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5岁以下哮喘患者的家庭中心式护理

Family-Centered Care in asthma treatment for patients under 5 years of age.

作者信息

Sawada Naomi, Okuhara Tsuyoshi, Okada Hiroko, Miyagishima Moe, Matsui Teruaki, Ito Komei, Kiuchi Takahiro

机构信息

Department of Health Communication, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Department of Health Communication, School of Public Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

出版信息

Pediatr Int. 2025 Jan-Dec;67(1):e70196. doi: 10.1111/ped.70196.

Abstract

BACKGROUND

Family-Centered Care (FCC) is important for self-management education and partnership building in childhood asthma treatment. This study aimed to gather suggestions for promoting FCC in the asthma treatment of patients aged <5 years.

METHODS

We conducted a web-based survey of pediatric doctors, nurses, and pharmacists in Japan between June and August 2023. We measured the degree of FCC using the Measure of Processes of Care for Service Providers (MPOC-SP) and assessed its associated factors using multiple regression analysis.

RESULTS

In total, 133 participants responded to the survey. MPOC-SP scores were 4.70 ± 1.03 for showing interpersonal sensitivity, 3.82 ± 1.34 for providing general information, 4.58 ± 1.28 for communicating specific information about the child, and 5.12 ± 0.95 for treating people respectfully. Their perception of sufficient time for FCC and good interprofessional collaboration was significantly associated with a high degree of FCC.

CONCLUSIONS

Adequate provision of information to families and effective information-sharing within and between families is essential for improving FCC in childhood asthma treatment. To further promote FCC, securing time for FCC, raising awareness of its importance even in limited timeframes, and fostering interprofessional collaboration are key.

摘要

背景

以家庭为中心的护理(FCC)对于儿童哮喘治疗中的自我管理教育和建立伙伴关系至关重要。本研究旨在收集有关在5岁以下患者哮喘治疗中促进FCC的建议。

方法

2023年6月至8月,我们对日本的儿科医生、护士和药剂师进行了一项基于网络的调查。我们使用服务提供者护理过程测量量表(MPOC-SP)来衡量FCC的程度,并使用多元回归分析评估其相关因素。

结果

共有133名参与者回复了调查。MPOC-SP得分在人际敏感性方面为4.70±1.03,在提供一般信息方面为3.82±1.34,在传达有关儿童的具体信息方面为4.58±1.28,在尊重他人方面为5.12±0.95。他们对有足够时间进行FCC和良好的跨专业协作的认知与高度的FCC显著相关。

结论

向家庭充分提供信息以及在家庭内部和家庭之间进行有效的信息共享对于改善儿童哮喘治疗中的FCC至关重要。为进一步促进FCC,确保FCC的时间、即使在有限的时间范围内提高对其重要性的认识以及促进跨专业协作是关键。

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本文引用的文献

1
Japanese guidelines for childhood asthma 2020.日本儿童哮喘指南 2020 年版。
Allergol Int. 2020 Jul;69(3):314-330. doi: 10.1016/j.alit.2020.02.005. Epub 2020 Apr 25.
9
The Nature of Family Engagement in Interventions for Children With Chronic Conditions.慢性病患儿干预中家庭参与的本质
West J Nurs Res. 2017 May;39(5):690-723. doi: 10.1177/0193945916664700. Epub 2016 Sep 5.

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