Shen Haiyan, Zhang Li, Zhang Yu, Huang Yan, Xu Banghong, Yu Mingming
Department of Gastroenterology, Children's Hospital of Nanjing Medical University, Nanjing, China.
Front Pediatr. 2024 Oct 9;12:1417389. doi: 10.3389/fped.2024.1417389. eCollection 2024.
Functional constipation in children is a worldwide problem that impacts both children's gastrointestinal function and the quality of family life. The treatment of this condition often depends on parental involvement to administer rectal interventions to their children to stimulate defecation. However, adherence to rectal interventions is currently suboptimal. We sought to explore the factors that facilitate and hinder parents from adherence to rectal interventions.
A descriptive qualitative study was conducted involving semi-structured interviews with parents of infants and young children with functional constipation requiring rectal interventions from March to May 2023. The data were analyzed using content analysis.
Fourteen parents participated in the study. Parents reported the main facilitators of adherence to prescribed rectal interventions as recognition of illness severity, support from family and friends, and medical resource support and e-health literacy. Parents reported the primary barriers as information barriers, family conflict, cognitive misalignment, and difficulties in accessing healthcare services.
Rectal interventions are often essential in managing constipation in young children, with parental compliance being crucial for effective treatment. Healthcare providers must consider the psychosocial aspects of parents' perceptions, adhere to guidelines to standardize communication, and ensure comprehensive education to improve medication literacy.
儿童功能性便秘是一个全球性问题，影响儿童的胃肠功能和家庭生活质量。这种疾病的治疗通常依赖父母参与对孩子进行直肠干预以刺激排便。然而，目前对直肠干预的依从性并不理想。我们试图探究促进和阻碍父母坚持直肠干预的因素。
2023年3月至5月，对需要进行直肠干预的功能性便秘婴幼儿的父母进行了半结构式访谈，开展了一项描述性定性研究。采用内容分析法对数据进行分析。
14名家长参与了该研究。家长们报告称，坚持规定的直肠干预的主要促进因素是对疾病严重程度的认识、家人和朋友的支持、医疗资源支持和电子健康素养。家长们报告的主要障碍是信息障碍、家庭冲突、认知偏差以及获得医疗服务的困难。
直肠干预在幼儿便秘管理中通常至关重要，父母的依从性对有效治疗至关重要。医疗服务提供者必须考虑父母认知的社会心理方面，遵守指南以规范沟通，并确保进行全面教育以提高用药素养。
