中国家庭对儿童发作管理的知识,态度和做法:一项混合方法研究
Cui Cui1, Shuangzi Li2, Wenjin Chen2
1National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Department of Nursing Children's Hospital of Chongqing Medical University, Chongqing, China.
Frontiers in public health
|May 31, 2023
概括
在医院外治疗儿童发作的中国家庭表现出积极的态度,但缺乏知识和实践. 诸如护理人员人口统计和家庭功能等因素影响急性发作 (AS) 管理,强调需要更好的资源.
科学领域:
- 儿科神经学 儿科神经学
- 家庭医学 家庭医学 家庭医学
- 健康管理健康管理
背景情况:
- 患有的儿童在医院外治疗急性 (AS) 对于患者的安全至关重要.
- 了解中国家庭的知识,态度和做法 (KAP) 对于有效的AS管理至关重要.
- 影响家庭护理人员 (FCG) 管理AS能力的因素需要调查.
研究的目的:
- 为了检查中国家庭的KAP关于医院外AS管理在CWE.
- 确定影响家庭AS管理的因素.
- 为AS的家庭自我管理开发一个概念模型.
主要方法:
- 采用了一种混合方法的顺序解释性研究设计.
- 第1阶段从645个FCG中通过问卷和家庭功能评估收集定量数据.
- 第二阶段使用半结构面试与15个FCG进行定性勘探.
主要成果:
- 对AS管理的平均KAP总得分为66.23±15.12,其中45.42%的FCG显示知识水平低.
- 多变量分析显示,FCG人口统计,特征和家庭功能显著预测AS管理.
- 基于个人和家庭自我管理理论 (IFSMT) 构建了一个整合上下文,知识,自我调节和推广因素的概念模型.
结论:
- 中国家庭表现出积极的态度,但在CWE中缺乏管理医院外AS的知识和实践.
- AS管理与FCG人口统计,病细节和家庭特征有显著的关联.
- 迫切需要局部化AS紧急医疗,改进的信息系统和增强的家庭功能支持.
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