父母教育水平与长期呼吸机依赖儿童的结果之间的关联:沟通行为作为调节变量
Sydney R Hornberger1, Yin Zhang2, Nanhua Zhang3
1Indiana University School of Medicine: West Lafayette Campus, 715 Clinic Dr, West Lafayette, IN 47907, United States; Cincinnati Children's Hospital Medical Center: Division of Research in Patient Services, 3333 Burnet Ave, Cincinnati, OH 45229, United States.
Journal of pediatric nursing
|January 9, 2024
概括
父母教育水平并不总是预测长期呼吸机依赖 (LTVD) 的儿童的不良结果. 父母的沟通行为调节了教育和儿童健康结果之间的关系.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 家庭医学 家庭医学 家庭医学
- 健康 结果 研究 研究 结果
背景情况:
- 医疗技术的进步使得长期依赖呼吸机 (LTVD) 的儿童可以在家护理.
- 健康的社会决定因素,包括父母的教育,影响儿童的健康结果.
- 父母的沟通行为可能会影响社会经济因素和儿童健康之间的关系.
研究的目的:
- 调查父母教育水平与LTVD儿童的结果之间的相关性.
- 为了确定家长的沟通行为是否能调节这种关系.
- 了解家长教育作为在LTVD护理中健康的社会决定因素的作用.
主要方法:
- 使用奇平方测试进行二次数据分析.
- 一般化的线性混合效应模型来评估调节效应.
- 检查了父母教育,孩子的成绩和沟通行为之间的相关性.
主要成果:
- 父母教育水平较低与儿童呼吸道感染的增加和出院后父母的不确定性有关.
- 在父母教育程度较低的情况下,观察到有较少的非计划性提供者联系.
- 父母的沟通方式 (验证理解,谈判角色) 调节了这些关联.
结论:
- 较低的父母教育程度并不总是与不良结果相关,这与之前的研究相反.
- 父母的决心可能会在实现最佳结果方面发挥作用.
- 医疗保健提供者不应该仅仅基于父母的教育水平来假设不同的结果.
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