父母和初级保健医生对儿科高血压的看法
Abbas H Zaidi1,2, Erica Sood1,2,3,4, Sarah De Ferranti5,6
1Nemours Children's Health Cardiac Center, Wilmington, Delaware.
JAMA network open
|December 13, 2024
概括
儿童高血压检测率很低,家长和临床医生对读数和药物治疗持怀疑态度. 改善护理需要解决这些问题,并专注于改变生活方式.
科学领域:
- 儿科健康 儿科健康
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 儿科高血压影响大约3%的儿童,但确诊的不到25%.
- 低检测率凸显了儿童高血压的识别和干预的关键差距.
- 了解父母和医疗保健提供者的观点是提高检测率的关键.
研究的目的:
- 检查家长和医疗保健团队对儿科高血压的知识和看法.
- 确定导致儿科高血压检测率较低的主题.
- 为改善儿科高血压的识别和管理提供信息的策略.
主要方法:
- 定性研究涉及采访高血压儿童的父母和医疗保健临床医生.
- 在特拉华州和宾夕法尼亚州的10家诊所进行了采访.
- 用于确定共同主题的感应性主题分析.
主要成果:
- 父母和临床医生都承认儿科高血压的重要性,但对血压读数表示怀疑.
- 参观期间的竞争优先事项和"白袍综合征"被认为是怀疑的原因.
- 对于药物使用的担忧是普遍存在的,人们更倾向于改变生活方式,而不是药理干预.
结论:
- 对血压读数的怀疑和对药物的担忧是儿科高血压管理中的重大障碍.
- 改善检测需要增强的测量工具,对药物的保证,以及对非药物治疗的明确沟通.
- 未来的干预措施必须整合家长和临床医生的观点,以制定有效的儿科高血压管理策略.
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