孩子和家长是否同意控制喘的水平? 一个系统的审查
Sara Bousema1, Ieteke Ossendrijver1, Miranda E van Zwet1
1Department of General Practice, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, CA, the Netherlands.
Pediatric pulmonology
|January 6, 2026
概括
患有喘的孩子通常认为他们的病情比他们的父母控制得更少. 这种对儿童喘控制的认识差距强调了需要共享决策来改善治疗结果的必要性.
科学领域:
- 儿科肺病学 儿科肺病学
- 健康心理学 心理健康心理学
- 基于证据的医学基于证据的医学.
背景情况:
- 儿童喘是常见的,并且经常受到控制.
- 儿童和家长之间感知到的喘控制的差异可能导致不理想的治疗.
- 了解这个协作对于有效的儿科喘管理至关重要.
研究的目的:
- 系统地审查和综合现有的关于儿童和家长对喘控制的看法之间的协议的文献.
- 确定影响儿科患者喘控制感知一致性的因素.
主要方法:
- 在主要数据库 (EMBASE,MEDLINE,Web of Science,Google Scholar) 进行系统的文献搜索,截至2025年2月.
- 包括涉及患有喘的儿童 (4-18岁) 和他们的父母的研究,通过验证的工具评估控制.
- 由四名审查员进行独立选和数据提取,并使用纽卡斯尔-太华尺度进行质量评估.
主要成果:
- 分析了9项涉及1693名儿童和家长的研究.
- 喘控制评估使用了各种验证的问卷和指南.
- 儿童和家长之间的认知协议从弱到非常好不等,儿童经常报告控制较差.
结论:
- 儿童和家长对喘控制的看法存在显著的矛盾,儿童经常报告控制水平较低.
- 通过共享决策来解决这种感知差距对于改善儿科喘治疗结果至关重要.
- 儿童,护理人员和医疗保健提供者之间的加强沟通可以优化喘管理策略.
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