Nursing Care of Children Undergoing Bone Marrow Transplantation: Pretaration for Children's coping behaviors of oral Medication

本研究旨在探讨儿童造血细胞移植（HCT）的护理，特别是对儿童口服药物应对行为的准备。本研究包括两种方法。HCT患儿口服药物的护理研究。问卷采用4个开放式问题和6个封闭式问题。该问卷被发送给126名护士，她们正在照顾接受HCT治疗的儿童。79名护士回答了问卷。大多数护士同意所在病房关于儿童口服药物的政策。一些护士在面对孩子们的痛苦和困难时经历了情感冲突。一些护士根据他们对儿童状况和反应的评估，想要停止口服药物。护士们非常渴望解决孩子们服药的困难。可以说，他们将在制定更有效的应对策略方面发挥重要作用。越来越多的护士开始认真地考虑自己作为这些孩子的“病人倡导者”的角色。护士和母亲对化疗儿童口服药物的认知。我们观察到在母亲陪同下在儿童医院的4名儿童每人口服药物的两个场景。参与观察用药场景的4位母亲和11名护士被要求回答关于她们看法的开放式问题。对于儿童应对口服药物行为的准备，护士和母亲通过仔细观察儿童的反应，了解儿童的感受和想法是很重要的。

The purpose of this study was to identify nursing care of children undergoing hematopoietic cell transplant (HCT), especially preparation for children's coping behaviors of oral medication. This study consisted two approaches.1. A nursing study of oral medication for children undergoing HCT.A questionnaire consisting of 4 open- ended and 6 closed-ended questions was used. This questionnaire was sent to 126 nurses, who are taking care of children undergoing HCT. 79 nurses answered the questionnaire.Most of the nurses agreed with the policies of their wards about children's oral medication. Some nurses experienced emotional conflict when they faced the children's pain and difficulties. A few nurses wanted to stop oral medication based on their assessment of the children's conditions and reactions.The nurses were very eager to cope with the children's difficulties of dosing. It can be said that they will play important roles to develop more effective coping strategies. More nurses are considering, more seriously, their role as "patient advocate" for these children.2. Nurses' and mothers' perception of oral medication of children undergoing chemotherapy.We observed two scenes of oral medication for each of 4 children kept in a children's hospital accompanied by their mothers. Four mothers and 11 nurses involved in the medication scenes observed were asked to answer open-ended questions about their perceptions.As for preparation for children's coping behaviors of oral medication, it is important that nurses and mothers understand the feelings and thoughts of the children through careful observation of children's response.