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[儿科医院急诊中家长的焦虑及相关因素:一项横断面描述性研究。]

[Parental anxiety and associated factors in pediatric hospital emergencies, a cross-sectional descriptive study.].

作者信息

Montoro-Pérez Néstor, Rodríguez-Herrera María Ángeles, Solaz-García Álvaro, Aranda Colomar Remedios, Arrué Zarzo María Amparo, Montejano-Lozoya Raimunda

机构信息

Hospital Universitario y Politécnico La Fe. Valencia. Doctorando en Ciencias de la Salud. Universidad de Alicante. Alicante. España.

Facultad de Enfermería. Universidad Europea. Valencia. España.

出版信息

Rev Esp Salud Publica. 2020 Sep 14;94:e202009103.

PMID:32925872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11583140/
Abstract

OBJECTIVE

Pediatric hospital emergencies have increased hardly in the recent years, product of the irrational use and the over-massification. The objective of this study was to evaluate the relationship between anxiety and sociodemographic factors of the parents and mothers.

METHODS

Descriptive cross-sectional study on parental anxiety and associated factors in a pediatric hospital emergency service with sample n=200 fathers and mothers who demand care in a level 3 hospital in Valencia. (Spain), during march, april and may of 2019. It was estimated the reliability of the Anxiety Scale E-7 (STAI-E7). The data was obtained with a self-administrated and desired document for the purpose. Data related to the level of anxiety and possible predictive variables were collected. The analysis of the data obtained was performed with the Statistical Package for the Social Sciences program (SPSS, version 20.0 for Windows) and ordinal regression with the R commander program.

RESULTS

The results show that 75.5% of the people who went to the hospital with their children were mothers and 24.5% were fathers. The mean score obtained regarding the level of anxiety in the sample is moderate (9.18±4.92). Mothers present higher levels of anxiety than fathers (9.7±4.8 and 7.5±5.1, respectively). The probability of experiencing a higher level of anxiety in mothers is multiplied by two (OR=2.286; 95% CI: 1.212-4.353; P=0.01) compared to parents. The STAI-E7 scale presents a good internal consistency (Cronbach's α=0.847).

CONCLUSIONS

Mothers have higher levels of anxiety. It will be appreciated doing more studies to quantify the levels of parental anxiety, with the purpose of creating tools and programs to decrease it.

摘要

目的

近年来,由于不合理使用和过度就医,儿科医院急诊量几乎呈增长态势。本研究的目的是评估父母焦虑与社会人口学因素之间的关系。

方法

对一家儿科医院急诊服务中的父母焦虑及相关因素进行描述性横断面研究,样本为200名在西班牙巴伦西亚一家三级医院寻求护理的父亲和母亲。研究时间为2019年3月、4月和5月。评估了焦虑量表E-7(STAI-E7)的信度。数据通过一份自填式且符合研究目的所需的文档获取。收集了与焦虑水平及可能的预测变量相关的数据。使用社会科学统计软件包程序(SPSS,适用于Windows的20.0版本)对所得数据进行分析,并使用R指挥官程序进行有序回归分析。

结果

结果显示,带孩子前往医院的人群中,75.5%为母亲,24.5%为父亲。样本中焦虑水平的平均得分处于中等水平(9.18±4.92)。母亲的焦虑水平高于父亲(分别为9.7±4.8和7.5±5.1)。与父亲相比,母亲经历更高水平焦虑的概率翻倍(OR=2.286;95%可信区间:1.212 - 4.353;P=0.01)。STAI-E7量表具有良好的内部一致性(Cronbach's α=0.847)。

结论

母亲的焦虑水平更高。有必要开展更多研究来量化父母的焦虑水平,以便创建降低焦虑的工具和项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994c/11583140/a5bff4ef9a56/1135-5727-resp-94-e202009103-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994c/11583140/9b78710ec742/1135-5727-resp-94-e202009103-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994c/11583140/a5bff4ef9a56/1135-5727-resp-94-e202009103-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994c/11583140/9b78710ec742/1135-5727-resp-94-e202009103-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/994c/11583140/a5bff4ef9a56/1135-5727-resp-94-e202009103-g008.jpg

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本文引用的文献

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Physician and Parental Decision-Making Prior to Acute Medical Paediatric Admission.儿科急性医疗入院前医生与家长的决策制定
Healthcare (Basel). 2018 Sep 17;6(3):117. doi: 10.3390/healthcare6030117.
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Effectiveness of non-pharmacological measures for reducing pain and fear in children during venipuncture in the emergency department: a vibrating cold devices versus distraction.非药物措施在减少急诊科静脉采血时儿童疼痛和恐惧的效果:振动式冷敷装置与分散注意力的比较。
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Factors Determining Parents' Decisions to Bring Their Children to the Pediatric Emergency Department for a Minor Illness.
决定父母是否带孩子因小病前往儿科急诊的因素。
Med Sci Monit. 2017 Aug 28;23:4141-4148. doi: 10.12659/msm.902639.
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[Factors related to the use of pediatric emergency services: results from the Spanish National Health Survey].[与儿科急诊服务使用相关的因素:西班牙国家健康调查结果]
Emergencias. 2017;29(2):117-121.
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[Demand for pediatric emergency care: No change or is the situation worse?].[儿科急诊护理需求:无变化还是情况更糟?]
Emergencias. 2017;29(2):76-78.
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A qualitative systematic review of the reasons for parental attendance at the emergency department with children presenting with minor illness.一项关于父母带患小病儿童前往急诊科就诊原因的定性系统评价。
Int Emerg Nurs. 2018 Jan;36:56-62. doi: 10.1016/j.ienj.2017.07.002. Epub 2017 Aug 1.
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Contributing factors of frequent use of the emergency department: A synthesis.急诊科频繁使用的促成因素:一项综述。
Int Emerg Nurs. 2017 Nov;35:51-55. doi: 10.1016/j.ienj.2017.06.001. Epub 2017 Jul 1.
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[An epidemiological study of early consultations of newborns in pediatric emergency units].[儿科急诊室新生儿早期会诊的流行病学研究]
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