CICU过渡期患儿家长需求的混合研究  

Needs of family members of CICU children during transitional period:a mixed study

作　　者：王培影 诸纪华[2] 唐晓敏[1] 炊琳博 Wang Peiying;Zhu Jihua;Tang Xiaoming;Cuan Linbo(Department of Cardiac Surgery,The Children′s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院心脏外科,浙江杭州310052 [2]浙江大学医学院附属儿童医院.护理部,浙江杭州310052

出　　处：《护理学杂志》2022年第23期21-24,共4页Journal of Nursing Science

基　　金：浙江省医药卫生科技计划面上项目(2021KY184)。

摘　　要：目的 了解CICU过渡期患儿家长需求,为开展家长针对性支持干预提供参考。方法 以便利抽样法选取124名CICU术后转入心脏外科的患儿家长,采用CICU过渡期患儿家长需求问卷进行调查;采用描述性质性研究方法,通过目的抽样法选择13名家长进行CICU过渡期护理需求的半结构访谈。结果 CICU过渡期患儿家长需求问卷条目均分为(4.48±0.40)分,各维度均分>4分,其中沟通交流需求最高。访谈提炼出4个主题:家长希望获取更多患儿转出前的相关信息、需提高家长对患儿的转出准备度、期盼更多的心理支持和照护技能指导、希望双人陪护时间能延长。结论 CICU过渡期患儿家长需求较高,需结合患儿特点针对患儿家长开展系统的、内容丰富的过渡期支持,帮助患儿及家长成功度过过渡期。Objective To understand family members′ needs of CICU children during transitional period, and to provide a reference for developing targeted parental support interventions.Methods A total of 124 family members of children transferred to the department of cardiac surgery from CICU after surgery were selected by convenience sampling, then they were investigated by using the scale for assessing the needs of families of CICU children during transitional period.And a descriptive qualitative study was conducted, thirteen family members of CICU children during transitional period were selected by purposive sampling to interview their needs of care during CICU transition.Results The mean item score of the scale for the participants was(4.48±0.40), and the mean score of each subscale was more than 4 points, with the score of communication needs was the highest. Four themes were extracted from the interview data: expect to obtain more information about their children before transfer, improving their readiness for transfer, looking forward to more psychological support and guidance on care skills, hope to prolong the time of two family members caring.Conclusion Family members′ needs of CICU children during transitional period are high.It is necessary to provide systematic and informative transitional support for family members taking into account the characteristics of their children, so as to help children and their families pass through the transition period successfully.

关 键 词：先天性心脏病 儿童 心脏重症监护中心 过渡期 家长 需求 混合性研究 

分 类 号：R473.6[医药卫生—护理学]