Parents' information needs, self-efficacy and influences on consulting for childhood respiratory tract infections: a qualitative study.
Parents' information needs, self-efficacy and influences on consulting for childhood respiratory tract infections: a qualitative study.
复制标题
DOI：
10.1186/1471-2296-14-106
复制
发表时间：
2013-07-28
影响因子：
2.9
通讯作者：
TARGET team
中科院分区：
文献类型：
--
作者：
Ingram J;Cabral C;Hay AD;Lucas PJ;Horwood J;TARGET team
在英国，急性呼吸道感染 (RTI) 是家长咨询初级保健的最常见原因。我们对父母对于如何帮助他们在孩子生病时做出适当的咨询决定以及如何改善自我护理的看法知之甚少。本研究采用定性方法，旨在探讨当儿童患有呼吸道疾病并伴有咳嗽时，家长在咨询之前对支持和信息需求的看法，并确定咨询初级保健的触发因素和障碍。对来自不同社会经济背景的 60 名家长（孩子年龄在 5 个月至 17 岁之间）进行了 7 个焦点小组和 30 次半结构化访谈。讨论的主题以健康信念模型为基础，探讨了家长对 RTI 的易感性和严重程度的担忧和信念、对咨询的触发因素和障碍的信念，以及在咨询初级保健之前采取的信息和支持寻求行为。使用主题方法对讨论进行录音、转录和分析。来自各种社会经济背景的家长从各种来源寻找有关儿童呼吸道感染的信息，以便确定孩子的哪些症状应该引起关注并促使他们去看医生。随着疾病的严重程度以及特定儿童对疾病的易感性，对呼吸道感染（咳嗽）儿童的威胁感会增加；同时，与其他孩子相处的经验也提高了父母在家应对儿童咳嗽的效率。健康行为的心理模型有助于理解支撑健康相关行为的文化信仰和态度。家长对咳嗽儿童寻求初级保健帮助的可能性受到多种看法的影响；这些看法在不同社会经济群体中是相似的。家长的经验、信心和功效会影响孩子就 RTI 咨询初级保健机构的可能性。家长会重视来自可信来源的一致建议，这些建议可以解决常见问题并支持家庭护理和寻求帮助的决策。
Acute respiratory tract infection (RTI) is the most common reason why parents consult primary care in the UK. Little is known about parents’ perceptions of what may help them to make an appropriate decision to consult when their child is ill and how to improve self-care. Using qualitative methods, this study aimed to explore parents’ views on support and information needs prior to consulting when children have RTIs with cough, and identify the triggers and barriers to consulting primary care. 7 focus groups and 30 semi-structured interviews were held with 60 parents (with children aged 5 months - 17 years) from a range of socio-economic backgrounds. Topics discussed were informed by the Health Belief Model, and explored parents’ concerns and beliefs about susceptibility and severity of RTIs, beliefs about the triggers and barriers to consulting, and information and support seeking behaviour undertaken before consulting primary care. Discussions were audio-recorded, transcribed and analysed using thematic methods. Parents from all socio-economic backgrounds sought information from a wide range of sources about RTIs in children in order to identify which of their child’s symptoms should be of concern and trigger a visit to the doctor. The perception of threat to a child of RTI (with cough) was increased with more severe illness and by perceived susceptibility to illness of a particular child; whilst experience with other children increased parental efficacy to cope with childhood cough at home. Psychological models of health behaviour informed the understanding of cultural beliefs and attitudes that underpin health related behaviours. A wide range of perceptions influence the likelihood that parents will seek help from primary care for a child with cough; these perceptions are similar across socio-economic groups. Parents’ experience, confidence and efficacy influence the likelihood of consulting primary care for their child’s RTI. Parents would value consistent advice from a trusted source that addresses common concerns and supports home care and decision making about help seeking.
登录
查看更多内容
影响因子：
5.2
作者：
Francis, Nick A.;Crocker, Joanna C.;Butler, Christopher C.
通讯作者：
Butler, Christopher C.
影响因子：
2.2
作者：
Edwards, A;Pill, R
通讯作者：
Pill, R
影响因子：
10.5
作者：
Sayal, Kapil;Tischler, Victoria;Simonoff, Emily
通讯作者：
Simonoff, Emily
影响因子：
2
作者：
SANDELOWSKI, M
通讯作者：
SANDELOWSKI, M
影响因子：
4.2
作者：
Bandura, A
通讯作者：
Bandura, A