How mothers treat their children's physical symptoms.
How mothers treat their children's physical symptoms.
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母亲如何治疗孩子的身体症状。
DOI：
10.1007/bf01323957
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发表时间：
1985
影响因子：
5.9
通讯作者：
Katlic,AW
中科院分区：
文献类型：
--
作者：
Maiman,LA;Becker,MH;Katlic,AW
在社区保健方面，一个令人关注的重要领域是，个人在没有医疗建议或指导的情况下接受治疗的做法十分普遍。当涉及给儿童用药时，这尤其是一个问题。本研究探讨了母亲独立使用药物治疗儿童症状的程度、决定因素和质量。母亲发起的药物治疗行为（MIMB）的数据从两个儿科门诊护理站点的500名儿童母亲的随机样本中获得。六位儿科专家法官对每个报告的药物使用（N= 3，908）进行了沿着三个维度（有用性，正确性和有害性/有益性）的评分，并评估了每位母亲的MIMB的整体适当性。结果表明：（1）母亲为子女准备和使用大量不同的药物;（2）母亲的社会经济地位与她们使用的不同类别药物之间存在明显的关系; 3）母亲对子女易患特定疾病的看法，以及对治疗这些疾病的非处方药的疗效的看法，与是否拥有和使用相关药物有关; 4）法官的评分表明母亲对治疗行为的热情不高。这些发现表明，儿科医生需要了解他们的患者可能因MIMB而摄入的药物，并教育母亲使用和滥用非处方药（和其他）治疗。
An important area of concern in community health is the widespread practice of individuals undertaking courses of treatment in the absence of medical advice or direction. This is especially a problem when it involves the administration of medicines to children. This study examines the extent, determinants, and quality of the independent use by mothers of medications for treating their children's symptoms. Data on mother-initiated medication behavior (MIMB) were obtained from a random sample of 500 mothers of children at two pediatric ambulatory care sites. Six expert pediatric judges rated every reported medication use (N=3,908) along three dimensions (usefulness, correctness, and harmfulness/helpfulness) and also evaluated the overall appropriateness of each mother's MIMB. Results indicate that: 1) mothers keep available and use for their children a considerable number of different medications; 2) clear relationships exist between mothers' socioeconomic status and the different categories of medications they employ; 3) mothers' perceptions of their children's vulnerability to specific illnesses, and of the efficacy of over-the-counter medications for treating those illnesses, were related to the possession and use of relevant medications; and 4) judges' ratings indicated little enthusiasm for the mothers' therapeutic actions. These findings suggest the need for pediatricians to become aware of the medications their patients may be ingesting as a result of MIMB, and to educate mothers concerning use and misuse of over-the-counter (and other) treatments.
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作者：
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