PROMOTING MASTERY IN INJURED CHILDREN

儿童创伤性损伤占第二大 住院儿童的队列，但很少有关于 这种住院或住院的心理后遗症 帮助他们掌握突发创伤的发明。上一首 住院儿童的心理准备工作已经完成 主要集中在计划住院和提前 准备程序。这项研究将建立在以前的基础上 研究并将测试和干预是为以下儿童设计的 经历意外创伤的急救入院。150 5-11岁的儿童将被随机分配到以下三组中的一组 他们在医学上很稳定。第一组将收到一份解决方案 干预将通过以下方式促进对赛事的掌握 准确的信息，认知脱敏，直接回忆 和重塑。干预将由4个组成部分组成：加入 (建立同理心融洽和支持关系； 重访(对事件的系统审查)；重建 (重新组织和解释以促进应对和掌握)和 一体化(定向概括和未来影响)。 儿童将在住院期间和在 出院后2次。第二组将作为安慰剂对照 感谢你们之间的支持性关系。联系的金额和时间 将与第一组相同，但会议的重点将集中在 医院和孩子目前的情况。第三组将是 对照组，不与调查员接触。塞文 结果测量(在5天、出院、1周、6天收集 几周和出院后3个月)将评估 干预：儿童的人口统计和生活事件测量 父母；儿童抑郁量表；事件的影响 儿童和家长清单；人物画； 康复清单；住院时间；以及医院后清单。 A 2因素(年龄x治疗)重复测量ANOVA 评估有效性。培生产品时刻修正将 评估衡量标准与儿童和事件因素之间的关系。 事故中涉及的儿童数量和潜在风险 护理对他们护理的影响使这成为一个重要的领域 研究。

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.