不利的童年经历和以家庭为中心的护理
Amanda E Ng1, Zoha Salam2, Nicholas Tkach3
1Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD, 20742, USA.
儿童不良经历 (ACE) 对以家庭为中心的护理质量产生负面影响. 对ACE的查对于改善儿科患者护理和解决相关的健康差异至关重要.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 家庭医学 家庭医学 家庭医学
背景情况:
- 儿童不良经历 (ACE) 包括虐待儿童和家庭功能障碍.
- 以前的研究表明,ACE与减少预防性医疗保健使用有关.
- ACE 与患者护理质量之间的关系仍未得到充分探索.
研究的目的:
- 调查ACE与以家庭为中心的护理质量之间的关联.
- 检查个人和累积ACE如何与护理的特定组成部分相关.
主要方法:
- 利用了2020年全国儿童健康调查 (N=22,760) 的数据.
- 采用后勤回归模型来分析ACE和以家庭为中心的护理组件之间的关联.
主要成果:
- 大多数ACE与获得以家庭为中心的护理的几率下降有关.
- 经济困难与减少医生的时间和注意力有关.
- 更高的累积ACE得分与以家庭为中心的护理的几率较低有关.
结论:
- ACEs显著影响儿童获得的以家庭为中心的护理质量.
- 建议对ACE进行临床查,以解决护理差异.
- 需要进一步的研究来了解这些关联背后的机制.
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