Heiney S P, Neuberg R W, Myers D, Bergman L H
Center for Cancer and Treatment and Research, Richland Memorial Hospital.
Oncol Nurs Forum. 1994 Jun;21(5):843-7.
PURPOSE/OBJECTIVES: To describe the characteristics of a child's bone marrow transplant (BMT) experience that may precipitate a post-traumatic stress disorder (PTSD) in the parent.
Published articles, books, and the authors' clinical experience.
When viewed from the PTSD framework, parental reactions to a child's BMT offer striking parallels that include assessment of the event as traumatic, re-experiencing the event, intrusive thoughts, and a variety of emotional and cognitive responses. Interventions based on PTSD research can be implemented in clinical settings to diminish and treat these responses.
The PTSD framework holds promise for healthcare providers in devising strategies to help families of children undergoing BMT to cope with the experience.
Nurses can use orientation, education, coaching, and peer support to help families before BMT and debriefing and counseling after BMT.
目的/目标：描述儿童骨髓移植（BMT）经历中可能引发家长创伤后应激障碍（PTSD）的特征。
已发表的文章、书籍以及作者的临床经验。
从创伤后应激障碍的框架来看，家长对儿童骨髓移植的反应有显著的相似之处，包括将该事件评估为创伤性事件、再次体验该事件、侵入性思维以及各种情绪和认知反应。基于创伤后应激障碍研究的干预措施可在临床环境中实施，以减轻和治疗这些反应。
创伤后应激障碍框架有望为医疗保健提供者提供帮助，使其制定策略来帮助接受骨髓移植儿童的家庭应对这一经历。
护士可在骨髓移植前通过指导、教育、培训和同伴支持来帮助家庭，并在骨髓移植后进行汇报和咨询。
