Gottlieb L N, Feeley N
School of Nursing, McGill University, Montreal, Quebec.
Can J Nurs Res. 1996 Fall;28(3):29-48.
This study sought to understand why and how the psychosocial adjustment of children between the ages of four and 16 with a chronic illness was improved by a year-long nursing trial (1990-1991), guided by the McGill Model of Nursing. We examined the characteristics of children whose adjustment improved (improvers), who remained within the normal range (adjusted), and who deteriorated (clinical rangers). Improvers and clinical rangers presented with similar characteristics, and a profile analysis was conducted to understand why one group improved while the other did not. Four pathways leading to improvement were identified. The effectiveness of the nursing appeared to be related to engagement with the nurse and to features of the nursing.
本研究旨在了解在麦吉尔护理模式的指导下，一项为期一年的护理试验（1990 - 1991年）如何以及为何改善了4至16岁慢性病患儿的心理社会适应状况。我们考察了适应状况得到改善的患儿（改善组）、仍处于正常范围的患儿（适应组）以及适应状况恶化的患儿（临床变化组）的特征。改善组和临床变化组呈现出相似的特征，因此进行了概况分析，以了解为何一组得到改善而另一组没有。确定了四条导致改善的途径。护理的有效性似乎与患儿和护士的互动以及护理的特点有关。
