CHILD AND FAMILY FUNCTIONING AFTER PEDIATRIC HEAD TRAUMA

儿童头部创伤后儿童和家庭的功能

• 批准号: 2036145
• 负责人: JoAnne M Youngblut
• 金额: $ 49.99万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-07-01 至 2002-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2036145
• 关键词: accidents; behavioral /social science research tag; brain injury; child (0-11); clinical research; family structure /dynamics; functional ability; human subject; injury /disease stressor; interview; longitudinal human study; outcomes research; parent offspring interaction; pediatric nursing; preschool child (1-5); prognosis; psychological adaptation; psychological stressor; rehabilitation; trauma

DESCRIPTION (Adapted from the Investigator's Abstract): When a child suffers an accidental injury, families are suddenly faced with fears about the child's survival and uncertainty about the child's future. Even school-age children with mild traumatic brain injuries (TBI) experience deficits in attention and memory that affect every aspect of their lives. Effects of the stress of parenting a child with continuing but subtle deficits on parent mental health, parent-child, and family relationships are unknown. The purpose of this longitudinal nursing study is to describe the impact of TBI severity, resistance resources, and parental appraisal on adaptation of preschool children with TBI and their parent(s) and on quality of parent-child and family relationships during the first year. Families (N=420) with a 3- to 6-year-old hospitalized child with an injury where a blow to the head was likely and either a history of loss of consciousness, symptoms of head injury in children, x-ray or CT scan suggestive of TBI will be recruited. Other inclusion criteria are child living with at least one parent before the accident, and parent(s) able to understand spoken English. Exclusion criteria are: severe pre-existing cognitive deficits, pre-existing chronic illness, previous hospitalization other than at birth, living in a foster home before admission, being evaluated with brain criteria, injury suspected to be due to child abuse, parent(s) hospitalized concurrently or death of a parent in the accident. A conceptual model based on the Resiliency Model of Family stress, Adjustment, and Adaptation guides the study's design and analysis. Data will be collected in the hospital at 24 hours after admission, within 24 hours before hospital discharge, and in the family's home at 2 weeks, 3, 6, and 12 months after discharge. The proposed study will provide data on behavioral, cognitive, memory, motor, and functional outcomes for preschoolers and effects of the child's injury and outcomes on parental mental health and indirectly on parent-child and family relationships in the first year after hospital discharge. Describing the frequency of problems and identifying factors that affect the rate of change in child, parent, and family outcomes is the first step toward successfully guiding families through the early recovery period in a way that promotes optimal child functioning, parent mental health, and family stability. If nursing research and care can facilitate achieving these objectives, burden on health care, educational, and family systems will be reduced.

描述（改编自研究者的摘要）：当一个孩子 遭遇意外伤害，家人突然面临恐惧 孩子的生存以及孩子未来的不确定性。 甚至 患有轻度创伤性脑损伤 (TBI) 的学龄儿童经历 注意力和记忆力的缺陷影响了他们生活的各个方面。 养育孩子的压力的影响持续但微妙 父母心理健康、亲子关系和家庭关系方面的缺陷 未知。 这项纵向护理研究的目的是描述 TBI 严重程度、抵抗资源和父母评价的影响 患有 TBI 的学龄前儿童及其家长的适应及其质量 第一年的亲子关系和家庭关系。 家庭 (N=420) 一名 3 至 6 岁受伤住院儿童 头部可能受到打击，并且有失去意识的历史， 儿童头部受伤的症状、X 射线或 CT 扫描提示 TBI 被招募。 其他纳入标准是与至少一名 事故发生前的父母，以及能够听懂英语口语的父母。 排除标准是：严重的先前存在的认知缺陷， 既往患有慢性病，除出生时外曾住院治疗， 入院前住在寄养家庭，接受大脑评估 标准，疑似虐待儿童造成的伤害，家长住院 父母在事故中同时死亡。 基于概念模型 关于家庭压力、调整和适应指南的弹性模型 研究的设计和分析。 数据将在医院收集 入院后 24 小时内、出院前 24 小时内以及在 出院后 2 周、3、6 和 12 个月在家人家中。 这 拟议的研究将提供有关行为、认知、记忆、运动、 学龄前儿童的功能结果以及儿童受伤的影响 以及对父母心理健康以及间接对亲子关系的影响 出院后第一年的家庭关系。 描述 问题发生的频率并确定影响问题发生率的因素 改变孩子、父母和家庭的结果是迈向目标的第一步 以某种方式成功引导家庭度过早期恢复期 促进儿童的最佳功能、父母的心理健康和家庭 稳定。 如果护理研究和护理可以促进实现这些目标 目标、医疗保健、教育和家庭系统的负担将 减少。