Tomlinson P S, Kirschbaum M, Tomczyk B, Peterson J
University Hospital, University of Minnesota, Minneapolis.
Am J Crit Care. 1993 May;2(3):246-52.
This study was designed to examine the relationships between maternal perceptions of an acutely ill child, nurse caregivers and contextual factors in a pediatric critical care unit.
Subjects were mothers of 20 children who had had their first bone marrow transplant and the primary nurse of each child. The study was conducted on a bone marrow transplant unit. Variables included the acuity of the child, maternal satisfaction with nursing care, maternal vigilance as measured by the time spent at the child's bedside, nurses' attitudes toward family involvement with care, nursing experience and bone marrow transplant unit variables (census, unit acuity and staffing deficit).
Positive associations were observed between the child's acuity and maternal satisfaction with nursing care, and between maternal vigilance and staffing deficit. There was an inverse relationship between maternal vigilance and length of nursing experience of the primary nurse and between positive attitudes of nurses toward family participation and years of nursing experience.
These results show the complex nature of parental perceptions and involvement in the hospitalized child's care. They suggest that maternal attitudes about caregiving are associated with the child's acuity and that maternal vigilance is related to nursing and environmental factors, principally critical care experience of the primary nurse.
本研究旨在探讨儿科重症监护病房中母亲对急症患儿的认知、护士照顾者与环境因素之间的关系。
研究对象为20名首次接受骨髓移植患儿的母亲及每名患儿的责任护士。研究在骨髓移植病房进行。变量包括患儿的病情严重程度、母亲对护理的满意度、通过在患儿床边陪伴时间衡量的母亲警觉性、护士对家庭参与护理的态度、护理经验以及骨髓移植病房变量（床位使用率、病房病情严重程度和人员配备不足）。
观察到患儿病情严重程度与母亲对护理的满意度之间呈正相关，母亲警觉性与人员配备不足之间呈正相关。母亲警觉性与责任护士的护理经验时长之间呈负相关，护士对家庭参与护理的积极态度与护理经验年限之间呈负相关。
这些结果表明了父母认知及参与住院患儿护理的复杂性。结果提示，母亲对护理的态度与患儿病情严重程度相关，母亲警觉性与护理及环境因素有关，主要与责任护士的重症护理经验有关。
