Parents' experiences caring for children with acute otitis media: a qualitative analysis.
Parents' experiences caring for children with acute otitis media: a qualitative analysis.
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DOI：
10.1186/s12875-022-01737-4
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发表时间：
2022-05-23
期刊：
影响因子：
--
通讯作者：
Shaikh, Nader
中科院分区：
文献类型：
--
作者：
Lee, Matthew C.;Kavalieratos, Dio;Alberty, Anastasia;Groff, Destin;Haralam, Mary Ann;Shaikh, Nader
关于父母照顾患有急性中耳炎(AOM)的儿童的经验，我们知之甚少。这项研究旨在探索父母照顾患有AOM的孩子的经历，确定他们观察到的症状，他们对这些症状的想法和感受，他们是如何处理这一事件的，以及是什么因素导致他们寻求医疗评估。从2019年10月到2020年2月，我们对匹兹堡儿童医院相关初级保健办公室诊断为AOM的3至36个月大儿童的父母进行了24次半结构化横断面访谈，内容包括(1)导致父母认为他们的孩子可能患有AOM的症状和行为；(2)最困扰父母和孩子的症状；(3)父母对这些症状的反应；(4)寻求临床护理的动机；以及(5)父母对AOM解决方案的期望。使用模板分析对数据进行分析，得出了一个混合的归纳/演绎分析过程。我们在AOM诊断后72小时内采访了24名父母。父母们经常认为拖耳是AOM的最有征兆的症状，尽管在这个样本中只有一半的孩子出现了这种症状。当他们的孩子体温升高或睡眠不足，或者当症状恶化或对家庭治疗无效时，父母总是寻求医疗护理。与首次耳部感染的儿童的父母相比，有复发AOM病史的儿童的父母识别AOM症状的难度较小。我们的发现为AOM的症状提供了洞察力，这些症状引起了父母的关注，并促使他们使用医疗服务。父母观察和报告AOM症状的能力不同。因此，当采访那些担心他们的先天儿童患有AOM的父母时，提供者应该确定父母观察到的所有不寻常的行为，而不是只关注拉耳朵和发烧。
Little is known regarding parents’ experiences caring for children with acute otitis media (AOM). This study aimed to explore parents’ experiences caring for their child with AOM, identifying symptoms they observed, their thoughts and feelings about those symptoms, how they managed the episode, and what factors caused them to seek medical evaluation. From October 2019 to February 2020, we conducted 24 semi-structured cross-sectional interviews with parents of children 3 to 36 months of age with AOM diagnosed at primary care offices associated with the Children’s Hospital of Pittsburgh regarding (1) symptoms and behaviors that led parents to believe their child might have AOM; (2) symptoms that were most bothersome to parent and child; (3) what parents did in response to these symptoms; (4) motivations for seeking clinical care; and (5) parents’ expectations regarding AOM resolution. Data were analyzed using template analysis, resulting in a hybrid inductive/deductive analytic process. We interviewed 24 parents within 72 h of diagnosis of AOM. Parents frequently believed ear tugging was the symptom most indicative of AOM, despite its presence in only half of the children in this sample. Parents consistently sought medical care when their child had an elevated temperature or lack of sleep, or when symptoms worsened or were unresponsive to home remedies. Parents of children with history of recurrent AOM had less difficulty identifying symptoms of AOM than parents of children with their first ear infection. Our findings provide insight into symptoms of AOM that cause parents concern and motivate the use of healthcare services. Parents differed in their abilities to observe and report symptoms of AOM. Thus, when interviewing parents who are concerned their preverbal child has AOM, rather than focusing on ear tugging and fever alone, providers should ascertain all unusual behaviors observed by the parent.
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