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美国东南部农村地区拉丁裔儿童和家庭的医疗保健需求:护士从业者的观点——一项试点研究。

Perspectives of nurse practitioners on health care needs among Latino children and families in the rural Southeastern United States: a pilot study.

机构信息

School of Nursing, University of North Carolina, Wilmington, NC 28403, USA.

出版信息

J Pediatr Health Care. 2012 Nov-Dec;26(6):409-17. doi: 10.1016/j.pedhc.2011.02.013. Epub 2011 May 7.

DOI:10.1016/j.pedhc.2011.02.013
PMID:23099307
Abstract

INTRODUCTION

The purpose of this study was to explore perspectives of nurse practitioners on health care needs among Latino children and families in the rural Southeastern United States.

METHOD

This qualitative research used semi-structured interviews with seven nurse practitioners (NPs) practicing in the rural southeastern part of North Carolina. Flanagan's critical incident technique was used to describe the experiences of NPs providing health care for Latino children and parents.

RESULTS

Data analysis indicates that the most commonly reported illnesses by Latino children are upper respiratory infections and asthma, followed by otitis media, obesity, anemia, pneumonia, leukemia, and tumors. Barriers to health care for children included language and cultural differences, lack of access to care (e.g., lack of insurance, cost, and transportation), and health illiteracy/low education level of parents. The findings also suggest that Latinos are preserving their traditional health practices when treating their children's illnesses, such as through use of foods, hot/cold items, herbs, coin on "belly button," traditional juices, healing bracelets, and evil eye.

DISCUSSION

The findings of the study imply the need to incorporate culturally sensitive care when providing care for Latino children and parents.

摘要

介绍

本研究旨在探讨美国东南部农村地区的执业护士对拉丁裔儿童和家庭的医疗需求的看法。

方法

这项定性研究采用半结构式访谈,对北卡罗来纳州东南部农村地区的 7 名执业护士(NP)进行了访谈。弗拉纳根的关键事件技术被用来描述护士为拉丁裔儿童和家长提供医疗保健的经验。

结果

数据分析表明,拉丁裔儿童最常见的疾病是上呼吸道感染和哮喘,其次是中耳炎、肥胖、贫血、肺炎、白血病和肿瘤。儿童保健的障碍包括语言和文化差异、缺乏获得保健的机会(如缺乏保险、费用和交通)以及家长的健康素养/低教育水平。研究结果还表明,拉丁裔人在治疗孩子的疾病时,会保留他们的传统健康做法,例如使用食物、冷热物品、草药、硬币放在“肚脐”上、传统果汁、治疗手环和邪眼。

讨论

该研究的结果表明,在为拉丁裔儿童和家长提供护理时,需要纳入文化敏感的护理。

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