Waseem Muhammad, Ryan Mary
Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA.
South Med J. 2003 Sep;96(9):884-7. doi: 10.1097/01.SMJ.0000087283.17069.98.
Invasive procedures may be frightening and painful experiences for children and their parents. Many parents prefer to be present when procedures are performed in their children. Allowing parents to be present during procedures decreases procedure-related anxiety. Few if any studies have addressed the physician's perspective on this issue. We conducted a simple observation survey to examine this question.
We sent three-part questionnaires to the directors of 80 emergency departments with pediatric and/or emergency medicine (EM) residencies or pediatric EM fellowship training programs. The questionnaires asked whether physicians allowed parents to be present during medical procedures, as well as their opinions regarding parental presence and the effect it had on them as physicians.
The response rate was 77% (n = 62). More than 87% of physicians stated that they allow parents to be present during simple procedures (eg, venipuncture), but they indicated that they are more reluctant to do so during more invasive procedures (eg, major resuscitation scenario; 22%). Physicians' training also may influence their level of comfort and their decision making in such situations.
Most physicians stated that they allow parental presence during simple procedures. Physicians were more reluctant to allow parents to be present during complex procedures. EM and pediatric emergency medical training increased the physicians' level of comfort.
侵入性操作对于儿童及其父母来说可能是令人恐惧和痛苦的经历。许多父母希望在为孩子进行操作时在场。允许父母在操作过程中在场可减少与操作相关的焦虑。很少有研究探讨医生对此问题的看法。我们进行了一项简单的观察性调查来研究这个问题。
我们向80个设有儿科和/或急诊医学住院医师培训项目或儿科急诊医学 fellowship 培训项目的急诊科主任发送了三部分问卷。问卷询问医生是否允许父母在医疗操作期间在场，以及他们对父母在场的看法及其对作为医生的他们的影响。
回复率为77%（n = 62）。超过87%的医生表示他们允许父母在简单操作（如静脉穿刺）期间在场，但他们指出在更具侵入性的操作（如重大复苏场景；22%）期间他们更不愿意这样做。医生的培训也可能影响他们在这种情况下的舒适度和决策。
大多数医生表示他们允许父母在简单操作期间在场。医生在复杂操作期间更不愿意让父母在场。急诊医学和儿科急诊医学培训提高了医生的舒适度。
