影响医疗保健利用关系的因素 在患有持续或复发性疼痛的青少年中
Rachel Elise Ahn1,2, Thea Senger-Carpenter1, Terri Voepel-Lewis1
1School of Nursing, University of Michigan, Ann Arbor, MI, USA.
Western journal of nursing research
|August 20, 2024
概括
青少年持续疼痛显著增加了医疗保健利用率. 父母的痛苦,高等教育和低家庭收入也影响了这一点,强调了以家庭为中心的照顾的必要性.
科学领域:
- 青少年健康 青少年健康
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 了解家庭对患有持续疼痛的年轻人医疗保健使用的影响,对于有效的干预至关重要.
- 治疗儿科慢性疼痛的障碍往往涉及家庭动态和社会经济因素.
研究的目的:
- 调查年轻青少年患有持续性或反复性疼痛的医疗保健利用模式.
- 确定家庭因素对这些青少年医疗保健使用率增加的影响.
主要方法:
- 分析了来自青少年大脑认知发展研究的纵向数据.
- 疼痛被分类为没有,不经常 (1-2年),或持续/反复 (3-4年).
- 更高的医疗保健利用率被定义为非例行或急诊室访问 (≥2年);采用了后勤回归.
主要成果:
- 与没有疼痛的年轻人相比,患有持续/复发性疼痛的年轻人使用医疗保健的比例显著高 (OR:2.39).
- 持续疼痛的青少年也比不经常疼痛的青少年利用率更高 (OR: 1.79).
- 父母的痛苦 (OR: 1.22),父母的高等教育 (OR: 1.44) 和低于贫困线的家庭收入 (OR: 1.26) 与使用率的增加有关.
结论:
- 青年的持续性疼痛与更多的医疗保健利用有关,受父母的疼痛和社会经济地位的影响.
- 研究结果强调了以家庭为中心的护理方法对慢性疼痛青少年的重要性.
- 政策考虑应解决影响儿科疼痛人口获得医疗保健的社会经济因素.
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