Scolnik Dennis, Matthews Pauline, Caulfeild Jon, Williams Connie, Feldman Brian M
Divisions of Emergency Services, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario.
Paediatr Child Health. 2003 Sep;8(7):422-6. doi: 10.1093/pch/8.7.422.
To test whether the distribution of pagers to waiting families in a paediatric emergency department (ED) increases satisfaction with the visit.
Using a controlled, randomized, single blind design, English-speaking families who had waited longer than 1 h were enrolled in the study. On any one day, every enrolled family was assigned to a no treatment group, an active control group in which children received a colouring set or an experimental group in which families were given pagers. A telephone questionnaire was used to measure the degree of satisfaction. Additional questions ascertained satisfaction with the pager and gathered other information.
There were 23 families in the no treatment group, 18 in the active control group, and 20 in the experimental group. Demographic data were similar among the groups. Although satisfaction was higher in the experimental group, the differences between groups were not significant. The sex of the child or accompanying adult, waiting times, or classification as trauma or nontrauma did not influence the results. Families said pagers were useful (mean score 1.45 [1 = strongly agree]) and thought that the ED should use them (mean score 1.3). More families in the pager group left the waiting room while waiting to be seen (16 of 20 versus 19 of 40, P=0.016). The average score for finding the intervention helpful was 1.5 in the pager group and 3.06 in the colouring book group (P=0.0002).
Use of a pager in the ED was viewed favourably by parents. However, overall satisfaction may be influenced more strongly by factors other than how the waiting time is spent.
测试在儿科急诊科向等待的家属发放传呼机是否能提高就诊满意度。
采用对照、随机、单盲设计，招募等待时间超过1小时的会说英语的家属参与研究。在任何一天，每个参与研究的家庭被分配到一个不治疗组、一个儿童接受彩色画册的阳性对照组或一个家属获得传呼机的实验组。使用电话问卷来测量满意度。附加问题确定对传呼机的满意度并收集其他信息。
不治疗组有23个家庭，阳性对照组有18个家庭，实验组有20个家庭。各组间人口统计学数据相似。虽然实验组的满意度较高，但组间差异不显著。孩子或陪同成人的性别、等待时间或是否分类为创伤或非创伤情况均不影响结果。家属表示传呼机很有用（平均得分1.45[1=强烈同意]），并认为急诊科应该使用传呼机（平均得分1.3）。传呼机组中有更多家庭在等待就诊时离开了候诊室（20个家庭中的16个与40个家庭中的19个，P=0.016）。传呼机组认为干预措施有帮助的平均得分为1.5，彩色画册组为3.06（P=0.0002）。
家长对在急诊科使用传呼机持认可态度。然而，总体满意度可能更多地受到等待时间的度过方式以外的因素的强烈影响。
