支持的期待。

结论

肾移植患儿家长在孩子复学方面面临诸多两难境地。临床护理人员应关注家长的心理体验,制定个性化干预方案,增强家长的应对能力,以提高患儿的生活质量。

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