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母亲照顾哮喘控制不佳儿童的生活经历:一项定性研究。

The lived experiences of mother's caring for children with uncontrolled asthma: A qualitative study.

作者信息

Aldirawi Ali, Al Rawwad Tamara, Al-Qudimat Ahmad R, Jin Yan, Brooks Andrea, Eldeirawi Kamal

机构信息

Xiangya School of Nursing, Central South University, Changsha, Hunan Province, China.

Nursing Department, Third Xiangya Hospital, Central South University, Changsha, Hunan Province, China.

出版信息

SAGE Open Med. 2024 Nov 8;12:20503121241290864. doi: 10.1177/20503121241290864. eCollection 2024.

Abstract

INTRODUCTION

Childhood-onset asthma is a chronic respiratory disease that profoundly impacts patients, their families, and healthcare systems. This study explores the lived experiences, challenges, and perceptions of mothers in managing asthma, controlling symptoms, and maintaining the quality of life for their children with asthma in Palestine.

METHODS

A qualitative descriptive design through semi-structured interviews was used in this study. Purposive sampling was used to identify mothers who have children with severe uncontrolled asthma in the four public hospitals with pediatric units in the West Bank, Palestine. Mothers of children with scored below 15 on the asthma control test were included in the study. The data were analyzed using an analytical framework following a thematic analysis through the NVivo 11.

RESULTS

A total of 20 mothers participated in interviews wherein they delineated the most important challenges negatively affecting asthma management from mothers' perspectives. These challenges encompassed frequent emergency room visits, improper medication administration practices, and limitations in physical activity. The mothers expressed concerns regarding asthma control, including anxieties concerning the chronicity of the illness, adverse effects of medications, and susceptibility to weather fluctuations. The main themes that emerged from the data included reduced quality of life for the child, parental responsibility for monitoring triggers, symptoms, and medications, challenges in asthma management, apprehensions regarding asthma control, and strategies for enhancing asthma management.

CONCLUSION

This study emphasizes the pressing need for targeted interventions to address asthma management, environmental triggers, and psychosocial disruptions related to asthma in children with asthma to enhance the quality of life and asthma control. This study highlights the importance of developing strategies that provide mothers with the appropriate information and tools to navigate the complexities of caring for a child with asthma.

摘要

引言

儿童期哮喘是一种慢性呼吸道疾病,对患者及其家庭以及医疗保健系统都有深远影响。本研究探讨了巴勒斯坦患有哮喘的儿童的母亲在管理哮喘、控制症状以及维持孩子生活质量方面的生活经历、挑战和看法。

方法

本研究采用通过半结构化访谈的定性描述性设计。采用目的抽样法,在巴勒斯坦约旦河西岸设有儿科病房的四家公立医院中,确定有患有严重未控制哮喘儿童的母亲。哮喘控制测试得分低于15分的儿童的母亲被纳入研究。通过NVivo 11使用分析框架,遵循主题分析方法对数据进行分析。

结果

共有20位母亲参与了访谈,她们从母亲的角度描述了对哮喘管理产生负面影响的最重要挑战。这些挑战包括频繁前往急诊室、用药管理不当以及身体活动受限。母亲们表达了对哮喘控制的担忧,包括对疾病慢性化、药物副作用以及对天气波动易感性的焦虑。数据中出现的主要主题包括孩子生活质量下降、父母监测触发因素、症状和药物的责任、哮喘管理中的挑战、对哮喘控制的担忧以及加强哮喘管理的策略。

结论

本研究强调迫切需要有针对性的干预措施,以解决哮喘管理、环境触发因素以及与哮喘相关的心理社会干扰问题,从而提高患有哮喘的儿童的生活质量和哮喘控制水平。本研究强调了制定策略的重要性,这些策略可为母亲提供适当的信息和工具,以应对照顾患有哮喘儿童的复杂性。

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