探索英国儿科急性中耳炎的负担:一项定性研究
Elliot Heward1,2, Judith Lunn3, James Birkenshaw-Dempsey2
1Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, The University of Manchester, Manchester, UK elliotheward@doctors.org.uk.
急性中耳炎带出血 (AOMd) 严重影响儿童和家庭,造成身体,心理和社会痛苦. 改善患者信息和基于证据的指导方针对于管理这种疾病至关重要.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 带出泄漏的急性中耳炎 (AOMd) 是由于中耳感染引起的耳膜穿孔引起的.
- 对于AOMd对儿童和青少年 (CYP) 及其家庭的全面影响仍然不充分理解.
- 医疗保健专业人员在管理AOMd方面的经验需要进一步探索.
研究的目的:
- 调查AOMd对CYP及其家族的多方面的影响.
- 了解参与AOMd治疗的医疗保健专业人员的观点.
- 确定需要改进的患者护理和信息传播领域.
主要方法:
- 定性研究涉及采访26名CYP (7个月15年) 的父母,最近有AOMd史.
- 专注小组与28名从事初级保健,耳鼻科医生和急诊医学的医疗保健专业人员进行了讨论.
- 专题分析由三个审稿人独立进行,以确保严格的数据解释.
主要成果:
- 大多数CYP (96.2%) 经历了复发的AOMd发作.
- 对于CYP和家长来说,AOMd对身体,心理,教育,财务和社会造成了巨大的负担.
- 家长报告说,难以获得医疗保健服务和信息,加剧了焦虑;过度使用抗生素是一个问题.
结论:
- AOMd显著影响CYP及其父母的日常生活.
- 可访问和清晰的患者信息是AOMd的CYP父母的优先事项.
- 建议在获得高质量的证据之前制定基于证据的管理准则.
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