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- Title
The Caring Intensively Study: Children's Psychological and Behavioural Responses Following Pediatric Intensive Care Unit (PICU) Hospitalization.
- Authors
Rennick, Janet E.; Dryden-Palmer, Karen; Stremler, Robyn; Chambers, Christine; Campbell-Yeo, Marsha; Xun Zhang; Hutchison, Jamie; Stack, Dale; Dougherty, Geoffrey
- Abstract
Purpose/goals: Children are at increased risk of behavioural and emotional problems following Pediatric Intensive Care Unit (PICU) hospitalization, with 25 % demonstrating ‘at risk' or clinically significant problems that remain unresolved at six months. This presentation will discuss the Caring Intensively study, which seeks to explore the impacts and potential risk factors associated with a critical illness experience on children and their families. Session description: PICU hospitalization places children at increased risk of psychological problems following discharge. To better understand these problems, identify risk factors, and target areas for health promotion and intervention, we will describe the design and early findings of this Canadian Institutes of Health Research funded study examining children's psychological and behavioural responses over a three-year period post-PICU. To date, three academic children's hospitals have enrolled children in this multisite, mixed-methods prospective cohort study. Children's psychological and behavioural characteristics along with parent anxiety and stress were assessed using standardized measures. Interviews with selected parent-child dyads were also performed. Early findings related to cohort characteristics; length of stay, number of invasive procedures, number of medical diagnoses and co-morbidities will be shared. PICU survivor outcomes at six-months measured with the Behavioral Symptoms Index of the BASC-2 and PICU strengths and difficulties questionnaire, as well as child self-report measures of distress and perceived competence will be discussed. Identifying children who are at increased risk of behavioural and emotional problems following PICU hospitalization and understanding the clinically significant problems these children and their families face is important. The informed critical care nurse may then identify children at risk and modify supportive nursing interventions to improve child and family outcomes. Learning outcomes: 1. By the end of this session the critical care nurse will be able to understand childhood psychological problems following a PICU hospital experience. 2. By the end of this session the critical care nurse will appreciate the importance of identifying risk factors for psychological problems in children after a PICU hospital experience. 3. By the end of the session the critical care nurse will be aware of the challenges in completing a longitudinal study of health outcomes in the pediatric population.
- Subjects
HOSPITAL care of children; PSYCHOLOGICAL stress; ANXIETY; CARING in children; CHILDREN'S hospitals; INTENSIVE care nursing; INTERVIEWING; MEDICAL cooperation; PSYCHOLOGY of parents; PEDIATRIC nursing; QUESTIONNAIRES; RESEARCH; CRITICALLY ill patient psychology; CHILDREN; PSYCHOLOGY
- Publication
Canadian Journal of Critical Care Nursing, 2017, Vol 28, Issue 2, p45
- ISSN
2368-8653
- Publication type
Article