Fernandes Sara Costa, Arriaga Patrícia, Esteves Francisco
Centro de Investigação e Intervenção Social, Instituto Universitário de Lisboa, Lisboa, Portugal,
Cien Saude Colet. 2014 Jul;19(7):2073-82. doi: 10.1590/1413-81232014197.08992013.
This study sought to contribute to a better understanding of children's attitudes and opinions regarding health care, mainly in terms of medical procedures, institutions and the efficacy of health professionals. The sample included 381 children, recruited from different schools in Lisbon. The more negative attitudes were attributed to institutions, while positive attitudes were related to the efficacy of health professionals. Medical procedures were considered less painful compared to potential day-to-day accidents. Higher levels of pain were reported by children of the female sex and by children during the primary education phase. Medical fears mediated the relationship between the perception of pain and children's attitudes with respect to health care. Higher levels of pain perception were seen to be related to more negative attitudes regarding health care. However, this relationship was diminished when children's fears about medical issues were contemplated. In conclusion, a translated instrument to assess children's attitudes regarding health care is needed, as it may even contribute to the development of intervention programs within the scope of the promotion of attitudes towards health care.
本研究旨在更深入地了解儿童对医疗保健的态度和看法，主要涉及医疗程序、机构以及医护人员的效能。样本包括从里斯本不同学校招募的381名儿童。对机构的态度较为负面，而对医护人员效能的态度则较为积极。与潜在的日常事故相比，医疗程序被认为疼痛程度较低。女性儿童以及处于小学教育阶段的儿童报告的疼痛程度较高。医疗恐惧在疼痛感知与儿童对医疗保健的态度之间起中介作用。较高的疼痛感知水平与对医疗保健更负面的态度相关。然而，当考虑到儿童对医疗问题的恐惧时，这种关系就会减弱。总之，需要一种经过翻译的工具来评估儿童对医疗保健的态度，因为它甚至可能有助于在促进对医疗保健态度的范围内制定干预计划。
