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孟加拉国农村地区母亲对肺炎患儿的认知及就医行为

Mothers' perception and healthcare seeking behavior of pneumonia children in rural bangladesh.

作者信息

Ferdous Farzana, Dil Farzana Fahmida, Ahmed Shahnawaz, Das Sumon Kumar, Malek Mohammad Abdul, Das Jui, Faruque Abu Syed Golam, Chisti Mohammod Jobayer

机构信息

Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh ; Department of Clinical Trial and Clinical Epidemiology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan.

Centre for Nutrition and Food Security (CNFS), International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh.

出版信息

ISRN Family Med. 2014 Feb 23;2014:690315. doi: 10.1155/2014/690315. eCollection 2014.

Abstract

We describe mothers' perception about signs and symptoms, causes of the illness, and healthcare seeking behaviors related to pneumonia and express the major modifiable barriers to seeking timely treatment when their under-5 children had pneumonia in rural Bangladesh. Using focus group discussion, we understood mothers' perception and healthcare seeking behavior of childhood pneumonia. Although mothers described pneumonia as a serious life threatening disease in young children but most of the mothers (n = 24) could not diagnose whether their child had pneumonia or not. Environmental factors such as dust particles, spread from coughing mother, and drinking cold water or playing with water were perceived as the causes for pneumonia. Three common barriers noted were as follows: illness was not perceived as serious enough or distance from healthcare facility or lack of money at household for seeking treatment outside. Most of the rural mothers did not have knowledge about severity of childhood pneumonia.

摘要

我们描述了母亲们对与肺炎相关的体征和症状、病因以及就医行为的认知,并指出了孟加拉国农村地区5岁以下儿童患肺炎时寻求及时治疗的主要可改变障碍。通过焦点小组讨论,我们了解了母亲们对儿童肺炎的认知和就医行为。尽管母亲们将肺炎描述为幼儿严重的危及生命的疾病,但大多数母亲(n = 24)无法诊断自己的孩子是否患有肺炎。诸如灰尘颗粒、咳嗽母亲传播的病菌以及饮用冷水或玩水等环境因素被认为是肺炎的病因。指出的三个常见障碍如下:未意识到疾病足够严重、距离医疗机构远或家庭缺乏外出就医的资金。大多数农村母亲对儿童肺炎的严重程度并不了解。

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