Children's, parents' and health professionals' views on the management of childhood asthma: a qualitative study
Children's, parents' and health professionals' views on the management of childhood asthma: a qualitative study
复制标题
DOI：
10.1038/s41533-017-0053-7
复制
发表时间：
2017-09-11
影响因子：
3.1
通讯作者：
Turner, Katrina M.
中科院分区：
文献类型：
--
作者：
Searle, Aidan;Jago, Russell;Turner, Katrina M.
儿童哮喘的管理往往是次优的。父母和其他照顾者主要负责疾病管理，这一责任包括与卫生专业人员沟通。本多视角定性研究旨在探讨儿童、家长和卫生专业人员的观点，以深入了解儿童哮喘管理的临床护理方法。对9对家长-儿童（6-8岁）和13名从事初级和二级保健工作的保健专业人员进行了访谈。采访内容逐字记录，并按主题进行分析。出现了三个所有数据集共有的关键主题；(1)儿童和家长对症状的认识；(2)管理和儿童福利；(3)专业的沟通教育和家庭咨询。尽管一些儿童表现出对症状的良好认识和适当使用药物，但一些家长表示难以确定哮喘的诱因和症状。此外，家长缺乏适当使用药物预防和控制哮喘症状的意识。卫生专业人员认为，缺乏沟通和教育。来自所有参与者的数据表明，在制定哮喘管理计划时，可以加强咨询，更加强调儿童和家长对哮喘的看法。
The management of childhood asthma is often sub-optimal. Parents and other caregivers are primarily responsible for disease management and this responsibility includes communication with health professionals. The aim of this multi-perspective qualitative study was to explore the views of children, parents and health professionals to gain insight into the approach to clinical care in the management of childhood asthma. Interviews were held with nine parent-child (6-8 years) dyads, and 13 health professionals working in primary and secondary care. Interviews were transcribed verbatim and analysed thematically. Three key themes emerged that were common to all data sets; (1) Child and parent awareness of symptoms; (2) Management and child wellbeing; and (3) Professional communication education and consultation with families. Although some children demonstrate good awareness of symptoms and appropriate use of medication, some parents expressed difficulty in identifying triggers and symptoms of asthma. Furthermore, parents lacked awareness regarding appropriate use of medication for preventing and managing symptoms of asthma. Health professionals believed that communication and education was lacking. Data from all participants suggested that consultations could be enhanced with greater emphasis on children's and parents' perceptions of asthma in the development of asthma management plans.