A Qualitative Analysis of Children's Emotional Reactions During Hospitalization Following Injury

被引:9
|
作者
Ramsdell, Katharine Donlon [1 ]
Morrison, Melissa [2 ]
Kassam-Adams, Nancy [3 ,4 ]
Marsac, Meghan L. [3 ,5 ]
机构
[1] Virginia Tech, Dept Psychol, 109 Williams Hall, Blacksburg, VA 24061 USA
[2] Temple Univ, Dept Sch Psychol, Philadelphia, PA 19122 USA
[3] Childrens Hosp Philadelphia, Ctr Injury Res & Prevent, Philadelphia, PA 19104 USA
[4] Univ Penn, Dept Pediat, Perelman Sch Med, Philadelphia, PA 19104 USA
[5] Univ Penn, Dept Psychiat, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
Feelings; Medical traumatic stress; Pediatric injury; PTSS; Thoughts; POSTTRAUMATIC-STRESS; PARENT; AGREEMENT; DISTRESS; DISORDER; CANCER; RISK;
D O I
10.1097/JTN.0000000000000217
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Children who sustain injuries are at risk for experiencing traumatic stress reactions. Few studies have obtained detailed, qualitative information regarding children's and parents' own understanding of their experiences during the peritrauma period. Understanding children's injury and early hospital experiences is crucial to inform the development of early interventions during the peritrauma period, which speak to these concerns. The primary purpose of this study was to understand child and parent views of the stressors experienced by children hospitalized for an injury. A secondary aim was to identify children's feelings and thoughts about injury- and hospital-related stressors. Ten children and their parents participated in semistructured interviews. Interviews were audio-recorded, transcribed, and coded. Stressors were classified into 5 domains: procedural concerns, uncertainty, sleep and nutrition challenges, being confined to the hospital, and home preparation. Children and parents were more likely to articulate feelings about stressors than thoughts about stressors. Feelings reported by children and parents were predominantly negative. Children and parents may have an easier time expressing feelings than thoughts, which has implications for communicating with medical teams as well as for psychological treatment. Future research should examine how children's perceptions of their injury- and hospital-related experiences relate to later outcomes such as traumatic stress reactions.
引用
收藏
页码:194 / 201
页数:8
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