PROMOTING MASTERY IN INJURED CHILDREN

促进受伤儿童的掌握

• 批准号: 3440388
• 负责人: Madelon Baranoski
• 金额: $ 8.47万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-06-01 至 1989-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3440388
• 关键词: accidents; child mental health service; coping; depression; desensitization psychotherapy; empathy; human subject; middle childhood (6-11); nursing intervention; nursing research; pediatric nursing; preadmission counseling; psychological tests; self concept; trauma

Children with traumatic injury account for the second largest cohort of hospitalized children and yet there is little research on the psychological sequelae of such hospitalization or on inteventions to help them master the sudden trauma. Previous work on psychological preparation of hospitalized children has focused primarily on planned hospitalized and on advance preparation for procedures. This study will build on previous research and will test and intervention designed for children who experience emergency admission for accidental trauma. 150 children, 5-11 will be randomly assigned to one of 3 groups after they are medically stable. Group 1 will receive a working-through intervention which will promote mastery of the event through accurate information, cognitive desensitization, directly recall and reframing. The intervention will have 4 components: Joining (establishment of empathetic rapport and supportive relationship; revisiting (structured review of the event); reconstruction (reframing and explanation to promote coping and mastery) and integration (directed generalization and future implications). Children will receive this intervation during hospitalization and at 2 post-discharge sessions. Group II will serve as a placebo control for the supportive relationship. Amount and timing to contact will be the same as Group I but the focus of the sessions will be on the hospital and child's current condition. Group III will be the control group with no contact with the Investigator. Severn outcome measures (collected at 5 days, discharge, 1 week, 6 weeks, and 3 months post-discharge) will evaluate the interventions: Demographic and Life Events Measure for Children and Parents; Child Depression Inventory; Impact of Event Inventory for Child and Parent; Human Figure Drawings; Recovery Inventory; Length of Stay; and Post-Hospital Checklist. A 2 factor (age x treatment) repeated measures anova will evaluate effectiveness. Pearson Product Moment Corrections will assess relationships among measures and child and event factors. The numbers of children involved in accidents and the potential impact of nursing on their care make this an important area of research.

创伤性伤害的儿童占第二大儿童 一群住院的儿童，但很少有研究 这种住院或上的心理后遗症 帮助他们掌握突然创伤的努力。 以前的 住院儿童的心理准备工作 主要专注于计划的住院和提前 准备程序。 这项研究将基于以前的 研究并将测试和干预措施为儿童设计 经历意外创伤的紧急入场。 150 儿童，5-11将随机分配给3组之一 他们在医学上是稳定的。 第1组将获得工作 干预将通过 准确的信息，认知脱敏，直接召回 并重新标记。 干预将有4个组件：加入 （建立善解人意的融洽关系和支持性关系； 重新访问（事件的结构化审查）；重建 （重新编写和解释以促进应对和精通）和 集成（指导概括和未来影响）。 儿童将在住院期间和在 2次分期会议。 第二组将作为安慰剂控制 用于支持关系。 数量和时间的联系 将与第一组相同，但会议的重点将开始 医院和孩子的当前状况。 第三组将是 对照组没有与研究者接触。 塞文 结果指标（在5天时收集，排放，1周，6 几周和分期后3个月）将评估 干预措施：儿童的人口统计和生活事件衡量 和父母；儿童抑郁症清单；事件的影响 儿童和父母的库存；人物图纸； 恢复清单；住宿时间；和院后清单。 2因子（年龄x治疗）重复测量方差分析将 评估有效性。 皮尔逊产品矩校正将 评估措施，儿童和事件因素之间的关系。 涉及事故和潜力的儿童人数 护理对他们护理的影响使这成为重要领域 研究。