University of Alberta, Edmonton, Alberta, Canada.
Clin Pediatr (Phila). 2021 Mar;60(3):154-169. doi: 10.1177/0009922820964457. Epub 2020 Oct 7.
Pediatric functional constipation (FC) reportedly affects at least 1 in 10 children worldwide. Parent and family education is a key component for successful treatment, yet there is little research exploring what information families need and how to best support them. The aim of this review is to synthesize current evidence on the experiences and information needs of parents caring for a child with FC. We systematically searched published research and completed screening against a priori inclusion criteria. Thirteen studies (n = 10 quantitative, n = 3 qualitative) were included. We found 2 main themes, precarious footing and profound and pervasive effects. Heavy caregiving burdens fueled doubts, misinformation, relationship breakdown, and treatment deviation. In light of clinical recommendations, our findings reveal a potential mismatch between parents' needs and care provision for FC. It is likely that both parents and health care providers would benefit from resources and interventions to improve care related to pediatric FC.
据报道,儿科功能性便秘(FC)至少影响全球每 10 个儿童中的 1 个。家长和家庭教育是成功治疗的关键组成部分,但很少有研究探讨家庭需要哪些信息以及如何最好地支持他们。本综述的目的是综合目前关于照顾 FC 儿童的父母的经验和信息需求的证据。我们系统地搜索了已发表的研究,并根据事先确定的纳入标准进行了筛选。有 13 项研究(n = 10 项定量,n = 3 项定性)被纳入。我们发现了 2 个主要主题,不稳定的基础和深刻而普遍的影响。沉重的照顾负担引发了疑虑、错误信息、关系破裂和治疗偏离。根据临床建议,我们的研究结果揭示了父母的需求与 FC 护理之间可能存在不匹配。父母和医疗保健提供者都可能受益于改善与儿科 FC 相关的护理的资源和干预措施。