[1]周菁鑫,姜丽萍,郑乔木,等.滇东南地区新生儿延迟就医影响因素的质性研究[J].军事护理,2022,39(02):5-8.[doi:10.3969/j.issn.1008-9993.2022.02.002]
　ZHOU Jingxin,JIANG Liping,ZHENG Qiaomu,et al.Influencing Factors of Neonatal Medical Treatment Delay in the Southeast of Yunnan: A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(02):5-8.[doi:10.3969/j.issn.1008-9993.2022.02.002]
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滇东南地区新生儿延迟就医影响因素的质性研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年02期
页码:
5-8
栏目:
论著
出版日期:
2022-02-15

文章信息/Info

Title:
Influencing Factors of Neonatal Medical Treatment Delay in the Southeast of Yunnan: A Qualitative Study
文章编号:
1008-9993(2022)02-0005-04
作者:
周菁鑫1; 3; 姜丽萍2; 郑乔木1; 花文哲1
(1.上海交通大学 护理学院,上海 200025; 2.上海交通大学医学院附属新华医院 护理部,上海 200092; 3.上海交通大学医学院附属新华医院 新生儿重症监护室)
Author(s):
ZHOU Jingxin1; 3; JIANG Liping2; ZHENG Qiaomu1; HUA Wenzhe1
(1.School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China; 2.Department of Nursing, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China; 3.Department of Neonatal Intensive Care Unit, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine)
关键词:
新生儿;  延迟就医;  滇东南地区;  影响因素
Keywords:
neonatal;  medical treatment delay;  southeast of Yunnan Province;  influencing factors
分类号:
R473.72
DOI:
10.3969/j.issn.1008-9993.2022.02.002
文献标志码:
A
摘要:
目的 深层分析滇东南地区新生儿延迟就医的影响因素,为制定干预策略提供依据。方法 2020年11月至2021年2月,采用目的抽样法选取12名滇东南地区的儿科医务人员进行半结构式访谈,以Colaizzi 7步分析法分析资料。结果 新生儿延迟就医分为“寻求照护决策的延迟”“到达医疗卫生机构的延迟”“获得充分和适当治疗的延迟”三个阶段,影响因素包括“经济因素”“对疾病认知匮乏”“民族习俗”“医疗资源可用性低”“医疗资源分布不平衡”“照护者感知的就医体验差”等6个方面。结论 应重视照护者的社会文化因素,加强照护者对新生儿危险信号的教育干预,普及新生儿转运系统,提升当地基层新生儿医疗服务能力,加强社会支持改善照护者的就医体验。
Abstract:
Objective To analyze the influencing factors of neonatal medical treatment delay in the southeast of Yunnan province and provide the basis for intervention strategy.Methods From December 2020 to February 2021, 12 pediatric health providers in the southeast of Yunnan province were recruited for interviews by the objective sampling method.Semi-structured interviews were conducted for data collection.Colaizzi method was used for data analysis.Results The neonatal medical treatment delay was divided into three phrases: “delay in deciding to seek care”, “delay in reaching medical facility” and “delay in receiving adequate and appropriate treatment”.6 perspectives for neonatal delay in medical treatment were determined, namely “economic factors”, “the poor cognition of neonatal danger signs”, “ethnic traditions”, “limited access of medical resources”, “unbalanced distribution of medical resources”, and “poor medical experience perceived by caregivers”, respectively.Conclusions It is necessary to pay more attention to the social and cultural factors of neonatal caregivers, strengthen caregivers' cognition of danger signs, facilitate the emergency transportation of newborns, promote the local primary neonatal medical service capabilities and improve the experiences of caregivers in the process of medical treatment by providing social support.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-10-12 【 修回日期 】 2022-01-06
【 基金项目 】 新华医院护理学科建设项目(HLQNRC2021001)
【 作者简介 】 周菁鑫,硕士在读,主管护师,从事新生儿护理工作
【 通信作者 】 姜丽萍,电话:021-25076121
更新日期/Last Update: 2022-02-15