关键词: CTEV Child Clubfoot India Parents

来  源:   DOI:10.1016/j.jor.2023.01.009   PDF(Pubmed)

Abstract:
UNASSIGNED: The studies conducted a decade ago showed that the Ponseti method, suffers from many execution-related issues-particularly in low and middle-income countries including poverty, physical distance, lack of transportation etc. The society has undergone many changes, including improvements in literacy, connectivity (both transport and digital), etc., in the last decade. Therefore, this study is designed to identify the contemporary apprehensions, concerns, and challenges of parents seeking CTEV treatment for their child through the Ponseti Method in India.
UNASSIGNED: A descriptive cross-sectional study of 200 parents of the children undergoing treatment at a multi-specialty hospital is carried out using an interview guide. The semi-structured interviews were conducted telephonically and recorded.
UNASSIGNED: The statistical analysis shows that a male child is presented late than a female child. The physical distance is associated with child discomfort during the casting and bracing phase, with the travel method affecting the follow-up. The increase in travel time may result in increased casts due to a lack of regular follow-up. Parents\' income level is also strongly associated with regularity of follow-up and child discomfort during treatment.
UNASSIGNED: The patients traveling long distances in public transport are the most vulnerable group regardless of gender. The children in such cases are more likely to experience discomfort during the casting and bracing phase with a lack of regular follow-up. Expert doctors and brace unavailability in the local area remain vital challenges for the parents.
摘要:
十年前进行的研究表明,Ponseti方法,遭受许多与执行有关的问题-特别是在低收入和中等收入国家,包括贫困,物理距离,缺乏交通等。社会发生了许多变化,包括提高识字率,连通性(传输和数字),等。,在过去的十年里。因此,这项研究旨在识别当代的忧虑,关注,以及父母通过印度的Ponseti方法为孩子寻求CTEV治疗的挑战。
使用访谈指南对在多专科医院接受治疗的儿童的200名父母进行了描述性横断面研究。半结构化访谈是通过电话进行的,并进行了记录。
统计分析表明,男性儿童的出现时间比女性儿童晚。在铸造和支撑阶段,物理距离与儿童不适有关,旅行方式影响后续行动。由于缺乏定期随访,旅行时间的增加可能会导致铸件增加。父母的收入水平也与治疗期间的随访规律性和儿童不适密切相关。
乘坐公共交通工具长途旅行的患者是最脆弱的群体,无论性别如何。在这种情况下,儿童在铸造和支撑阶段更容易感到不适,缺乏定期的随访。专家医生和支撑在当地的不可用仍然是父母的重大挑战。
公众号