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首页> 外文期刊>African Journal of Primary Health Care & Family Medicine >Factors contributing to primary caregiver delay in presenting children with chronic kidney disease for medical care in Ghana
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Factors contributing to primary caregiver delay in presenting children with chronic kidney disease for medical care in Ghana

机译：加纳导致慢性肾脏病患儿就医的主要护理人员延误的因素

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Background: Conforming to the 2016 World Kidney Day focus on raising awareness of the early detection of kidney diseases in children, we report on factors that contribute to primary caregiver delay in presenting their children with chronic kidney disease (CKD) for medical care in Kumasi, Ghana. Aim: The objective of the study was to explore and describe the factors that contribute to primary caregiver delay in presenting children with CKD for medical care in Kumasi, Ghana. Setting: The study was conducted in the Paediatric Renal Unit in Kumasi, Ghana. Methods: A qualitative study was conducted in January 2017. Semi-structured interviews were used to collect data from a convenience sample of 10 primary caregivers whose children were admitted for CKD, but were not too ill. The primary caregivers had to respond to the research question: What factors contribute to your delay in presenting your child with CKD for medical care? Thematic data analysis and the ecological model of Schneider (2017) were used to organise the findings. Results: Four themes and related subthemes, including intrapersonal-related factors, interpersonal-related factors, community-related factors and infrastructural factors were identified as those that contribute to delay in presenting children with CKD for medical care. Conclusion: The findings show that primary prevention strategies for CKD in children should not only focus on personal-related factors but also cut across all levels of the socio-ecological model in order for them to be effective.
机译：背景：为了配合2016年世界肾脏日的关注，即提高对儿童肾脏疾病的早期发现的认识，我们报告了在库马西导致主要监护人延误向儿童提供慢性肾脏病（CKD）的医疗的因素，加纳。目的：该研究的目的是探讨和描述导致加纳库玛西儿童接受CKD入院就医的主要护理人员延误的因素。地点：该研究在加纳库马西的儿科肾脏科进行。方法：2017年1月进行了定性研究。采用半结构式访谈从便利样本中收集数据，该样本来自10名主要儿童的照顾者，这些儿童的父母均患有CKD，但病情不太严重。主要护理人员必须回答以下研究问题：哪些因素导致您延迟为孩子提供CKD的医疗服务？使用主题数据分析和Schneider（2017）的生态模型来组织发现。结果：确定了四个主题和相关子主题，包括人际相关因素，人际关系相关因素，社区相关因素和基础设施因素，这些因素导致延迟向CKD儿童提供医疗服务。结论：研究结果表明，儿童CKD的一级预防策略不仅应侧重于个人相关因素，而且还应跨越社会生态模型的所有层面，以使其有效。

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