为贫困哮喘患儿提供预防保健的挑战
2013/07/17
摘要
尽管过去30年以来,关于哮喘病理生理学和治疗疗效的科学研究取得显著进展,贫困患儿的死亡率仍然较高,预防保健仍然薄弱。本文着眼于预防保健中的4个主要挑战(家庭与父母的态度和信仰,优质医疗服务的缺乏,社会心理因素,环境因素),资料来源于作者过去10年对贫困哮喘患儿的研究。本文阐述了预防保健的费用问题,为儿科护士提供建议。
(刘国梁 审校)
Nurs Clin North Am. 2013 Jun;48(2):241-57. doi: 10.1016/j.cnur.2013.01.008. Epub 2013 Feb 15.
Challenges in providing preventive care to inner-city children with asthma.
Butz AM, Kub J, Bellin MH, Frick KD.
Abstract
Although the scientific understanding of the pathophysiology of asthma and the quality of asthma therapies have significantly improved over the past 30 years, asthma morbidity remains high and preventive care low for inner-city children. This article focuses on 4 major challenges to providing preventive care (family and patient attitudes and beliefs, lack of access to quality medical care, psychosocial factors, environmental factors) based on prior evidence and the authors' observation of these challenges in research with inner-city children with asthma over the past decade. Cost issues related to preventive care are addressed, and recommendations provide for pediatric nurses.
Nurs Clin North Am. 2013 Jun;48(2):241-57. doi: 10.1016/j.cnur.2013.01.008. Epub 2013 Feb 15.
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