为城市内患有哮喘的儿童提供预防保健的挑战。
Challenges in providing preventive care to inner-city children with asthma.
机构信息
Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
出版信息
Nurs Clin North Am. 2013 Jun;48(2):241-57. doi: 10.1016/j.cnur.2013.01.008. Epub 2013 Feb 15.
Abstract
Although the scientific understanding of the pathophysiology of asthma and the quality of asthma therapies have significantly improved over the past 30 years, asthma morbidity remains high and preventive care low for inner-city children. This article focuses on 4 major challenges to providing preventive care (family and patient attitudes and beliefs, lack of access to quality medical care, psychosocial factors, environmental factors) based on prior evidence and the authors' observation of these challenges in research with inner-city children with asthma over the past decade. Cost issues related to preventive care are addressed, and recommendations provide for pediatric nurses.
摘要
尽管过去 30 年来，人们对哮喘病理生理学的科学认识以及哮喘治疗质量都有了显著提高，但城市内儿童的哮喘发病率仍然居高不下，预防护理水平也较低。本文重点讨论了在过去十年中，针对患有哮喘的城市内儿童开展研究时，作者通过观察发现的 4 大挑战（包括：家庭和患者的态度与信念、缺乏优质医疗保健、社会心理因素和环境因素），以此为基础提出了提供预防护理所面临的 4 大挑战（包括：家庭和患者的态度与信念、缺乏优质医疗保健、社会心理因素和环境因素）。文中还讨论了与预防护理相关的成本问题，并为儿科护士提供了相关建议。
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