The therapeutic effects of journal writing for parents of PICU patients: A research brief

IF 1.2 4区 医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2021-03-04 DOI:10.1111/jspn.12329
Rhonda Board PhD, RN, CCRN-K
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引用次数: 1

Abstract

Purpose

The admission of a critically ill child to the Pediatric Intensive Care Unit (PICU) is well known to be a stressful experience for parents. The overall aim of this study was to explore whether the use of journal writing would be acceptable and feasible to PICU parents as a stress-reducing intervention.

Design and Methods

A longitudinal, quasi-experimental two-group study design was conducted with a convenience sample of 28 parents. Experimental group parents were given instructions on how to journal write each day their child was hospitalized, while control group parents received usual care. Data were collected at three evaluation time points.

Results

The response rates at the final time point (6–8 weeks after discharge) were 93% for the control group and 71% for the experimental group. Outcome measure trends were similar for parents in both groups, with most perceiving mild-to-moderate stress from the PICU environment. A significant correlation was found between the perceived stress from the PICU environment and parental traumatic stress symptoms 68 weeks postdischarge for the experimental group (Time 1 r = .919, p = .00; Time 2 r = .969, p = .00). The majority of the experimental group parents wrote in their journals daily and found the intervention helpful.

Practice Implications

Although further research is warranted, journal writing is a simple-to-do intervention that should be considered for use with future PICU parents.

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重症监护病房患者家长日记写作的治疗效果:研究摘要
目的:众所周知,重症儿童入住儿科重症监护病房(PICU)对父母来说是一种压力很大的经历。本研究的总体目的是探讨PICU家长是否可以接受和可行地使用日记写作作为一种减少压力的干预措施。设计与方法采用纵向准实验两组研究设计,选取28名家长作为方便样本。实验组的父母在孩子住院的每一天都被告知如何写日记,而对照组的父母则接受常规护理。在三个评估时间点收集数据。结果在最后时间点(出院后6 ~ 8周),对照组有效率为93%,实验组有效率为71%。两组父母的结果测量趋势相似,大多数人从PICU环境中感受到轻度至中度的压力。实验组患儿出院后6 ~ 8周PICU环境应激与父母创伤应激症状显著相关(时间1 r =。919, p = .00;时间2r =。969, p = .00)。大多数实验组的父母每天都写日记,并发现这种干预很有帮助。实践意义虽然需要进一步的研究,但日记写作是一种简单易行的干预措施,应该考虑用于未来的PICU父母。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
27
审稿时长
>12 weeks
期刊介绍: Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.
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