Impoverished children with asthma: a pilot study of urban healthcare access.

Impoverished children with asthma: a pilot study of urban healthcare access.
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贫困哮喘儿童:城市医疗保健可及性试点研究。

DOI:
10.1111/j.1088-145x.2004.00050.x
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发表时间:
2004
期刊:
Journal for specialists in pediatric nursing : JSPN
影响因子:
--
通讯作者:
Anderson,MarkE
Anderson,MarkE
中科院分区:
--
文献类型:
--
作者:
Wallace,Andrea;Scott,Jill;Klinnert,Mary;Anderson,MarkE

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问题和挑战使用安德森的卫生保健使用行为模型,设计与方法:本研究采用方便抽样的方法,选取34名哮喘患儿家庭,进行半结构式访谈和封闭式病历回顾,其中1名患儿报告有书面的哮喘发作管理记录,另1名患儿报告有书面的哮喘发作管理记录,并对哮喘患儿的病情进行了评估计划关于药物成瘾和副作用的信念经常被报道为药物治疗依从性的障碍,寻求哮喘护理的儿童在初级保健环境中看到了许多护理providers.Practice IMPLICATIONS探索如何扩大护理角色可以帮助解决家庭和系统因素作为障碍,医疗保健应该是护理的一个关键优先事项。
ISSUES AND PURPOSEUsing Andersen's Behavioral Model of Health Care Use, this pilot study was conducted to better understand the experiences of children with asthma as they access an urban healthcare system.DESIGN AND METHODSThis descriptive study used a convenience sample of 34 families of pediatric asthma patients who participated in semistructured interviews and closed medical record review.RESULTSOnly one patient reported having a written exacerbation management plan. Beliefs regarding medication addiction and side effects were frequently reported as barriers to medication adherence, and children seeking asthma care in primary care settings saw many care providers.PRACTICE IMPLICATIONSExploring how expanded nursing roles can help address both family and system factors serving as barriers to health care ought to be a key priority for nursing.
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