父母的偏好和共享决策对于发烧的幼婴的管理
Philippe Sylvestre1, Paul L Aronson2, Alexandra Yannopoulos3
1CHU Sainte-Justine Research Centre, CHU Sainte-Justine and Clinical Ethics Program.
Pediatrics
|September 17, 2024
概括
发烧的婴儿的父母发现腰部穿刺 (LP) 和住院是意想不到的和压力. 定制信息和了解家庭期望是婴儿发烧管理中共享决策的关键.
科学领域:
- 儿科医学 儿科医学
- 健康心理学 心理健康心理学
- 共享决策 - - 分享决策
背景情况:
- 发烧的幼儿需要立即接受医疗评估.
- 在儿科护理中,越来越多地强调父母参与决策.
- 了解父母的偏好对于有效的共同决策至关重要.
研究的目的:
- 为了确定家长对管理发烧的幼儿的偏好.
- 为与婴儿发烧管理有关的共享决策过程提供信息.
主要方法:
- 顺序解释混合方法研究.
- 横截面调查问卷,然后是定性焦点小组.
- 涉及的60天以下的婴儿的父母在三级儿科医院接受了发烧评估.
主要成果:
- 很少有父母预计腰部穿刺 (LP) 或住院治疗,认为这些是最有压力的.
- 几乎所有的家长都希望参与管理决策.
- 父母的偏好因医疗建议的强度,信息需求和支持关系而有所不同.
结论:
- 腰部穿刺 (LP) 和住院是发烧婴儿的父母意想不到的压力.
- 量身定制的信息和了解家庭期望对于共享决策至关重要.
- 共享决策需要承认父母的偏好和医疗团队的建议.
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