Perceptions of pediatric asthma in African American underserved families using metaphorical analysis
Perceptions of pediatric asthma in African American underserved families using metaphorical analysis
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DOI：
10.1111/jspn.12045
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发表时间：
2013-10-01
影响因子：
1.3
通讯作者：
Yono, Anita
中科院分区：
文献类型：
--
作者：
McClelland, Molly;Wenz, Cathy;Yono, Anita
目的了解非洲裔美国儿童哮喘及其家庭生活在服务不足的城市地区如何体验和感知哮喘。设计与方法采用隐喻分析的叙事探究设计，对20名非裔美国儿童及其10个家庭进行研究。结果：参与者隐喻地将家庭系统视为一个运作良好的医疗设施。孩子们没有发现他们的哮喘异常，但确实利用了哮喘症状。护理人员被视为第一线的医疗反应者，但在提供医疗服务时经常犯错误。缺乏有关适当哮喘干预措施的知识导致哮喘护理不足。实践意义：研究结果为改善这一弱势患者群体的护患互动提供了证据。
PurposeThe purpose was to understand how African American children with asthma and their families living in underserved urban areas experience and perceive asthma.Design and MethodsA narrative inquiry design with metaphorical analysis was used in this study with 20 African American children and their 10 families.ResultsParticipants metaphorically viewed the family system as a functioning healthcare facility. Children didn't find their asthma abnormal but did use asthma symptoms to their advantage. Caregivers were viewed as first-line medical responders but often made errors in delivering medical treatment. Lack of knowledge relating to appropriate asthma interventions led to insufficient asthma care.Practice ImplicationsResults provide evidence to improve patient-nurse interactions for this vulnerable patient group.