Bergmann A S, Lewiston N J, West A M
Soc Work Health Care. 1979 Spring;4(3):265-74. doi: 10.1300/J010v04n03_02.
The role of social workers in a pediatric chronic illness setting is presented. The difference between acute and chronic illness is explored, with emphasis on the ramifications of these differences for social work practice. Early assessment of patients and families provides the social worker with a data base from which to select an appropriate intervention with families. Of primary importance is the amelioration of feelings of helplessness, dependency, and isolation. This may be accomplished by helping families anticipate problems, mobilizing resources to help, and encouraging families to share their experiences with other families. Because the medical system, particularly in a teaching hospital, may not provide continuity of care for patients, the relationship of the social worker to patient and family, and resulting knowledge of the family, becomes an important resource in the provision of high-quality care.
本文介绍了社会工作者在儿科慢性病环境中的作用。探讨了急性病和慢性病之间的差异，重点强调了这些差异对社会工作实践的影响。对患者及其家庭的早期评估为社会工作者提供了一个数据库，以便从中选择对家庭进行适当干预的方法。首要的是改善无助感、依赖感和孤立感。这可以通过帮助家庭预测问题、调动资源提供帮助以及鼓励家庭与其他家庭分享他们的经历来实现。由于医疗系统，尤其是在教学医院，可能无法为患者提供连续的护理，因此社会工作者与患者及其家庭的关系以及由此产生的对家庭的了解，成为提供高质量护理的重要资源。
