trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

Associations of Participation-Focused Strategies and Rehabilitation Service Use With Caregiver Stress After Pediatric Critical Illness / Jessica M. Jarvis in Archives of Physical Medicine and Rehabilitation, Vol. 100, n° 4 (2019)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 100, n° 4 (2019) . - p. 703-710 Titre : Associations of Participation-Focused Strategies and Rehabilitation Service Use With Caregiver Stress After Pediatric Critical Illness Type de document : Article Auteurs : Jessica M. Jarvis ; Karen Choong ; Mary A. Khetani Année de publication : 2019 Article en page(s) : p. 703-710 Langues : Anglais (eng) Descripteurs : HE Vinci Pédiatrie ; Rééducation et réadaptation ; Soins de réanimation Résumé : Objective(s) Determine the associations between having participation-focused strategies and receiving rehabilitation services in the pediatric intensive care unit (PICU) with caregiver stress over 6 months post-PICU discharge. Design Substudy of a data from Wee-Cover, a prospective cohort study. Setting Two PICU sites. Participants Caregivers (N=168) of children 1-17 years old admitted into a PICU for ≥48 hours. Main Outcome Measures Data were collected from caregivers at enrollment and 3 and 6 months post-PICU discharge. Caregiver stress was assessed using the Pediatric Inventory for Parents. Having strategies to support their child’s participation in home-based activities was assessed using the Participation and Environment Measure (PEM). In PEM, caregivers report on strategies used to support their child’s participation in home-based activities. Data were dichotomized (yes, no) to denote having participation-focused strategies and if their child received PICU rehabilitation services. Additional covariates were history of a preexisting condition, child age, length of PICU stay, and change in functional capacities at PICU discharge. Results History of a preexisting condition, time, and change in functional capacities significantly predicted caregiver stress frequency and difficulty. The interaction of having strategies-by-rehabilitation-by-time significantly predicted caregiver stress frequency and difficulty. Conclusion(s) Results highlight the role of early rehabilitation and the importance of working with caregivers to develop participation-focused strategies to support their child’s functioning post-PICU. Families of children with a preexisting condition or those who experience a decrease in function during a PICU stay are susceptible to higher levels of stress and may be a priority population to target for rehabilitation services. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=240576 [article]