Soliday E, Hoeksel R
Washington State University, 14204 Salmon Creek Avenue, Vancouver, WA 98686, USA.
Ann Behav Med. 2000 Fall;22(4):299-306. doi: 10.1007/BF02895666.
This study's purpose was to apply a multivariate adaptation of the Health Belief Model (HBM) to examine parental adherence to pediatric emergency department (ED) after-care instructions. Parents/legal guardians (n = 162) of children ages 0-17 years with minor (noncritical) conditions (e.g. abrasion/contusion, laceration) completed health beliefs and demographics questionnaires while waiting for their child to be seen. Postdischarge, children's medical records were reviewed for after-care instructions and insurance status, and parents were phoned to assess adherence to specific after-care instructions. In logistic regressions, health beliefs (barriers, severity, susceptibility) and child age significantly predicted several postdischarge adherence behaviors, including home care procedures and prescription medication purchase. Results are discussed as they relate to the effects of specific health belief variables and the need for further refinement of the HBM in accordance with the changing health care system; clinical applications are proposed.
本研究的目的是应用健康信念模型（HBM）的多变量适应性模型，以检验家长对儿科急诊科出院后护理指导的依从性。年龄在0至17岁、患有轻微（非危急）病症（如擦伤/挫伤、撕裂伤）的儿童的家长/法定监护人（n = 162）在等待孩子就诊时完成了健康信念和人口统计学调查问卷。出院后，查阅儿童病历以了解出院后护理指导和保险状况，并致电家长评估其对特定出院后护理指导的依从性。在逻辑回归分析中，健康信念（障碍、严重性、易感性）和儿童年龄显著预测了几种出院后的依从行为，包括家庭护理程序和处方药购买。讨论了研究结果与特定健康信念变量的影响之间的关系，以及根据不断变化的医疗保健系统进一步完善健康信念模型的必要性；并提出了临床应用建议。
