患儿父母感知脆弱的概念分析

doi:10.3761/j.issn.0254-1769.2022.20.019

摘要/Abstract

摘要：

目的分析并阐明患儿父母感知脆弱的概念内涵。方法系统检索中国知网、万方数据库、维普数据库、中国生物医学文献服务系统、PubMed、CINAHL、Embase、Web of Science数据库中与患儿父母感知脆弱相关的研究,检索时限为建库至2022年3月,依据纳入标准筛选文献,应用Rodgers演化概念分析法对文献进行分析。结果共纳入33篇文献。患儿父母感知脆弱包括4个概念属性：患儿与父母相互影响、曾经历或正处于创伤性事件、目前患儿处于健康或稳定状态、父母及患儿出现负性的心理反应及行为表现。其先决条件及影响因素包括患儿及父母因素、医院因素、社会因素;危害包括影响患儿健康成长、降低父母照顾能力、浪费医疗资源;测量指标为患儿父母感知脆弱水平、父母保护程度等。结论通过概念分析明确了患儿父母感知脆弱的概念属性,研究者可结合患儿父母感知脆弱的内涵,对该现象进行全面、深入的研究。

关键词: 父母, 感知脆弱, 概念分析, 综述, 儿科护理学

Abstract:

Objective To clarify the concept of parental perceptions of child vulnerability. Methods We searched studies on parental perceptions of child vulnerability from websites and databases,including CNKI,Wanfang,VIP,CBM,PubMed,CINAHL,Embase and Web of Science. We selected relevant papers from the inception of databases to March 2022 according to inclusion criteria. Rodgers evolutionary method of concept analysis was used. Results A total of 33 articles were retrieved. 4 attributes were identified on parental perceptions of child vulnerability,including interacting between the child and their parents,having experienced or being currently in a traumatic event,the child in a healthy or stable state at present,negative psychological reaction and behaviors of parents and the child. The prerequisites and factors include the child and their parents,hospital factors and social factors. Parental perceptions of child vulnerability easily affect the healthy growth of the child,reduce the ability of parents to take care of the child and waste medical resources. The measurement indicators are mostly the level of parental perceptions of child vulnerability,the level of parental protection and so on. Conclusion The concept attributes of parental perceptions of child vulnerability were identified by concept analysis method. Researchers can carry out more comprehensive and in-depth research,combining the attributes of parental perceptions of child vulnerability.

Key words: Parents, Perceptions of Child Vulnerability, Concept Analysis, Review, Pediatric Nursing

刘银洁, 杨洁, 季涧琳, 唐平, 杨利灵, 陆群峰. 患儿父母感知脆弱的概念分析[J]. 中华护理杂志, 2022, 57(20): 2554-2560.

LIU Yinjie, YANG Jie, JI Jianlin, TANG Ping, YANG Liling, LU Qunfeng. Concept analysis of parental perceptions of child vulnerability[J]. Chinese Journal of Nursing, 2022, 57(20): 2554-2560.

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