儿童医院入院,担心被忽视:忽视类型与其他临床和环境风险因素之间的相关性
Kristi K Westphaln1,2, Nancy A Pike3,4,5, Vincent R Li6
1University of California Los Angeles, School of Nursing, 700 Tiverton Ave, Factor Building Room 3-246, Los Angeles, CA, 90095, USA. kwestphaln@sonnet.ucla.edu.
Maternal and child health journal
|June 21, 2024
概括
儿童被忽视是一个公共卫生问题,以各种形式出现,如营养不良和基本护理. 解决退院后的社会障碍和心理健康问题对于防止幼儿重复被忽视至关重要.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 儿童福利 儿童福利
背景情况:
- 儿童被忽视带来了重大的公共卫生挑战,并带来了长期后果.
- 儿科住院经常涉及儿童被忽视,但特定的特征和护理需求仍未得到充分研究.
研究的目的:
- 在0-5岁的住院儿童中描述儿童疏忽的类型.
- 确定与不同类型的疏忽相关的社会人口因素,社会需求和出院后护理.
主要方法:
- 对于因疏忽担忧而住院的儿童 (2016-2020) 的回顾性电子病历审查.
- 分析包括忽视类型,社会人口统计学,社会需求,咨询和放电计划.
- 奇平方测试评估了忽视类型与其他变量之间的关联.
主要成果:
- 营养不良 (40%) 和无法提供基本护理 (37%) 是最常见的忽视类型.
- 年龄较小,男性性别,西班牙裔种族,公共保险和先前的儿童保护服务参与是常见的特征.
- 在忽视类型和儿童病史,社会需求和出院建议之间发现了显著的关联.
结论:
- 在一个贫困,多元化的地区,确定了五种不同的疏忽类型.
- 出院后的护理应该解决社会障碍,优化资源,特别是心理健康服务.
- 未来的研究应该优先考虑预防,量身定制的干预措施,以及基于忽视类型和位置的资源分配.
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