Parents' beliefs and knowledge about the management of acute otitis media: a qualitative study.
Parents' beliefs and knowledge about the management of acute otitis media: a qualitative study.
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DOI：
10.1186/s12875-015-0297-7
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发表时间：
2015-07-07
影响因子：
2.9
通讯作者：
Hoffmann TC
中科院分区：
文献类型：
--
作者：
Hansen MP;Howlett J;Del Mar C;Hoffmann TC
急性中耳炎是开抗生素处方的常见原因，尽管有强有力的证据表明抗生素的益处微乎其微。研究表明，患者(或父母)对抗生素的期望往往会影响全科医生(GP)开抗生素的决定，但很少有人探讨父母对儿童感染管理的期望，或哪些因素影响这些期望的发展。本研究旨在探讨家长对儿童急性中耳炎治疗的知识与信念。对15名最近向全科医生报告患有急性中耳炎的儿童的父母进行了个人半结构化访谈。家长被招募到澳大利亚布里斯班的托儿中心或游戏小组。许多家长对急性中耳炎的病因没有准确的了解。咨询全科医生主要是为了治疗疼痛和发烧等症状。其他人则明确希望得到保证或担心听力损失。大多数父母认为抗生素是最好的治疗选择。家长对最佳治疗的看法主要是基于他们以前的经验和全科医生的建议。父母认为止痛药，如扑热息痛和非类固醇消炎药，本身并不足以治疗。父母对急性中耳炎治疗的信念和期望与循证建议之间存在差异。这项研究提供了父母对急性中耳炎治疗的期望的洞察力，这可能有助于临床医生了解可能有价值的引出和讨论的看法和误解。
Acute otitis media is a common reason for antibiotic prescribing, despite strong evidence that antibiotics provide minimal benefit. Studies have demonstrated that patients’ (or parents’) expectations of antibiotics often influence general practitioners’ (GPs) decision to prescribe antibiotics, but few have explored parents’ expectations of the management of infections in children, or which factors influence the development of these expectations. This study aimed to explore parents’ knowledge and beliefs about the management of acute otitis media in children. Individual semi-structured interviews were conducted with 15 parents of children who had recently presented to their GP with acute otitis media. Parents were recruited at childcare centres or playgroups in Brisbane, Australia. Many parents did not have an accurate understanding of what causes acute otitis media. GPs were primarily consulted for the management of symptoms such as pain and fever. Others specifically wanted reassurance or were concerned about hearing loss. Most parents assumed that antibiotics were the best treatment option. Parents’ perceptions about the best treatment were mainly based on their previous experience and the advice of the GP. Pain relief medications, such as paracetamol and non-steroidal anti-inflammatory drugs, were not considered by parents to be sufficient treatment on their own. There is discrepancy between parents’ beliefs and expectations of management of acute otitis media and the evidence-based recommendations. This study provides insights into parents’ expectations of management of acute otitis media, which may help inform clinicians about perceptions and misperceptions that may be valuable to elicit and discuss.
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影响因子：
2.4
作者：
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