Quan L, Bennett E, Cummings P, Henderson P, Del Beccaro M A
Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA.
Ann Emerg Med. 2001 Apr;37(4):382-5. doi: 10.1067/mem.2001.114091.
We determined parent recall and perceived usefulness of drowning prevention messages included in routine computer-generated discharge instructions.
All pediatric emergency department patients' computerized discharge instructions included 3 prevention messages: wear a life vest, swim in safe areas, and do not drink alcohol while swimming or boating. Parents were telephoned 1 to 2 weeks after the visit and asked to recall the prevention messages and rate the usefulness of the instructions. Responses were linked with patient characteristics and ED visit variables (day and time of visit, duration of ED visit, severity of condition, diagnostic category, number of tests, and treatments).
Of 914 parents who were contacted, 795 were eligible. Of those, 619 (78%) completed the interview. Fifty percent of parents recalled receiving drowning prevention information; of these, 41% recalled unaided the life vest messages and 35% of 155 parents who did not own a life vest stated they would subsequently consider buying their child a life vest. Most (88%) rated the prevention information useful or very useful. No patient or visit variables were associated with usefulness ratings.
Written injury prevention messages with discharge instructions were well received by parents of children in a pediatric ED. The ED may be a setting where families could receive injury prevention education.
我们确定了常规计算机生成的出院指导中包含的溺水预防信息在家长中的留存率以及家长对这些信息有用性的认知。
所有儿科急诊科患者的计算机化出院指导都包含三条预防信息：穿救生衣、在安全区域游泳、游泳或划船时不饮酒。在患者就诊后1至2周给家长打电话，询问他们对预防信息的记忆情况，并对指导的有用性进行评分。回答与患者特征和急诊就诊变量（就诊日期和时间、急诊就诊时长、病情严重程度、诊断类别、检查和治疗的数量）相关联。
在联系的914名家长中，795名符合条件。其中，619名（78%）完成了访谈。50%的家长回忆起收到了溺水预防信息；在这些家长中，41%能独立回忆起救生衣信息，在155名没有救生衣的家长中，35%表示他们随后会考虑给孩子买一件救生衣。大多数（88%）家长认为预防信息有用或非常有用。没有患者或就诊变量与有用性评分相关。
儿科急诊科儿童家长对随出院指导提供的书面伤害预防信息反响良好。急诊科可能是一个可以对家庭进行伤害预防教育的场所。
