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CHILD AND FAMILY FUNCTIONING AFTER PEDIATRIC HEAD TRAUMA

儿童头部创伤后儿童和家庭的功能

基本信息

批准号：
6535582
负责人：
JoAnne M Youngblut
金额：
$ 37.26万
依托单位：
FLORIDA INTERNATIONAL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
1997
资助国家：
美国
起止时间：
1997-07-01 至 2005-03-31
项目状态：
已结题

项目摘要

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（改编自研究者摘要）：当儿童遭受意外伤害，家庭突然面临着恐惧，孩子的生存和未来的不确定性。甚至有轻度创伤性脑损伤（TBI）经历的学龄儿童注意力和记忆力的缺陷影响到他们生活的方方面面。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的缺陷，未知这项纵向护理研究的目的是描述 TBI严重程度、抗性资源和亲本评价对学龄前创伤性脑损伤儿童及其父母的适应状况和质量第一年的亲子关系和家庭关系家庭（N=420）1例3- 6岁住院儿童，很可能是头部受到重击或者有失去意识的病史，儿童头部损伤的症状，X线或CT扫描提示TBI将被招募。其他入选标准是与至少一个父母在事故发生前，和父母（S）能够理解英语口语。排除标准是：严重的预先存在的认知缺陷，既存慢性疾病，除出生时外的既往住院治疗，入院前住在寄养家庭，接受大脑评估标准，怀疑因虐待儿童造成的伤害，父母住院同时或父母在事故中死亡。一种基于关于家庭压力、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，出院后2周、3个月、6个月和12个月时家庭成员的家中。的拟议的研究将提供行为，认知，记忆，运动，学龄前儿童的功能结果和儿童受伤的影响对父母心理健康和间接对亲子关系的影响，出院后第一年的家庭关系。描述问题的频率和确定影响率的因素改变孩子、父母和家庭的结果是实现这一目标的第一步。成功地指导家庭度过早期恢复期，促进最佳儿童功能、父母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，对医疗保健，教育和家庭系统的负担将是降低