探索卫生专业人士对学前喘息管理的看法:一项定性研究
Lubna Mohammed Abdul Wajid1, Sejal Saglani2, Prasad Nagakumar3,4
1'Department of Respiratory Medicine, Birmingham Women's and Children's Hospital NHS Trust, Birmingham, UK.
由于术语不一致和缺乏客观测试,卫生专业人员发现学前喘息管理具有挑战性. 需要改善综合护理途径,以改善学龄前儿童喘息的结果.
科学领域:
- 儿科呼吸系统医学 儿科呼吸系统医学
- 质量健康研究 质量健康研究
- 医疗保健管理的管理
背景情况:
- 幼儿园喘息是一个重要的儿科呼吸道疾病.
- 目前对学前喘的管理实践缺乏标准化的诊断术语和客观测试.
- 在初级和中等保健机构之间,在管理学前喘息方面存在差异.
研究的目的:
- 探索卫生专业人员对管理学前喘息的观点.
- 了解有关使用诊断测试指导治疗复发性喘息的观点.
- 确定在学前喘管理方面的挑战和潜在改进.
主要方法:
- 使用有目的和雪球采样进行定性研究.
- 在英格兰从初级和中等保健中招聘卫生专业人员.
- 半结构面试使用NVivo软件进行主题分析.
主要成果:
- 14名卫生专业人员参加了会议,包括全科医生,儿科医生和护士.
- 确定了关键主题:诊断术语挑战,由于缺乏客观测试而导致的诊断不确定性,当前的调查实践和家长的药物信仰.
- 在初级和中级护理专业人员之间,管理层的观点存在差异.
结论:
- 对于学龄前喘息的不一致的诊断术语有助于管理变化.
- 缺乏客观的测试和基础设施阻碍了有效的管理.
- 综合护理途径和改进的基础设施对于改善学前喘息儿童的治疗结果至关重要.
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