功能性便秘幼儿家长坚持直肠干预的促进因素和障碍:一项定性研究。

IF 2.1 3区 医学 Q2 PEDIATRICS
Frontiers in Pediatrics Pub Date : 2024-10-09 eCollection Date: 2024-01-01 DOI:10.3389/fped.2024.1417389
Haiyan Shen, Li Zhang, Yu Zhang, Yan Huang, Banghong Xu, Mingming Yu
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引用次数: 0

摘要

背景:儿童功能性便秘是一个世界性问题,既影响儿童的肠胃功能,也影响家庭生活质量。这种情况的治疗通常依赖于家长的参与,对孩子进行直肠干预以刺激排便。然而,目前直肠干预的依从性并不理想。我们试图探索促进和阻碍家长坚持直肠干预的因素:我们在 2023 年 3 月至 5 月期间对需要进行直肠干预的功能性便秘婴幼儿的家长进行了半结构式访谈,并对访谈内容进行了描述性定性研究。研究采用内容分析法对数据进行分析:14位家长参与了研究。家长们表示,坚持遵医嘱进行直肠干预的主要促进因素是认识到疾病的严重性、家人和朋友的支持以及医疗资源支持和电子健康知识。家长们报告的主要障碍是信息障碍、家庭冲突、认知偏差以及难以获得医疗服务:直肠干预通常是治疗幼儿便秘的关键,而家长的依从性是有效治疗的关键。医疗服务提供者必须考虑到家长的社会心理因素,遵守规范沟通的指南,并确保开展全面的教育以提高用药知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Facilitators and barriers of adherence to rectal interventions by parents of young children with functional constipation: a qualitative study.

Background: Functional constipation in children is a worldwide problem that impacts both children's gastrointestinal function and the quality of family life. The treatment of this condition often depends on parental involvement to administer rectal interventions to their children to stimulate defecation. However, adherence to rectal interventions is currently suboptimal. We sought to explore the factors that facilitate and hinder parents from adherence to rectal interventions.

Methods: A descriptive qualitative study was conducted involving semi-structured interviews with parents of infants and young children with functional constipation requiring rectal interventions from March to May 2023. The data were analyzed using content analysis.

Results: Fourteen parents participated in the study. Parents reported the main facilitators of adherence to prescribed rectal interventions as recognition of illness severity, support from family and friends, and medical resource support and e-health literacy. Parents reported the primary barriers as information barriers, family conflict, cognitive misalignment, and difficulties in accessing healthcare services.

Conclusion: Rectal interventions are often essential in managing constipation in young children, with parental compliance being crucial for effective treatment. Healthcare providers must consider the psychosocial aspects of parents' perceptions, adhere to guidelines to standardize communication, and ensure comprehensive education to improve medication literacy.

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来源期刊
Frontiers in Pediatrics
Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.60
自引率
7.70%
发文量
2132
审稿时长
14 weeks
期刊介绍: Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.
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