[腹泻居家管理的优势与不足]
[Strengths and weaknesses of home management of diarrhea].
作者信息
Gamboa-Salcedo Tamara, Gutiérrez-Camacho Claudia, Mota-Hernández Felipe
机构信息
Hospital Infantil de México Federico Gómez, Secretaría de Salud, México DF, México.
出版信息
Gac Med Mex. 2006 Jul-Aug;142(4):309-14.
OBJECTIVE
The aim of the study was to analyze mothers home practices among children with acute diarrhea.
METHODS
A cross sectional study was carried out in a group of 260 mothers of children with diarrhea. Mothers were requested to answer the "verbal biopsy" questionnaire to assess their practices concerning effective diarrhea management at home according to the World Health Organization and corresponding to the Norma Oficial Mexicana recommendations. Descriptive statistics and Chi square for differences were used.
RESULTS
Two groups of mothers' were identified: those who had consulted a physician before attending the hospital (n = 191), and those who came to the hospital as their first choice (n = 69). The first group used antibiotics, antiemetics, breast-feeding and Oral Hydration Therapy more frequently than the second group (p < 0.05).
CONCLUSIONS
The "verbal biopsy " instrument was useful to assess home management of children with diarrhea. This questionnaire was also useful to detect medical malpractice (unjustified prescription of antibiotics and antiemetics) as well as to identify best practices (continued breast feeding and oral hydration).
目的
本研究旨在分析患有急性腹泻儿童的母亲在家中的护理行为。
方法
对260名腹泻儿童的母亲进行了一项横断面研究。要求母亲们回答“言语活检”问卷，以根据世界卫生组织并对应墨西哥官方标准的建议，评估她们在家中有效管理腹泻的行为。使用描述性统计和卡方检验来分析差异。
结果
确定了两组母亲：那些在前往医院之前咨询过医生的母亲（n = 191），以及那些将医院作为首选的母亲（n = 69）。第一组比第二组更频繁地使用抗生素、止吐药、母乳喂养和口服补液疗法（p < 0.05）。
结论
“言语活检”工具对于评估腹泻儿童的家庭护理是有用的。该问卷对于检测医疗不当行为（不合理使用抗生素和止吐药的处方）以及识别最佳护理行为（持续母乳喂养和口服补液）也很有用。
Zotero 插件