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学校食物过敏管理:一项定性研究。

Managing food allergies at school: A qualitative study.

作者信息

Caner Nuray, Efe Yağmur Sezer, Söyünmez Selin, Bayat Meral

机构信息

Department of Pediatric Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.

Department of Pediatric Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.

出版信息

J Pediatr Nurs. 2023 Nov-Dec;73:58-66. doi: 10.1016/j.pedn.2023.08.022. Epub 2023 Aug 28.

DOI:10.1016/j.pedn.2023.08.022
PMID:37647789
Abstract

INTRODUCTION

The prevalence of childhood allergic diseases, including food allergies, has increased globally. Parents and children have experienced psychosocial and financial difficulties, decreased quality of life, anxiety, and depression in the management of food allergies in schools.

PURPOSE

The aim of the study was to determine the challenges experienced by mothers of children with food allergies during their children's school life.

DESIGN

A qualitative phenomenological study design was used.

METHODS

Online interviews were conducted with 9 mothers who have children with food allergies between June-August 2022. The data were analyzed using the content analysis method. The COREQ checklist was used in the study.

RESULTS

The ages of the mothers participating in the study ranged from 28 to 40. Four themes were generated from 75 codes: 1) Problems experienced in the process of utilizing health services, 2) Burden of care, 3) Coming out of the shell: The school process, and 4) Environmental and social perspective.

CONCLUSIONS

Mothers carried the burden of food allergy management during the school process, and the increased burden of care negatively impacted mothers emotionally, physically, and socially. Also, mothers were anxious about the safety of their school-age children with food allergies and their experiences with school administration, teachers, and other parents made it difficult for food allergy management in the school environment.

CLINICAL RELEVANCE

Children with chronic health problems such as food allergies need to be closely monitored by a health professional in school to ensure their safety. Nurses have a pivotal role in supporting families to address their child's food allergies competently, hence fostering positive health outcomes. This study showed that there was a need for the development of school health policies to ensure the safety of children with food allergies and to reduce anxiety and care burden among mothers.

摘要

引言

包括食物过敏在内的儿童过敏性疾病在全球范围内呈上升趋势。在学校管理食物过敏的过程中,家长和孩子经历了心理社会和经济困难、生活质量下降、焦虑和抑郁。

目的

本研究的目的是确定食物过敏儿童的母亲在孩子的学校生活中所面临的挑战。

设计

采用质性现象学研究设计。

方法

2022年6月至8月,对9位有食物过敏孩子的母亲进行了在线访谈。采用内容分析法对数据进行分析。本研究使用了COREQ清单。

结果

参与研究的母亲年龄在28岁至40岁之间。从75个编码中生成了四个主题:1)利用健康服务过程中遇到的问题,2)护理负担,3)走出困境:学校过程,4)环境和社会视角。

结论

在学校生活过程中,母亲承担着食物过敏管理的负担,护理负担的增加对母亲的情绪、身体和社交产生了负面影响。此外,母亲们担心患有食物过敏的学龄儿童的安全,她们与学校管理人员、教师和其他家长的经历使得在学校环境中管理食物过敏变得困难。

临床意义

患有食物过敏等慢性健康问题的儿童在学校需要健康专业人员的密切监测以确保安全。护士在支持家庭有效应对孩子的食物过敏方面发挥着关键作用,从而促进积极的健康结果。本研究表明,需要制定学校健康政策,以确保食物过敏儿童的安全,并减轻母亲的焦虑和护理负担。

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