影响儿童高血压检测的家长需求,建议和系统性挑战
Abbas H Zaidi1,2, Erica Sood1,2,3, Sarah De Ferranti4,5
1Nemours Children's Health Cardiac Center, Wilmington, Delaware, USA.
Journal of clinical hypertension (Greenwich, Conn.)
|September 24, 2025
概括
父母和临床医生确定了诊断和治疗儿科高血压 (HTN) 的障碍. 家长推的策略,如远程医疗和更好的教育,可以改善检测,但需要与卫生系统的限制保持一致.
科学领域:
- 儿科健康 儿科健康
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 儿科高血压 (HTN) 影响3%-5%的美国儿童,诊断和随访率低.
- 对高血压 (BP) 读数和抗高血压药物的家长和临床怀疑需要利益相关者知情的策略.
- 儿科HTN护理存在显著差距,特别是对于被诊断为患有长期随访护理中断的儿童.
研究的目的:
- 检查家长的感知需求和推的策略,以改善儿科HTN检测.
- 确定影响儿科HTN护理的环境卫生系统挑战.
- 制定利益相关者知情的战略,以加强儿科HTN检测和管理.
主要方法:
- 定性研究涉及对13名家长和来自10个不同儿科初级保健诊所的25名医疗保健临床医生进行半结构面试.
- 参与者包括2期BP读数和HTN诊断的儿童的父母,经历了≥1年的护理差距.
- 以实施研究综合框架 (CFIR) 为指导的专题分析被用来确定关键主题和建议.
主要成果:
- 父母报告说,他们对儿科HTN的临床讨论有限,物流障碍 (健康,财务,保险的社会决定因素) 和安排冲突.
- 临床医生指出系统性约束:时间限制,人员短缺以及对健康需求的社会决定因素的资源不足.
- 家长建议加强教育,灵活安排,远程医疗,远程血压监测和改善护理协调.
结论:
- 家长推的策略为儿科HTN检测挑战提供了潜在的解决方案.
- 解决后勤和系统性障碍对于有效的儿科HTN管理至关重要.
- 将父母知情的策略与卫生系统现实保持一致,对于改善儿科HTN检测和护理至关重要.
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