Dawson K P, Mogridge N
Department of Paediatrics, Christchurch School of Medicine, New Zealand.
Aust Clin Rev. 1989;9(3-4):103-6.
To gather information on the background to the hospital admission of children with an attack of acute asthma, on the parents' expectations and perceptions of the hospital's role in treatment and the hospital's response to these expectations.
A structured questionnaire was administered to the parents of 127 children admitted to hospital with an acute attack of asthma of a mild or moderate severity. At 10-15 days after discharge, further information was obtained from 102 of the parents regarding their experiences of the hospital stay.
Half of the children were self (parental) referred to hospital. The modal time spent in hospital was one night. Overwhelmingly, the parents felt that the admission had been justified and that discharge time was appropriate. Parental expectations of information and education about the condition differed slightly from the staff as judged by the information given to them. Many parents learned something about asthma and the majority felt that the brief admission was not too disruptive. The reported perceptions and the actions of the parents are in keeping with the hypothesis that the emergency care of childhood asthmatics is moving from the community to the hospital, and that many see a role for the latter in the long-term management of the condition.
收集有关急性哮喘发作儿童住院背景的信息，了解家长对医院在治疗中作用的期望和看法，以及医院对这些期望的回应。
对127名因轻度或中度急性哮喘发作而住院的儿童的家长进行了结构化问卷调查。出院后10 - 15天，从102名家长那里进一步了解了他们的住院体验。
一半的儿童是由家长自行送往医院的。住院的平均时间为一晚。绝大多数家长认为住院是合理的，出院时间也合适。根据所提供的信息判断，家长对病情信息和教育的期望与医护人员略有不同。许多家长了解到了一些关于哮喘的知识，大多数家长认为短暂的住院并没有造成太大干扰。所报告的家长的看法和行为符合这样一种假设，即儿童哮喘的急诊护理正从社区转向医院，而且许多人认为医院在该疾病的长期管理中发挥着作用。
