AIMS AND OBJECTIVES:To measure the benefit of a short-family therapeutic conversation (STC) intervention in an acute paediatric unit. BACKGROUND:Studies of children with bronchiolitis caused by respiratory syncytial virus (RSV) have shown that this virus may have an impact on their respiratory system in the form of a wheezing disorder, asthma and even allergy during their childhood. Studies of the parents of these children indicate that they experience distress, vulnerability and anxiety through the illness period and therefore need support from healthcare professionals. However, little is known about what intervention is of most benefit for these parents. DESIGN:Quasi-experimental. METHOD:Data were collected from a convenience sample from February throughout April 2009 at an acute unit at a children's hospital in Iceland. Parents of infants diagnosed with bronchiolitis caused by RSV were invited to attend. In total, there are 41 participants: 21 in the intervention group (n = 21) and 20 in the control group (n = 20). Parents in both groups answered questionnaires about perceived support and family expressive functioning both before the intervention and on an average of 11 days after the intervention. RESULTS:The main findings showed that mothers in the intervention group perceive significantly higher support after the intervention compared with the control group. The findings also showed a significant difference between the genders (mothers and fathers) in the intervention group. The mothers perceived higher cognitive support than the fathers. CONCLUSIONS:Despite the often chaotic environment in an acute care setting, the research findings give paediatric nurses reason to conclude that a STC intervention benefits mothers of infants with bronchiolitis caused by RSV. RELEVANCE TO CLINICAL PRACTICE:A STC intervention offered by a nurse within an acute paediatric unit can support families in handling the illness experience.

译文

目的和目的:评估急性小儿科的短期家庭治疗性对话(STC)干预的益处。
背景:由呼吸道合胞病毒(RSV)引起的毛细支气管炎患儿的研究表明,该病毒可能以童年时期的喘息性疾病,哮喘甚至过敏等形式影响其呼吸系统。对这些孩子的父母的研究表明,他们在患病期间会感到困扰,脆弱和焦虑,因此需要医疗保健专业人员的支持。但是,对于哪种干预对这些父母最大的益处知之甚少。
设计:准实验。
方法:数据是从2009年2月至2009年4月在冰岛一家儿童医院的急诊室的便民样本中收集的。邀请被诊断为RSV引起的毛细支气管炎的婴儿的父母参加。总共有41位参与者:干预组21位(n = 21),对照组20位(n = 20)。两组父母均回答了有关干预前和干预后平均11天的感知支持和家庭表达功能的问卷。
结果:主要研究结果表明,干预组的母亲在接受干预后的支持率明显高于对照组。研究结果还表明,干预组的性别(母亲和父亲)之间存在显着差异。母亲比父亲感觉到更高的认知支持。
结论:尽管急性护理环境中经常出现混乱的环境,但研究发现使儿科护士有理由得出结论,STC干预有益于由RSV引起的毛细支气管炎婴儿。
与临床实践的关系:急性儿科内的护士提供的STC干预可以支持家庭处理疾病经历。

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