儿科住院病人的感知需求

Pediatría Pub Date : 2020-06-09 DOI:10.14295/RP.V53I2.183
Francy Cantor Cruz, Hannie Jhuliana Niño Vargas, María Ligia Cifuentes Álvarez, Sandra Patricia Zorro Ceron, Nancy Yomayusa González
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引用次数: 0

摘要

住院是儿童可能经历的一种消极的、令人生畏的或不利的情况,有助于出现在医疗护理期间可能被忽视的需求,并且在延长住院期间更为明显。目的:描述2018年在波哥大的三个诊所使用基于游戏的策略识别和解决住院儿童感知需求的经验。方法:采用混合方法研究,对2018年住院患者的护理病历资料进行回顾性分析。患者选择连续、方便。为了确定孩子们的需求,我们进行了结构化的访谈,并实施了基于游戏的心理教学策略。结果:儿科住院患者,无论其年龄或入院病理,在住院前三周存在与情绪和与护理者互动相关的需求。照顾者还提出了与以下方面有关的需求:由于儿童的诊断和预后造成的不确定性管理、家庭动态和功能的中断,以及对儿童住院期间的医疗、心理社会和教育方面的关注。结论:基于游戏的教育策略是一种宝贵的资源,服务提供机构可以利用它改善需要住院的儿童及其照顾者的体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Necesidades percibidas en el paciente pediátrico hospitalizado
Introduction: Hospitalization is a situation that children can experience as negative, intimidating, or adverse, contributing to the appearance of needs that may go unnoticed during medical care and are more evident in extended hospital stays. Objective: To describe the experience in identifying and addressing hospitalized children's perceived needs, using a play-based strategy during 2018, in three clinics in Bogota. Methods: A mixed-methods study was carried out, with retrospective data analysis on the care medical records carried out in 2018. The selection of patients was consecutive and convenient. For identifying the children's necessities, structured interviews were carried out, and a psycho-pedagogical strategy based on the play was implemented. Results: Pediatric hospitalized patients, regardless of their age or admission pathology, present during the first three weeks of hospitalization needs related to mood and interaction with the caregiver. Caregivers also present needs related to the management of uncertainty due to the child's diagnosis and prognosis, the interruption in family dynamics and functioning, and concerns about medical care, psychosocial and educational aspects of the children during their stay in the hospital Conclusions: Educational strategies based on play are a valuable resource with which service-providing institutions could improve the experience of children requiring hospitalization and their caregivers.
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