在中国大陆一线城市,养育注意力缺陷/多动性障碍学前儿童的家长挑战:使用框架分析进行定性研究
Shu-Cheng Chen1, Chen-Wen Zhong2, Han Li1
1School of Nursing, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).
JMIR formative research
|August 29, 2025
概括
在中国,养育有注意力缺陷/多动症的学龄前儿童的家长面临着家庭,学校和社会系统的重大挑战. 解决这些问题需要加强医疗保健,
科学领域:
- 发展心理学
- 儿童精神病学
- 健康社会学
背景情况:
- 由于快速的城市化和强烈的学术压力,中国一线城市面临着养育注意力缺陷/多动症 (ADHD) 儿童的独特挑战.
- 尽管对早期干预的急切需要,但对中国大都市的学前期ADHD育儿挑战的研究有限.
研究的目的:
- 探讨中国大陆主要大都会地区养育被诊断患有多动症的学龄前儿童所面临的各种挑战.
主要方法:
- 在中国一线城市对13名患有ADHD的学龄前儿童的家长进行了基于网络的半结构焦点小组采访.
- 参与者通过ADHD互助联盟平台招募.
- 使用双研究员编码和参与者严格验证的框架分析分析了定性数据.
主要成果:
- 父母报告了六个主题的挑战:个人心理/行为问题,家庭/学校环境困难,协调问题,工作-家庭/医疗保健准入障碍,社会耻辱,以及历史/社会变化的影响.
- 关键问题包括父母的情绪负担,管理孩子的行为,教师缺乏理解,不一致的诊断标准,有限的专业服务和社会歧视的恐惧.
- 与其他国家相比,还注意到了COVID-19大流行和支持系统的差距.
结论:
- 父母在获得专业医疗保健,导航教育系统以及在中国大都市环境中为患有多动症的学龄前儿童使用文化适应的干预措施方面面临着多方面的挑战.
- 干预措施必须解决跨生态层面的挑战,重点关注医疗保健的可及性,文化敏感的计划,教育适应和公众意识.
- 解决这些系统性问题对于支持家庭和改善中国快速现代化的多动症儿童的结果至关重要.
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