Family Support Practices to Impact Stress Scores in Parents of Critically Ill Children.

IF 0.2 Q4 NURSING Journal of Doctoral Nursing Practice Pub Date : 2021-11-01 DOI:10.1891/JDNP-D-20-00057
Margaret Gettis, Akane Fujimoto, Michelle Rullo, Jennifer Millinger
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Abstract

Background: When a child becomes critically ill and hospitalized in intensive care, this can be emotionally and physically traumatic for parents.

Objective: The purpose of the initiative was to utilize a stress screening tool to quantify parental stress and examine the use of family support services as a way to impact stress scores.

Methods: The Family Stress Thermometer (FST) was introduced and parents were asked to circle their stress level at up to three time points. Along with recorded stress scores, resources accessed were documented, how often it was utilized, and parental suggestions that might ease stressors recorded.

Results: The results indicate the FST accurately recorded elevated stress levels in parents with critically ill children, analysis showed a statistically significant decrease in the stress levels of parents over time.

Conclusions: This project appears to validate parental distress levels as a modifiable risk factor.

Implications for nursing: The FST was cost-effective and easy to administer. As part of comprehensive plans of care for families, interprofessional teams can work to design support services that meet individualized needs of parents with critically ill children. Partnering with parents to quantify their stress and responding to their needs will insure the likelihood of this happening.

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家庭支持实践对危重儿童父母压力得分的影响。
背景:当一个孩子病重并住院接受重症监护时,这对父母来说可能是情感和身体上的创伤。目的:该倡议的目的是利用压力筛选工具来量化父母的压力,并检查家庭支持服务的使用,作为影响压力得分的一种方式。方法:采用家庭压力温度计(FST),要求家长在三个时间点圈出自己的压力水平。除了记录压力分数外,还记录了访问的资源,使用的频率,以及可能缓解压力源的父母建议。结果:FST准确记录了危重患儿家长的压力水平升高,分析显示随着时间的推移,家长的压力水平有统计学意义的降低。结论:这个项目似乎验证了父母的痛苦水平是一个可改变的风险因素。对护理的启示:FST具有成本效益和易于管理。作为家庭护理综合计划的一部分,跨专业团队可以设计支持服务,以满足患有重症儿童的父母的个性化需求。与父母合作,量化他们的压力,回应他们的需求,将确保这种情况发生的可能性。
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45
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