识别阻塞性睡眠障碍呼吸护理障碍:父母的观点
W Nicholas Jungbauer1, Kathy Zhang1, Cathy L Melvin2
1Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.
International journal of pediatric otorhinolaryngology
|June 10, 2023
概括
父母在寻求儿科阻塞性睡眠呼吸障碍 (SDB) 护理时,面临着重要的实际障碍,如预约可用性和成本. 中等收入家庭遇到的挑战最多,父母对SDB和桃体切除术的整体知识很低.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 医疗保健的不平等 医疗保健的不平等
- 公共卫生 公共卫生
背景情况:
- 儿科阻塞性睡眠呼吸障碍 (SDB) 很常见,但尽管有既定的指导方针,护理方面的差异仍然存在.
- 父母的经验和对SDB评估和治疗的感知障碍没有得到充分记录.
- 了解这些障碍对于改善公平获得护理至关重要.
研究的目的:
- 评估家长对儿童SDB和桃体切除术的知识.
- 识别家长对获得SDB评估和治疗孩子的障碍.
- 调查这些障碍的社会经济预测因素.
主要方法:
- 对被诊断患有SDB的孩子的父母进行了横截面调查.
- 经过验证的问卷包括护理障碍问卷和父母的阻塞性睡眠障碍呼吸和腺切除术知识量表.
- 后勤回归分析确定了障碍和知识的预测因素.
主要成果:
- 实用性挑战,如预约可用性和医疗保健费用,是报告中最常见的障碍.
- 与高收入和低收入层相比,中等收入的父母 (26,500-79,500美元) 报告障碍的几率明显更高.
- 孩子接受了桃体切除术的父母在SDB知识量表上平均得分为55.7%.
结论:
- 实际和财务方面的挑战严重阻碍了儿童获得SDB护理的机会.
- 中等收入家庭面临着不成比例地更大的障碍,无法获得SDB护理.
- 父母对SDB和桃体切除术知识较低,凸显了有针对性的教育干预措施的必要性,以促进公平的护理.
更多相关视频
07:54Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
19.8K
04:53Author Spotlight: Traditional Chinese Medicine for Sleep Disorders in Acute COPD — A Safe, Cost-Effective Approach
Published on: October 18, 2024
839
相关概念视频
01:21Sleep Apnea
198
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
198
01:21Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
01:19Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.0K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.0K
01:17Other Pulmonary Disorders
876
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
876
01:22Chronic Obstructive Pulmonary Disease
1.3K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.3K