General Paediatrics, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands
General Paediatrics, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands.
BMJ Open. 2021 Dec 2;11(12):e055811. doi: 10.1136/bmjopen-2021-055811.
To assess the impact of the COVID-19 lockdown on parents' health-seeking behaviour and care for a sick or injured child in the Netherlands.
An online survey on parents' experiences with a sick or injured child during the COVID-19 lockdown periods was disseminated through social media.
Parents living in the Netherlands with a sick or injured child during the lockdown periods from March to June 2020 and from December 2020 to February 2021 were eligible to participate.
Descriptive statistics and thematic analysis were used to analyse family and children's characteristics, parents' response to a sick or injured child, and the perceived impact of the lockdown on child's severity of illness and treatment reported by parents. Analyses were stratified for children with and without chronic conditions.
Of the 105 parents who completed the survey, 83% reported they would have sought medical help before lockdown compared with 88% who did seek help during lockdown for the same specific medical problem. Parents reported that changes in health services affected their child's severity of illness (31%) and their treatment (39%), especially for children with chronic conditions. These changes included less availability of healthcare services and long waiting lists, which mostly led to worsening of the child's illness. During lockdown, there was no change in health-seeking behaviour by parents of children with a chronic condition (N=51) compared with parents of children without a chronic condition.
Parents in the Netherlands who completed the survey were not deterred from seeking medical help for their sick or injured child during the COVID-19 lockdown periods. However, changes in health services affected child's severity of illness and treatment, especially for children with chronic conditions.
评估 COVID-19 封锁对荷兰父母为患病或受伤儿童寻求医疗服务和护理的行为的影响。
通过社交媒体传播了一项关于父母在 COVID-19 封锁期间照顾患病或受伤儿童经历的在线调查。
有患病或受伤儿童的荷兰父母在 2020 年 3 月至 6 月和 2020 年 12 月至 2021 年 2 月的封锁期间符合参与条件。
使用描述性统计和主题分析来分析家庭和儿童的特征、父母对患病或受伤儿童的反应以及父母报告的封锁对儿童疾病严重程度和治疗的感知影响。分析按有无慢性疾病的儿童进行分层。
在完成调查的 105 名父母中，83%的人报告说在封锁前他们会寻求医疗帮助，而在封锁期间，有同样具体医疗问题的父母中有 88%的人寻求了帮助。父母报告说，卫生服务的变化影响了他们孩子的疾病严重程度（31%）和治疗（39%），尤其是对患有慢性疾病的儿童。这些变化包括医疗保健服务的可用性降低和候补名单延长，这主要导致儿童病情恶化。在封锁期间，有慢性疾病儿童的父母（n=51）与无慢性疾病儿童的父母相比，其寻求医疗服务的行为没有变化。
完成调查的荷兰父母在 COVID-19 封锁期间并没有阻止他们为患病或受伤的孩子寻求医疗帮助。然而，卫生服务的变化影响了儿童疾病的严重程度和治疗，尤其是对患有慢性疾病的儿童。
