PROMOTING MASTERY IN INJURED CHILDREN

儿童外伤占第二大 住院儿童的队列，但很少有研究 这种住院治疗的心理后遗症或 帮助他们控制突发创伤。 先前 住院儿童心理准备工作， 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。 研究和意志测试和干预设计的儿童， 因意外创伤需要急诊入院 150 5-11岁的儿童将被随机分配到3组中的一组， 他们的病情稳定 第1组将接受一个工作通过 干预，这将促进通过掌握事件 准确信息，认知脱敏，直接回忆 和重构。 干预将有4个组成部分： （建立同理心的融洽关系和支持关系; 重访（事件的结构性回顾）;重建 （重新组织和解释，以促进应对和掌握）， 整合（定向泛化和未来影响）。 儿童将在住院期间和 2次出院后会议。 组II将作为安慰剂对照 支持你的关系 联系数量和时间 将与第一组相同，但会议的重点将是 医院和孩子目前的情况。 第三组将是 不与研究者联系的对照组。 塞文 结果测量（在5天、出院、1周、6周时收集 出院后3周和3个月）将评估 干预措施：儿童人口和生活事件措施 亲子关系;儿童忧郁量表;事件影响 儿童和父母的清单;人物画; 恢复清单;住院时间;和出院后检查表。 A2因子（年龄×治疗）重复测量方差分析将 评估有效性。 皮尔逊积矩修正将 评估措施与儿童和事件因素之间的关系。 涉及事故的儿童人数和潜在的 护理对他们护理的影响使其成为 research.

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.