中华现代护理杂志2024,Vol.30Issue(23) :3105-3110.DOI:10.3760/cma.j.cn115682-20230910-00990

肠造口患儿主要照顾者过渡期居家护理需求的质性研究

Transitional home care needs of primary caregivers for children with enterostomy:a qualitative study

刘永艳 肖倩
中华现代护理杂志2024,Vol.30Issue(23) :3105-3110.DOI:10.3760/cma.j.cn115682-20230910-00990

肠造口患儿主要照顾者过渡期居家护理需求的质性研究

Transitional home care needs of primary caregivers for children with enterostomy:a qualitative study

刘永艳 1肖倩2
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作者信息

  • 1. 首都医科大学护理学院,北京 100069;首都儿科研究所附属儿童医院外科,北京 100020
  • 2. 首都医科大学护理学院,北京 100069
  • 折叠

摘要

目的 深入了解肠造口患儿照顾者过渡期居家护理期间的需求,为促进照顾者角色适应和提高患儿照护水平提供依据.方法 采用目的抽样法,选择2021年1-9月于首都儿科研究所附属儿童医院住院的16名肠造口患儿主要照顾者进行面对面半结构深度访谈,采用内容分析法分析资料.结果 最终提炼出4类需求,生理需求包括程序性造口日常护理、预防与处理造口并发症、管理造口患儿生活起居、支持患儿康复;信息需求包括情境性造口护理问题评估与应对信息、造口护理产品相关信息、造口护理信息获取方式;情感精神需求包括应对造口护理压力,减轻病耻感、缓解社交压力,自主探索、积极适应;多元社会网络支持需求包括同伴支持、家庭支持、医护人员支持.结论 肠造口患儿照顾者需求多元、强烈,应为其提供全方位、针对性的服务与支持,促进照顾者角色适应及患儿健康水平提升.

Abstract

Objective To explore the transitional home care needs of caregivers for children with enterostomy,so as to provide a basis for promoting caregiver role adaptation and improving care for children.Methods From January to September 2021,purposive sampling was used to select 16 primary caregivers of children with enterostomy admitted to the Children's Hospital,Capital Institute of Pediatrics for face-to-face semi-structured in-depth interviews.Content analysis method was used to analyze data.Results Four types of needs were extracted.Physiological needs included procedural colostomy routine care,prevention and treatment of colostomy complications,management of the daily life of children with enterostomy,and support for recovery.Information needs contained assessment and response information on situational colostomy care issues,information on colostomy care products,and methods of obtaining colostomy care information.Emotional and spiritual needs covered coping with the pressure of colostomy care,reducing stigma,alleviating social pressure,exploring independently and actively adapting.The diverse social network support needs comprised peer support,family support,and medical and nursing staff support.Conclusions The needs of caregivers for children with enterostomy are diverse and strong.Comprehensive and targeted services and support should be provided to promote the adaptation of caregiver roles and the improvement of the child's health.

关键词

肠造口术/患儿/照顾者/过渡期/需求/质性研究

Key words

Enterostomy/Child/Caregivers/Transition period/Needs/Qualitative research

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基金项目

首都儿科研究所儿科护理专项重点项目(HL-2021-01)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量11
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