关键词: Caregiver Child Experiences Hospital to home transition Transitional care

来  源:   DOI:10.1016/j.pedn.2024.06.027

Abstract:
OBJECTIVE: To synthesize the experiences of children and parents/caregivers in the process of pediatric home hospitalization (PHH).
BACKGROUND: The practice of home hospitalization (HH), while not a new concept has expanded in recent years. This model of care consists of continuous care at home for children with acute illness or acute chronic disease and presents itself as an alternative to conventional hospitalization (Middel, 2007; Parab et al., 2013). Excellence in pediatric healthcare is fundamental and this review provides a necessary understanding towards the experiences of children and their families in HH.
METHODS: Research was carried out in three phases and included both published and grey literature in the CINAHL, MEDLINE, MedicLatina, PubMed, Cochrane Library, Psychology and Behavioral Sciences Collection, and OpenAIRE databases to find relevant articles. Studies published in Portuguese, English, Spanish, and French with no time limit were considered.
RESULTS: Findings were aggregated into five categories: communication and care experiences, parental dynamics and role carers, benefits and challenges for parents and children, relationship between parents, children\'s, and healthcare professionals and enhancing continuity of care and family support. According to ConQual the confidence level of the results was moderate in all articles.
CONCLUSIONS: Through PHH, it is possible to avoid the impact of a conventional hospitalization since it promotes family union, increases the affective bond, the feeling of security, comfort, tranquillity, relief, confidence, and autonomy, reducing stressors such as anxiety, fear, nervousness, uncertainty, and fear.
摘要:
目的:综合儿童和父母/照顾者在儿科家庭住院(PHH)过程中的经验。
背景:家庭住院(HH)的做法,虽然近年来并没有一个新概念得到扩展。这种护理模式包括在家中对患有急性疾病或急性慢性病的儿童进行连续护理,并将其本身作为常规住院的替代方案(Middel,2007;Parab等人。,2013).卓越的儿科医疗保健是至关重要的,这篇评论为HH儿童及其家庭的经历提供了必要的理解。
方法:研究分三个阶段进行,包括CINAHL中的已发表文献和灰色文献,MEDLINE,MedicLatina,PubMed,科克伦图书馆,心理学与行为科学合集,和OpenAIRE数据库查找相关文章。研究发表在葡萄牙语,英语,西班牙语,和没有时间限制的法语被考虑。
结果:调查结果分为五类:沟通和护理经验,父母的动态和角色照顾者,对父母和孩子的好处和挑战,父母之间的关系,儿童,和医疗保健专业人员,并加强护理和家庭支持的连续性。根据ConQual的说法,所有文章中结果的置信水平都是中等的。
结论:通过PHH,有可能避免传统住院治疗的影响,因为它促进了家庭结合,增加情感纽带,安全感,comfort,宁静,救济,信心,和自主性,减少焦虑等压力源,恐惧,紧张,不确定性,和恐惧。
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