儿童结核病感染护理促进者和障碍:一种定性研究
Yamini Adusumelli1, Mary Tabatneck2, Susan Sherman3
1Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.
Pediatrics
|February 8, 2024
概括
识别潜在结核病 (TB) 感染护理的障碍和促进因素对于预防儿科结核病至关重要. 了解家庭和临床医生的观点可以改善儿童结核病感染护理的参与.
科学领域:
- 儿童传染病 儿童传染病
- 公共卫生 公共卫生
背景情况:
- 据估计,美国约有70万儿童和青少年患有潜伏性结核病感染 (LTBI).
- 预防儿科结核病需要识别促进者和阻碍LTBI护理参与的障碍.
- 了解家庭和临床医生的观点对于改善儿科LTBI护理至关重要.
研究的目的:
- 从家庭和临床医生的角度探索儿科潜伏结核病感染诊断和护理的促进者和障碍.
- 为制定旨在改善儿童结核病感染护理参与度的干预措施提供信息.
主要方法:
- 与临床医生 (n=24) 和护理人员 (n=19) 进行了个人访谈和小组讨论.
- 应用主题分析被用来确定与护理参与相关的关键主题.
- 使用了一种级联接地儿科结核病感染护理参与框架.
主要成果:
- 影响护理参与的主题包括风险识别和沟通,护理可访问性,与成本相关的障碍和药物坚持支持.
- 患者和家庭因素,如结核病知识,信任,行为技能,育儿和资源也影响了护理.
- 诊所/卫生系统和患者/家庭层面的因素都被确定为关键因素.
结论:
- 风险识别,教育,信任,家庭资源,结核病耻辱和护理生态系统的可访问性显著影响了儿童结核病感染护理级联中的参与.
- 为儿童结核病感染护理参与制定了一个综合框架.
- 这个框架可以指导多层次的干预措施,以提高儿童结核病感染治疗的保留率.
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