格陵兰的中耳炎儿童 - - 父母经验的定性研究
Monica Nedergaard Ejsing1, Preben Homøe2, Malene Nøhr Demant2
1Institute of Health and Nature, Ilisimatusarfik/ University of Greenland, Manutooq 1, 3905, Nuussuaq, Greenland.
International journal of pediatric otorhinolaryngology
|February 14, 2024
概括
格陵兰的家长,面临着童年中耳炎 (OM) 的挑战,开发了管理复发性急性中耳炎 (rAOM) 和慢性辅助性中耳炎 (CSOM) 的专业知识. 尽管医疗保健的局限性,但他们的见解对于改善医疗保健至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 定性研究是指质量研究.
背景情况:
- 格陵兰是全球中耳炎 (OM) 发病率最高的国家之一,影响到9-14%的儿童.
- 格陵兰的医疗保健面临着重大挑战,原因是气候,基础设施和有限的专家访问.
- 父母患有复发性急性中耳炎 (rAOM) 和慢性性中耳炎 (CSOM) 的经验尚未得到充分研究.
研究的目的:
- 为了探索父母在格陵兰的童年中耳炎 (OM) 的经验.
- 了解管理RAOM和CSOM的家长的挑战和观点.
- 在格陵兰的医疗保健背景下,为治疗实施策略提供信息.
主要方法:
- 使用半结构面试的定性方法.
- 包括从六个格陵兰岛城镇/定居点诊断出RAOM或CSOM的儿童的主要照顾者.
- 采访数据的解释学-现象学,Ricoeur灵感的文本分析.
主要成果:
- 最初的OM发作导致父母对疼痛缓解和治疗的不确定性.
- 反复出现的情节导致了症状识别和将OM视为慢性疾病的感知.
- 父母认识到与慢性OM相关的语言发育延迟和听力损伤的潜在风险.
结论:
- 父母是护理和治疗实施在具有挑战性的医疗保健环境中至关重要的资源.
- 父母经常感到孤立,担心孩子的听力和语言发展.
- 父母希望在医疗咨询中积极纳入他们的经验和观察.
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