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首页> 外文期刊>Journal of advanced nursing >Management of childhood constipation: parents' experiences.
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Management of childhood constipation: parents' experiences.

机译:儿童便秘的管理:父母的经验。

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BACKGROUND: Constipation in childhood is common and places a burden on child health services. Whilst constipation can have a variety of causes, for most children it is usually non-organic and requires limited intervention. It has been suggested that health professionals can resent consultations for such a common problem, believing them to be inappropriate. However, they can underestimate the impact of this condition, leading to adverse clinical effects, as well as parental dissatisfaction. Little research has explored parents' experiences of consulting health professionals about the management of childhood constipation. AIM: To explore parents' experiences of consulting health professionals about management of childhood constipation and to use the findings to inform more effective therapeutic encounters when responding to parental concerns. METHODS: A phenomenological approach was adopted, using in-depth interviews with parents of 14 children receiving health interventions for constipation. FINDINGS: Six themes emerged from analysis including: 'enduring and extreme constipation', which reflected the substantial and sustained impact of the child's constipation; 'dismissed and fobbed off', which captured parents' feelings that their concerns were frequently dismissed by health professionals; 'asserting the need for action', a perception that they had reached a point at which they had to demand some intervention; and 'validation and acknowledgement', which reflected acknowledgment that, finally, their concerns for their child had been taken seriously and acted on. DISCUSSION: The findings indicate a failure by some health professionals to appreciate fully the significance of childhood constipation, thereby appearing to be unconcerned and insensitive to the needs of child and family. The impact of this is a potential loss of trust in health professionals by parents, which can then have implications for how they perceive and access health services for management of this common childhood problem. The findings offer an insight into parental experiences and indicate the need for a more sensitive approach during health consultations.
机译:背景:在儿童时期便秘是普遍现象,给儿童保健服务带来负担。虽然便秘可能有多种原因,但对于大多数儿童来说,它通常是非有机的,需要进行有限的干预。有人建议,卫生专业人员可以对这样一个普遍的问题感到不满,因为他们认为这样做不合适。但是,他们可能低估了这种疾病的影响,导致不良的临床影响以及父母的不满。很少有研究探索父母就儿童便秘的管理向健康专业人士咨询的经验。目的:探讨父母就儿童便秘的管理向健康专业人士咨询的经验,并在应对父母的担忧时利用这些发现为更有效的治疗方法提供参考。方法:采用现象学方法,对接受健康干预的14名便秘儿童的父母进行了深入访谈。结果:分析得出了六个主题,包括:“持久和极端便秘”,反映了儿童便秘的实质性和持续性影响; “被解雇并逃之ob”,这引起了父母的感觉,即他们的担忧经常被卫生专业人员驳回; “断言需要采取行动”,认为他们已经达到了必须采取干预措施的地步;和“确认和确认”,这表明人们承认,他们对孩子的担忧最终得到了认真对待并采取了行动。讨论:研究结果表明,一些卫生专业人员未能充分认识到儿童便秘的重要性,因此似乎对儿童和家庭的需求漠不关心且不敏感。这样做的后果是父母可能会失去对健康专业人员的信任,这可能会影响他们如何看待和获得健康服务以管理这个常见的儿童问题。研究结果提供了对父母经历的深刻见解,并表明在健康咨询期间需要采用更敏感的方法。

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