L’éducation à la désobstruction rhino-pharyngée des nourrissons abordée par les médecins généralistes

Abstract : Introduction: nasal lavage has become a major component in the management of infant rhinitis. Parents need to learn the practice of the nasal lavage. They often ask a general practitioner (GP) to teach them this gesture. Aim: this study aimed to analyse how general practitioners (GPs) inform and train parents for doing nasal lavage for their children. Methods: we performed a qualitative study on GPs working in Marseille, France. GPs were recruited using the “snowball method”. An inductive content analysis was performed. Results: GPs reported three methods of education: oral explanation, demonstration and supervised implementation. They all had the same content: instructions for nasal lavage and a set of arguments to convince parents. GPs shaped their education considering specific parameters of children, parents and themselves. GPs perceived nasal lavage as a useful tool for doctor-patient relationship. Parents were involved as caregivers. It strengthened parents’ connection with children. GPs thought they have a legitimate teaching role in case of acute pathology. But for a demonstration of daily hygiene care, this role was theirs if no education had been given beforehand. Conclusion: nasal lavage, an action that seems basic, has emerged as a central tool in the doctorpatient and parent-child relationship. Acknowledging the diversity of actors who participate to nasal lavage education could improve the shared work in a patient-centered approach.
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Master Thesis
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Tiffany Ertaud, Aurore Sainrapt. L’éducation à la désobstruction rhino-pharyngée des nourrissons abordée par les médecins généralistes. Médecine humaine et pathologie. 2019. ⟨dumas-02160503⟩

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