关怀强化研究:一项PICU住院后儿童心理和行为反应的混合方法研究的三年随访结果。

IF 4.5 2区 医学 Q1 CRITICAL CARE MEDICINE
Pediatric Critical Care Medicine Pub Date : 2025-04-01 Epub Date: 2025-02-14 DOI:10.1097/PCC.0000000000003701
Janet E Rennick, Geoffrey Dougherty, Karen Dryden-Palmer, Marsha Campbell-Yeo, Alyssa M Knox, Christine T Chambers, Dale M Stack, Stephanie Treherne, Robyn Stremler
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引用次数: 0

摘要

目的:报道“密集关怀”研究的3年随访结果,研究PICU住院后儿童的心理和行为反应。设计:前瞻性混合方法,并行三角设计。在定量方面,研究组(SG)和对照组(CG)的儿童及其父母接受了一系列评估心理和行为结果的措施,并在出院后6周、6个月、1年、2年和3年收集了电话调查数据。在定性组,SG访谈在出院后1年和3年进行。招聘2014-2018年,后续工作2021年完成。背景:SG从加拿大三家儿科医院的picu招募;来自两家医院耳鼻喉科(ENT)日间外科的CG。患者:招募年龄(3-12岁)和性别匹配的PICU儿童(SG, 158)或日间手术耳鼻喉科儿童(CG, 169)及其父母;62%的家庭完成了研究(SG, 1997;CG, 106)。选定的SG家庭在1年级(17个家庭,30名参与者)和3年级(14个家庭,27名参与者)进行了访谈。干预措施:没有。测量和主要结果:主要或次要结果无组间差异。两组都通过电话调查报告了儿童的情绪和行为变化;然而,研究小组的发现在其性质和归属上存在分歧。SG家长将这些变化主要归因于PICU住院;CG父母将变化归因于其他生活事件。在第3年,40.3%的SG父母仍然报告孩子的负面情绪和行为变化,这表明孩子的恢复是一个长期的轨迹。定性访谈结果与SG调查结果一致,反映了儿童和家庭面临的适应性和关系挑战。结论:本研究强调了picu后3年儿童的情绪和行为反应,以及研究儿童在家庭中的康复的必要性。这些发现有助于我们理解康复轨迹的性质和持续时间,并强调在未来的研究中提供临床随访和优先考虑家庭确定结果的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Caring Intensively Study: Three-Year Follow-Up Findings From a Mixed Methods Study of Children's Psychological and Behavioral Responses After PICU Hospitalization.

Objectives: To report the 3-year follow-up results of the "Caring Intensively" study, which examined children's psychological and behavioral responses after PICU hospitalization.

Design: Prospective mixed methods, concurrent triangulation design. In the quantitative arm, study group (SG) and comparison group (CG) children and their parents were administered a battery of measures assessing psychological and behavioral outcomes, and telephone survey data were collected 6 weeks, 6 months, 1, 2, and 3 years post-discharge. In the qualitative arm, SG interviews were conducted 1 and 3 years post-discharge. Recruitment 2014-2018, with follow-up completed 2021.

Setting: SG recruited from PICUs of three Canadian quaternary care pediatric hospitals; CG from two hospitals' ear, nose, and throat (ENT) day surgery units.

Patients: Age (3-12 yr) and gender-matched PICU children (SG, 158) or day surgery ENT children (CG, 169) and their parents were recruited; 62% of families completed the study (SG, 97; CG, 106). Selected SG families were interviewed at year 1 (17 families, 30 participants) and year 3 (14 families, 27 participants).

Interventions: None.

Measurements and main results: No group differences on primary or secondary outcomes. Both groups reported emotional and behavioral changes in children via telephone survey; however, group findings diverged on their nature and attribution. SG parents attributed changes primarily to PICU hospitalization; CG parents attributed changes to other life events. At year 3, 40.3% of SG parents still reported negative emotional and behavioral changes in children suggesting a chronic trajectory of recovery. Qualitative interview findings converged with SG survey responses, reflecting the adaptive and relational challenges confronting children and families.

Conclusions: This study highlights children's emotional and behavioral responses over the 3 years post-PICU and the need to study child recovery within the family. These findings contribute to our understanding of the nature and duration of trajectories of recovery and emphasize the importance of providing clinical follow-up and prioritizing family-identified outcomes in future research.

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来源期刊
Pediatric Critical Care Medicine
Pediatric Critical Care Medicine 医学-危重病医学
CiteScore
7.40
自引率
14.60%
发文量
991
审稿时长
3-8 weeks
期刊介绍: Pediatric Critical Care Medicine is written for the entire critical care team: pediatricians, neonatologists, respiratory therapists, nurses, and others who deal with pediatric patients who are critically ill or injured. International in scope, with editorial board members and contributors from around the world, the Journal includes a full range of scientific content, including clinical articles, scientific investigations, solicited reviews, and abstracts from pediatric critical care meetings. Additionally, the Journal includes abstracts of selected articles published in Chinese, French, Italian, Japanese, Portuguese, and Spanish translations - making news of advances in the field available to pediatric and neonatal intensive care practitioners worldwide.
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