Le Thao, Drolet Julie, Parayno Elvie, Rosmus Christina, Castiglione Sonia
Preoperative Assessment Clinic, McGill University Health Centre-The Montreal Children's Hospital, Montreal, Quebec, Canada.
J Perianesth Nurs. 2007 Aug;22(4):256-64. doi: 10.1016/j.jopan.2007.05.004.
The purpose of this quality improvement study was to describe families' responses regarding the adequacy of the preoperative preparation provided in the Preoperative Assessment Clinic, and the necessity of two follow-up phone calls after pediatric ambulatory surgery for tonsillectomy with or without adenoidectomy (T+/-A). Using a questionnaire developed for the study, 90 families were contacted by phone on the first postoperative day and, of them, 73 were contacted a second time between the ninth and twelfth postoperative days. Families' responses were reported in four categories: (1) concerns, (2) use of resources, (3) adequacy of the preoperative teaching, and (4) necessity of the two postoperative phone calls. Results showed that, at the first phone call, a sore throat was reported as the most important concern followed by a decreased oral intake (ie, fluid, food, medicine), vomiting, and fever or "perceived fever." During the second phone call, a sore throat remained the most important concern followed by a decreased intake. Earache was the third highest concern and vomiting was then reported of concern by a minority of families. The most frequently consulted resource person for concerns was the physician on call for the otolaryngology service. Eighty-seven percent of families felt the preoperative preparation was adequate. For reasons of instructional and/or emotional support, 94% of families who responded reported that the first phone call was necessary and 68% reported that the second call was as well.
这项质量改进研究的目的是描述家庭对术前评估诊所提供的术前准备是否充分的反应，以及小儿扁桃体切除术（伴或不伴腺样体切除术，即T+/-A）门诊手术后两次随访电话的必要性。在术后第一天，通过电话联系了90个家庭，使用为该研究开发的问卷进行调查，其中73个家庭在术后第九天至第十二天之间再次接受了电话访问。家庭的反应分为四类：（1）担忧，（2）资源利用，（3）术前教育的充分性，以及（4）术后两次电话随访的必要性。结果显示，在第一次电话随访中，喉咙痛被报告为最重要的担忧，其次是口服摄入量减少（即液体、食物、药物）、呕吐以及发烧或“感觉发烧”。在第二次电话随访中，喉咙痛仍然是最重要的担忧，其次是摄入量减少。耳痛是第三大担忧，少数家庭报告担心呕吐。最常咨询的担忧相关资源人是耳鼻喉科值班医生。87%的家庭认为术前准备是充分的。出于指导和/或情感支持的原因，94%做出回应的家庭报告第一次电话随访是必要的，68%的家庭报告第二次电话随访也是必要的。
