Parental Chief Concern in Well Baby Clinic of Primary Care Network, Thungsong Hospital, Nakhon Si Thammarat Province.

Abstract

Background: We believe that the most important of Well baby clinic is vaccination, some parents failed to describe their concerns and healthcare professionals are not realized to clarify their chief concerns would lead to ineffective problem solving. There have been many studies about parental concerns of ill child. Therefore, we studied about parental chief concern in healthy child at Well baby clinic, which is common in primary care unit.

Objectives: The purposes of this research were assess the disagreement between parental chief complaint and chief concern in Well baby clinic, study issues of parental concerns and associated factors.

Material and Method: This analytic cross-sectional study was conducted in Well baby clinic at primary care units of Thungsong Hospital. A reliable and valid questionnaire was developed and approved by specialist( IOC ≥0.8, =0.865). Three hundred and fifty parents who brought their children (aged 0 – 12 months) to Well baby clinic from 1 November – 31 December 2019 were interviewed and registered by two nurses interviewers in each Well baby clinic. Data were collected and then analyzed using descriptive statistics (percentage, mean, and standard deviation). Multiple logistic regression was used to analyze the correlation between parental concern and associated factors by Odd Ratio (P- value< 0.05).

Results: Disagreement between parental chief complaint and chief concern in Well baby clinic was 37.14%. The most concerning issue was physical abnormality. Significant risk Factors associated with parental concern were difficult child, lack of social support, and parental conflict. Significant protective factors were the second child of parents, standard level of weight for age and parents, lack of ill child care experience.

Conclusions: Health-care professionals should realize that one-third of parents who brought their children for immunization had other concerns. Therefore, the principle of patient-centered medicine should be considered especially in the high-risk groups.