先天性心脏病患儿家长围手术期压力与焦虑

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
F. Alonso-Lloret MSN , A. Mendoza-Soto PhD , S. Gil-Domínguez RN , V.M. Fontecha-Merino RN , C. Romero-Ferreiro PhD
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引用次数: 0

摘要

引言患有先天性心脏病(PCUCS)的儿童的父母在孩子接受心脏手术期间所遭受的压力和焦虑水平可能高于其他经历过同样经历的父母。目的本研究的总体目的是测量接受肾脏手术(PCURS)的儿童的父母和PCUCS在其子女的干预下所遭受的压力和焦虑。定量研究的具体目的是根据性别、围手术期时间和队列来比较整体压力和焦虑。定性部分的总体目标是探索PCUCS和PCURS在住院期间的经历,并确定影响压力和焦虑发生的具体因素。方法对PCURS和PCUCS进行队列研究。定量部分通过比较3份问卷的得分来进行,这些问卷测量了围手术期的3个时刻的压力水平(PSS-14)、状态焦虑(STAIE)和特质焦虑(STAIR)。同时,根据Munhall的说法,通过半结构化访谈和日记集进行了定性研究,并对其进行了描述性现象学分析。根据Colaizzi对文本进行了分析。结果PCUCS患者的压力和焦虑水平明显高于PCURS患者。心脏队列中的母亲在所有量表中得分最高。在这项定性研究中,出现了4个主题:“诊断时的压力和焦虑”、“作为关键时刻的手术干预”、“重症监护室术后时期的严酷”以及“喜悦和感激与对未来的依赖和恐惧”。结论sPCUCS比PCURS承受更高水平的压力和焦虑,作为心脏队列的母亲,这些疾病的强度更大。这项研究可以作为制定满足这些父母需求的策略的起点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Estrés y ansiedad perioperatorios en padres de niños intervenidos de cardiopatías congénitas

Introduction

Levels of stress and anxiety suffered by parents of children with congenital heart disease (PCUCS) during their children's admission for cardiac surgery may be higher than those suffered by other parents who go through the same experience.

Objective

General objective of this study was to measure the stress and anxiety suffered by PCUCS and parents of children undergoing renal surgery (PCURS) in relation to the intervention of their children. The specific objective of the quantitative study was to compare global stress and anxiety according to sex, time of the perioperative period, and cohort. The general objective of the qualitative section is to explore the experience that PCUCS and PCURS have during their hospital stay and to identify the specific factors that influence the genesis of stress and anxiety.

Method

A cohort study was carried out in which PCURS and PCUCS were included. The quantitative part was performed by comparing the scores of 3 questionnaires that measure stress levels (PSS-14), state anxiety (STAIE) and trait anxiety (STAIR) throughout 3 perioperative moments. At the same time, a qualitative study was carried out with semi-structured interviews and collection of diaries on which a descriptive phenomenological analysis was carried out, according to Munhall. The analysis of the text was carried out according to Colaizzi.

Results

Stress and anxiety levels were significantly higher in PCUCS compared to PCURS. Mothers in the cardiac cohort were those with the highest scores on all scales. In the qualitative study, 4 themes emerged: “stress and anxiety from the moment of diagnosis”, “surgical intervention as a critical moment”, “harshness of the postoperative period in the Intensive Care Unit” and “joy and gratitude versus dependence and fear for the future”.

Conclusions

PCUCS suffer higher levels of stress and anxiety than PCURS, being the mothers of the cardiac cohort those who suffer these disorders with greater intensity. This study can constitute a starting point to develop strategies that cover these parental needs.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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