Goddard Bernadette M M, Hutton Alison, Guilhermino Michelle, McDonald Vanessa M
School of Nursing and Midwifery, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, NSW, Australia.
Paediatric Respiratory Department, John Hunter Children's Hospital, New Lambton Heights, NSW, Australia.
J Asthma Allergy. 2022 Aug 6;15:1021-1033. doi: 10.2147/JAA.S341434. eCollection 2022.
To conduct a systematic review and synthesis of qualitative evidence exploring the factors that influence a parent's decision to seek medical assistance while their child is having an asthma attack.
Studies were included if they used qualitative methodologies and explored parent or carers' experience of caring for a child (2 to 12 years) during an acute asthma attack at home or in the community. We searched MEDLINE (OVID interface, 1948 onwards), EMBASE (OVID interface, 1980 onwards) and CINAHL (EBSCO) electronic databases. Quality appraisal was assessed by the Critical Appraisal Skills Program CASP for qualitative research, and the qualitative studies in this review were analyzed by thematic synthesis.
From 4798 identified studies, 17 met the inclusion criteria. Synthesis revealed two distinct processes used by parents to aid their decision to seek medical intervention for their child. The first, past experiences informing future decisions and secondly facilitators that drive parents' to actively pursue medical help.
This review highlights the importance of providing asthma education that not only focuses on the provision of information on symptoms, triggers, medication, and device use but asthma education that targets parents' unique experience. Using a family strength approach education can impact parents' future behavior when deciding to seek medical assistance for their child when experiencing an asthma attack. There was not a specific funding source, which supported this review. This review was registered with PROSPERO Identification Number CRD4201912740.
进行一项系统综述并综合定性证据，以探究影响父母在孩子哮喘发作时寻求医疗帮助的因素。
纳入使用定性方法且探讨父母或照顾者在家庭或社区中照顾2至12岁儿童急性哮喘发作经历的研究。我们检索了MEDLINE（OVID界面，1948年起）、EMBASE（OVID界面，1980年起）和CINAHL（EBSCO）电子数据库。通过定性研究的批判性评估技能计划（CASP）进行质量评估，本综述中的定性研究通过主题综合进行分析。
在4798项已识别的研究中，17项符合纳入标准。综合分析揭示了父母用于辅助决定为孩子寻求医疗干预的两个不同过程。第一个是过去的经历为未来的决定提供信息，第二个是促使父母积极寻求医疗帮助的促进因素。
本综述强调了提供哮喘教育的重要性，这种教育不仅要关注症状、触发因素、药物和设备使用等信息的提供，还要针对父母的独特经历。采用家庭优势方法的教育可以影响父母在孩子哮喘发作时决定寻求医疗帮助时的未来行为。本综述没有特定的资金来源支持。本综述已在PROSPERO注册，识别号为CRD4201912740。
