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[侵入性操作期间家长在急诊室的情况:他们更愿意在场吗?]

[Presence of parents in the emergency room during invasive procedures: do they prefer to be present?].

作者信息

Pérez Alonso V, Gómez Sáez F, González-Granado L I, Rojo Conejo P

机构信息

Servicio de Urgencias de Pediatría, Hospital Universitario 12 de Octubre, Madrid, España.

出版信息

An Pediatr (Barc). 2009 Mar;70(3):230-4. doi: 10.1016/j.anpedi.2008.10.017. Epub 2009 Feb 7.

Abstract

INTRODUCTION

Parents are not usually present during procedures in the paediatric emergency room (ER), although an increasing number of them would like to. Our goal was to find out how parents felt about them being present in ER during procedures.

MATERIAL AND METHODS

This is an observational study. Questionnaires were distributed among parents of patients in the ER during January and February 2007. Data included demographic questions as well as the opinion regarding their preference on being present during venipuncture, stitching, lumbar puncture or cardiopulmonary resuscitation. They were also asked about who should take the decision whether to allow the family to be present or not.

RESULTS

A total of 98 questionnaires were analyzed. The median age of participants was 32 years-old, of which 84.5% would prefer to be present for venipuncture, 70.4% for stitching, 66.3% for lumbar puncture and 61.2% for cardiopulmonary resuscitation. Venipuncture was performed on 21% of the children, stitching on 4%, and lumbar puncture on 2%. There was no cardiopulmonary resuscitation. Parents considered that the decision about being present should be taken by the professional in 74% (venipuncture), 75% (stitching), 80% (lumbar puncture) and 81% (cardiopulmonary resuscitation). The mean age of the group that preferred to be present was lower (32 vs. 40 years; p = 0.039).

CONCLUSIONS

Most parents surveyed preferred to be present during invasive procedures in ER. The more invasive the procedure is the higher reluctance from parents to be present. Most parents thought the decision should be taken by the health care professional, particularly when the procedure is more invasive.

摘要

引言

在儿科急诊室进行诊疗时,家长通常不在场,尽管越来越多的家长希望在场。我们的目的是了解家长对于在急诊室诊疗期间在场的感受。

材料与方法

这是一项观察性研究。2007年1月和2月期间,向急诊室患者的家长发放问卷。数据包括人口统计学问题,以及他们对于在静脉穿刺、缝合、腰椎穿刺或心肺复苏期间在场的偏好意见。还询问了应由谁来决定是否允许家属在场。

结果

共分析了98份问卷。参与者的中位年龄为32岁,其中84.5%的家长希望在静脉穿刺时在场,70.4%希望在缝合时在场,66.3%希望在腰椎穿刺时在场,61.2%希望在心肺复苏时在场。21%的儿童接受了静脉穿刺,4%接受了缝合,2%接受了腰椎穿刺。没有进行心肺复苏。家长认为应由专业人员决定是否在场的比例分别为:静脉穿刺74%、缝合75%、腰椎穿刺80%、心肺复苏81%。希望在场的家长组平均年龄较低(32岁对40岁;p = 0.039)。

结论

大多数接受调查的家长希望在急诊室进行侵入性诊疗时在场。诊疗的侵入性越强,家长在场的意愿越低。大多数家长认为应由医护人员做出决定,尤其是在诊疗侵入性更强时。

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