Haines C, Perger C, Nagy S
Paediatric Intensive Care Unit, Royal Alexandra Hospital for Children, Camperdown, Sydney, Australia.
J Adv Nurs. 1995 Feb;21(2):350-5. doi: 10.1111/j.1365-2648.1995.tb02533.x.
When children are ill enough to require admission to paediatric intensive care, parents may become distressed about their child's medical condition and this distress may be compounded by the unfamiliar nature of the highly technological environment. Parents of children who are sick enough to warrant intubation are particularly likely to be exposed to a frightening array of technological equipment. Seventy-one parents of intubated and non-intubated children completed the Parental Stressor Scale: Paediatric Intensive Care Unit (PSS:PICU). Overall the findings suggest that parents were most distressed (a) by the painful procedures to which their children were subjected, (b) by the sights and sounds of the intensive care unit and (c) by their children's reactions to intensive care. The behaviour of staff towards parents and the way that staff communicated with them caused the least distress. When the levels of stress reported by parents of intubated children were compared with those reported by parents of non-intubated children, different patterns of stress were found. Painful procedures were a source of greater stress to parents of intubated children whereas the behaviour of staff and the children's reactions to the intensive care experience caused greater stress to the parents of the non-intubated children. In general the findings suggest that the needs of parents of non-intubated children are being overlooked, with staff focusing more of their attention on the parents of intubated children.
当孩子病情严重到需要住进儿科重症监护病房时，家长可能会为孩子的病情感到痛苦，而这种高科技环境的陌生感可能会加剧这种痛苦。孩子病情严重到需要插管的家长尤其可能会接触到一系列令人恐惧的技术设备。71位有插管和无插管孩子的家长完成了《家长压力量表：儿科重症监护病房》（PSS:PICU）。总体而言，研究结果表明，家长最痛苦的是：（a）孩子所遭受的痛苦操作；（b）重症监护病房的景象和声音；（c）孩子对重症监护的反应。工作人员对家长的行为以及与家长沟通的方式造成的痛苦最小。将插管孩子家长报告的压力水平与无插管孩子家长报告的压力水平进行比较时，发现了不同的压力模式。痛苦的操作对插管孩子的家长来说是更大的压力来源，而工作人员的行为和孩子对重症监护经历的反应给无插管孩子的家长带来了更大的压力。总体而言，研究结果表明，无插管孩子家长的需求被忽视了，工作人员更多地将注意力集中在插管孩子的家长身上。
