Harmsen Mirjam, Wensing Michel, van der Wouden Johannes C, Grol Richard P T M
Centre for Quality of Care Research (WOK), Radboud University Nijmegen Medical Centre, P.O. Box 9101 (114 kwazo), 6500 HB Nijmegen, The Netherlands.
Patient Educ Couns. 2007 May;66(2):250-5. doi: 10.1016/j.pec.2006.12.009.
To provide insight into parents' awareness of and knowledge about urinary tract infections (UTIs) in young children.
Twenty interviews with parents who had a child recently diagnosed with a UTI were audiotaped, transcribed verbatim, and qualitatively analysed.
Most parents knew the typical symptoms related to UTI. But, according to the parents, neither they nor all general practitioners (GPs) thought of a UTI in case of atypical symptoms. The awareness that UTI can be a serious illness usually came to parents later, partly because health care workers often did not explicitly mention this. According to the parents, health care workers should be more aware of UTIs in children. Parents felt that health education or mass screening might not be desirable because it would increase anxiety or would be perceived as not relevant.
Parents could not consistently recognise UTI in their children and were most times unaware of the possible consequences of a UTI. Nevertheless, parents were sceptical about health education and mass screening.
There seems little scope for health education addressed at parents or screening for UTI in young children. Instead, physicians and nurses should be alert for the possibility of UTIs in young children, and more information should be given once a UTI is diagnosed.
深入了解家长对幼儿尿路感染（UTIs）的认识和了解程度。
对20位孩子近期被诊断为尿路感染的家长进行访谈，并进行录音、逐字转录及定性分析。
大多数家长知道与尿路感染相关的典型症状。但是，家长们表示，无论是他们自己还是所有全科医生（GPs），在出现非典型症状时都没有想到是尿路感染。家长们通常较晚才意识到尿路感染可能是一种严重疾病，部分原因是医护人员常常没有明确提及这一点。家长们认为，医护人员应该更加关注儿童的尿路感染。家长们觉得健康教育或大规模筛查可能不可取，因为这会增加焦虑感或被认为无关紧要。
家长不能始终如一地识别孩子是否患有尿路感染，而且大多数时候没有意识到尿路感染可能带来的后果。然而，家长们对健康教育和大规模筛查持怀疑态度。
针对家长开展的健康教育或对幼儿进行尿路感染筛查似乎没有太大空间。相反，医生和护士应该警惕幼儿患尿路感染的可能性，一旦诊断出尿路感染，应提供更多信息。
