Understanding Parents' Experiences and Information Needs on Pediatric Acute Otitis Media: A Qualitative Study
Understanding Parents' Experiences and Information Needs on Pediatric Acute Otitis Media: A Qualitative Study
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DOI：
10.1177/2374373518771362
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发表时间：
2019-03-01
影响因子：
1.5
通讯作者：
Scott, Shannon
中科院分区：
文献类型：
--
作者：
Meherali, Salima;Campbell, Alyson;Scott, Shannon
背景：急性中耳炎（AOM）是最常见的小儿细菌性耳部感染，影响高达75%的5岁以下儿童。尽管AOM在儿童中的发病率很高，但这种情况给父母带来了许多挑战。本研究的目的是描述家长照顾AOM儿童的经验，并确定他们的信息需求，以管理他们的孩子AOM。方法：采用定性、描述性研究设计，了解AOM患儿家长的信息需求。参与者从加拿大主要城市中心（埃德蒙顿，阿尔伯塔）的专业儿科急诊科招募。个别半结构化访谈进行了16名家长。结果如下：本研究主要探讨七个主题：（1）急性中耳炎的发生频率，（2）儿童和父母经历的急性中耳炎症状，（3）父母使用的急性中耳炎症状管理策略，（4）父母对急性中耳炎的信念，（5）父母对医生处方治疗的满意度，（6）急性中耳炎对家庭生活质量的影响，以及（7）父母对急性中耳炎的信息需求。研究结果表明，AOM对儿童和家庭都有相当大的负面影响，父母将受益于更多的循证资源。结论：这项研究提供了重要的信息，家长的经验和信息需求的儿科AOM。确定父母的信息需求和发展创新和沟通响应的教育方法，为父母是必要的，反映以病人为中心的护理。
Background: Acute otitis media (AOM) is the most common pediatric bacterial ear infection, affecting up to 75% of children younger than 5 years. Despite the high incidence of AOM in children, the condition presents a number of challenges to parents. The objectives of this study were to describe parents' experiences of taking care of a child with AOM and to identify their information needs to manage their child with AOM. Methods: A qualitative, descriptive design was used to gain insight into information needs of parents' of children with AOM. Participants were recruited from a specialized pediatric emergency department in a major Canadian urban center (Edmonton, Alberta). Individual semi structured interviews were conducted with 16 parents. Results: Seven major themes were identified and described: (1) frequency of AOM, (2) symptoms of AOM experienced by children and parents, (3) AOM symptom management strategies used by parents, (4) parent's beliefs about AOM, (5) parent's satisfaction with treatment prescribed by physicians, (6) the effect of AOM on family's quality of life, and (7) parent's information needs about AOM. Findings indicate that AOM has considerable negative outcomes for both children and families and that parents would benefit from having more evidence-based resources. Conclusions: This study provides important information around parents' experiences and information needs for pediatric AOM. Identifying parents' information needs and developing innovative and communicatively responsive educational approaches for parents are warranted that reflect patient-centered nursing care.