Background:Parents of children with complex right ventricular outflow tract(RVOT)anomalies are confronted with their child’s need for heart surgery early in life and repeated reoperations later on.Preoperative assess...Background:Parents of children with complex right ventricular outflow tract(RVOT)anomalies are confronted with their child’s need for heart surgery early in life and repeated reoperations later on.Preoperative assessment needs to be performed whenever an indication for reoperation is suspected.The aim was to illuminate the experiences of parents of children diagnosed with RVOT anomalies,in particular,how they experience their child’s heart disease and everyday life during the assessment and after the decision on whether to perform a reoperation.Method:Individual interviews(n=27)were conducted with nine parents on three occasions between 2014 and 2016 and analyzed using reflexive thematic analysis.Results:The analysis resulted in the following five main coexisting themes:The heart surgery keeps my child alive illuminates parents’experiences during and after the assessment and emphasizes that heart surgery,although dreaded,is central for their child’s survival;Everyday struggles illuminates the different struggles parents had to face to ensure that their child would be in the best possible condition;the remaining three themes,Unconditional love,Trust in life,and Togetherness,illuminate the ways in which the parents gained inner strength and confidence in their everyday lives.Conclusion:Although the parents were grateful for the assessment and had learned to navigate among the fears it aroused,they experienced several distressing situations during the assessment process that should be addressed.By inviting both the parents and their child to participate in the child’s care,individualized support can take into account the needs of both parents and child.展开更多
目的:探讨非选择性毒蕈碱受体(M受体)激动剂—槟榔碱,对小鼠酒精急性中枢抑制作用的影响。方法:测定小鼠的自主活动,观察槟榔碱对酒精诱导的小鼠低活动性的影响。建立酒精诱导小鼠翻正反射消失(loss of therighting reflex,LORR)的模型...目的:探讨非选择性毒蕈碱受体(M受体)激动剂—槟榔碱,对小鼠酒精急性中枢抑制作用的影响。方法:测定小鼠的自主活动,观察槟榔碱对酒精诱导的小鼠低活动性的影响。建立酒精诱导小鼠翻正反射消失(loss of therighting reflex,LORR)的模型,观察槟榔碱对LORR潜伏期和持续时间的影响。结果:酒精(1.0、2.0、3.0 g.kg-1)和槟榔碱(0.25、0.51、.0 mg.kg-1)均可剂量依赖性地抑制小鼠的自主活动,但槟榔碱对酒精诱导的小鼠低活动性无影响。槟榔碱(0.25、0.5、1.0 mg.kg-1)对酒精诱导小鼠LORR的潜伏期无影响,但可显著缩短LORR的持续时间。结论:槟榔碱可以拮抗酒精诱导小鼠LORR的药理作用,提示槟榔碱可能具有一定的醒酒作用。展开更多
基金This study was supported by the Pediatric Heart Center at Skåne University Hospital Lund and Lund University,and by the Swedish Children’s Heart Association.
文摘Background:Parents of children with complex right ventricular outflow tract(RVOT)anomalies are confronted with their child’s need for heart surgery early in life and repeated reoperations later on.Preoperative assessment needs to be performed whenever an indication for reoperation is suspected.The aim was to illuminate the experiences of parents of children diagnosed with RVOT anomalies,in particular,how they experience their child’s heart disease and everyday life during the assessment and after the decision on whether to perform a reoperation.Method:Individual interviews(n=27)were conducted with nine parents on three occasions between 2014 and 2016 and analyzed using reflexive thematic analysis.Results:The analysis resulted in the following five main coexisting themes:The heart surgery keeps my child alive illuminates parents’experiences during and after the assessment and emphasizes that heart surgery,although dreaded,is central for their child’s survival;Everyday struggles illuminates the different struggles parents had to face to ensure that their child would be in the best possible condition;the remaining three themes,Unconditional love,Trust in life,and Togetherness,illuminate the ways in which the parents gained inner strength and confidence in their everyday lives.Conclusion:Although the parents were grateful for the assessment and had learned to navigate among the fears it aroused,they experienced several distressing situations during the assessment process that should be addressed.By inviting both the parents and their child to participate in the child’s care,individualized support can take into account the needs of both parents and child.
