接受肝移植并正在从重症监护病房过渡的儿童父母的护理准备:一项横断面研究。

IF 3.5 3区 医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-02-03 DOI:10.1111/jocn.17656
Jingyun Wu, Fangyan Lu, Zhiru Li, Yanhong Dai, Yan Wang, Li Zheng, Ruijie Bao, Yuxin Rao, Huafen Wang
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引用次数: 0

摘要

目的:了解肝移植患儿从重症监护病房转出后父母的护理准备状况及影响因素,并探讨护理准备与其他变量的关系。设计:横断面研究。方法:对国内某三级医院126例肝移植患儿家长采用方便抽样的方式进行问卷调查。采用独立t检验、方差分析和相关分析对数据进行分析。采用多变量逐步线性回归分析护理意愿的影响因素。采用PROCESS宏观(模型4)验证照顾者负担在社会支持与照顾准备之间的中介作用。报告方法:本研究采用STROBE检查表作为指南。结果:肝移植患儿从重症监护病房转出的家长护理准备的平均得分为23.62±5.34分。多变量逐步线性回归分析表明,照顾经验、重症监护病房住院时间、社会支持和照顾者负担是与照顾准备相关的因素,解释了父母照顾准备方差的18.6%。照顾者负担部分调节了社会支持与照顾准备之间的关系(20.93%)。结论:该研究表明,在接受肝移植并从重症监护病房过渡的儿童的父母中,护理准备程度中等。它揭示了缺乏护理经验和儿童的短重症监护病房的停留时间应该强调,防止准备不足的父母。此外,加强社会支持干预措施和减轻负担战略对于改善父母的照料准备非常重要。对专业和/或患者护理的影响:研究结果表明,卫生保健专业人员应提供及时和适当的干预策略,以提高父母的护理准备,这可能通过增加社会支持和减轻照顾者负担来实现。患者或公众贡献:接受肝移植儿童的父母通过问卷调查参与本研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Caring Readiness Among Parents of Children Who Have Undergone Liver Transplantation and Are Transitioning From the Intensive Care Unit: A Cross-Sectional Study

Objective

To investigate the status and influencing factors of caring readiness among parents of children undergoing liver transplantation transitioning from the intensive care unit, and to explore the associations between caring readiness and other variables.

Design

A cross-sectional study.

Methods

A total of 126 parents of children who underwent liver transplantation at a tertiary hospital in China took a questionnaire survey via convenience sampling. Independent t-test, ANOVA and correlation analysis were conducted to analyse the data. Multivariable stepwise linear regression was used to analyse the influencing factors of caring readiness. The PROCESS macro (Model 4) was used to verify the mediating effect of caregiver burden between social support and caring readiness.

Reporting Method

The STROBE checklist was used as a guideline in this study.

Results

The mean score of caring readiness among parents of children who had undergone liver transplantation and were transitioning from the intensive care unit was 23.62 ± 5.34. Multivariable stepwise linear regression analysis indicated that experience with caregiving, intensive care unit length of stay, social support and caregiver burden were the factors associated with caring readiness, explaining 18.6% of the variance in caring readiness among parents. Caregiver burden partially moderated the relationship between social support and caring readiness (20.93%).

Conclusion

The study shows caring readiness was moderate among parents of children who have undergone liver transplantation and are transitioning from the intensive care unit. It reveals that lack of caregiving experience and children's short intensive care unit length of stay should be emphasised, preventing inadequate readiness of parents. Furthermore, enhancing social support interventions and burden-reduction strategies are important for improving parents' caring readiness.

Implications for the Profession and/or Patient Care

The findings demonstrate that health care professionals should provide timely and appropriate intervention strategies to enhance parents' caring readiness, which could potentially be achieved by increasing social support and reducing caregiver burden.

Patient or Public Contribution

Parents of children who underwent liver transplantation participated in this study via a questionnaire survey.

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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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