Ertmann Ruth Kirk, Söderström Margareta, Reventlow Susanne
The Research Unit for General Practice in Copenhagen, Copenhagen, Denmark.
Scand J Prim Health Care. 2005 Sep;23(3):154-8. doi: 10.1080/02813430510031342.
To explore situations in which parents with an ill child consult a physician and to identify trigger factors for consultation.
Qualitative interviews with parents of young children. Parents were asked to describe the situation in which the decision to contact the physician was made.
A total of 20 families selected from a birth cohort from Frederiksborg County. The cohort numbered 194 of 389 children born between 1 and 28 February 2001. The cohort was followed prospectively from the age of 9 to 12 months by diary (January-April), and retrospectively from birth to the age of 9 months by questionnaire. Families were chosen on the basis of information provided in a questionnaire, diary illness pattern and a telephone conversation.
Nine trigger factors associated with physician contacts were identified. Parents' answers demonstrated how their feelings and logical reasoning while caring for an ill child led them to consult the physician. The main reasons for consultation were children's protracted or aggravated symptoms. Parents initially tried to handle the situation but when unsuccessful information and advice was sought by consulting a physician.
Parents consult the physician when they feel overtaxed, afraid, or inadequately prepared to care for their ill child. They considered seriously whether to consult a physician or not.
探讨患病儿童的家长咨询医生的情况，并确定咨询的触发因素。
对幼儿家长进行定性访谈。要求家长描述做出联系医生决定时的情况。
从腓特烈堡郡的一个出生队列中选取了20个家庭。该队列包括2001年2月1日至28日出生的389名儿童中的194名。通过日记（1月至4月）对该队列从9个月至12个月大进行前瞻性随访，并通过问卷对从出生到9个月大进行回顾性随访。根据问卷提供的信息、日记中的疾病模式和电话交谈选择家庭。
确定了与联系医生相关的9个触发因素。家长的回答表明，他们在照顾患病儿童时的感受和逻辑推理是如何促使他们咨询医生的。咨询的主要原因是儿童症状持续或加重。家长最初试图自行处理这种情况，但未成功时便会咨询医生以寻求信息和建议。
当家长感到不堪重负、害怕或没有充分准备好照顾患病儿童时，他们会咨询医生。他们会认真考虑是否咨询医生。
