儿童和青少年积极参与放射检查的经历--一项定性研究

IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
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引用次数: 0

摘要

导言儿童和青少年有权参与有关其健康的决策,包括在进行放射检查时。本研究探讨了他们在这种情况下的参与体验。 本定性实地研究从 "以儿童为中心的护理 "的角度探讨了积极参与的重要性。要促进儿童积极参与,就必须建立支持性结构,承认每个儿童都是独特的社会参与者。研究人员通过观察和半结构式访谈收集数据,访谈对象是 10 名接受高分辨率计算机断层扫描(CT)的被诊断为囊性纤维化的儿童和青少年。对转录的数据进行了主题分析,以确定中心主题和模式。影响参与度的关键因素包括检查持续时间和疼痛,许多人表示希望更多地参与,尤其是在时间较长、疼痛较重的检查过程中。很少有儿童表示在医院环境中,尤其是在 CT 扫描过程中积极参与。年龄较小和表达能力较强的参与者往往有更多的参与机会。结论放射技师肯定和幽默的态度至关重要,同时也要考虑到儿童和青少年对父母在场、检查时间和疼痛管理的偏好。儿童和青少年的参与程度各不相同,有限的参与机会可能会损害他们的权利。这项研究强调了与儿童和青少年参与放射检查有关的关键问题,为医护人员提供了宝贵的见解,以提高参与度,这是儿童和青少年的基本权利,也是护理工作的重要方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Children and adolescents’ experiences of active participation in radiological examinations -a qualitative study

Introduction

Children and adolescents have the right to participate in decisions about their health, including during radiological examinations. This study explores their participation experiences in this context.

Methods

This qualitative field study examines the importance of active participation from a Child-Centered Care perspective. Fostering active participation requires supportive structures that recognize each child as a unique social actor. Data was collected through observations and semi-structured interviews with 10 children and adolescents diagnosed with cystic fibrosis undergoing High Resolution Computed Tomography (CT) scans. Thematic analysis was performed on the transcribed data to identify central themes and patterns.

Results

Parental presence and humor during CT scans helped reduce anxiety among participants. Key factors influencing participation included examination duration and pain, with many expressing a desire for greater involvement, especially during longer, more painful procedures. Few children reported experiencing active participation in hospital settings, particularly during CT scans. Younger and more expressive participants tended to have more opportunities for involvement. While most desired active participation during hospital visits and CT scans, they showed less interest in making treatment decisions.

Conclusion

The radiographer's affirming and humorous approach is essential, as are considerations of children and adolescents' preferences regarding parental presence, examination duration, and pain management. Participation levels vary, and limited opportunities can undermine their rights. Children and adolescents express a strong desire for active participation in hospital and radiological settings but often feel insecure about making treatment decisions.

Implications for practice

This study highlights critical issues related to children and adolescents’ participation in radiological examinations, offering valuable insights for healthcare professionals to enhance participation, which is a fundamental right and crucial aspect of their care.
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来源期刊
Radiography
Radiography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
4.70
自引率
34.60%
发文量
169
审稿时长
63 days
期刊介绍: Radiography is an International, English language, peer-reviewed journal of diagnostic imaging and radiation therapy. Radiography is the official professional journal of the College of Radiographers and is published quarterly. Radiography aims to publish the highest quality material, both clinical and scientific, on all aspects of diagnostic imaging and radiation therapy and oncology.
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