Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, Portland, OR 97239, USA.
J Clin Anesth. 2010 Feb;22(1):29-34. doi: 10.1016/j.jclinane.2009.02.012.
To investigate factors affecting parental satisfaction with a pediatric sedation service in a university hospital setting.
Prospective, observational study with interviews using a survey instrument.
Academic university hospital.
Parents (or legal guardians; hereafter "parents") of 220 children scheduled for sedation with the hospital's pediatric sedation service.
Caregivers of children scheduled for sedation were interviewed using a validated survey instrument. The instrument was designed to investigate the quality of communication, environment, care provided, and the overall experience. We followed patients by telephone the day after discharge. Chi-square or linear-by-linear association tests were used to evaluate associations between satisfaction scores and demographic variables; the Mann-Whitney test was used for mean levels of satisfaction in anxious versus non-anxious children.
Of 222 parents approached, 220 agreed to participate (response rate = 99.1%). Significant associations between each area of satisfaction and parents' overall satisfaction existed (P < 0.001). Previous sedations, types of sedation, age of child, or any individual provider were not significantly associated with overall satisfaction. Caregivers of anxious children reported less satisfaction than caregivers of non-anxious children. Parents of children who underwent magnetic resonance imaging reported the lowest mean satisfaction scores.
Overall satisfaction was high, and care provided by anesthesiologists was significantly associated with overall satisfaction. A site in our institution was associated with significantly lower satisfaction as a result of inadequate space and privacy.
调查大学医院环境下影响儿科镇静服务家长满意度的因素。
前瞻性观察研究，使用调查工具进行访谈。
学术性大学医院。
220 名计划接受医院儿科镇静服务镇静的儿童的家长（或法定监护人；以下简称“家长”）。
使用经过验证的调查工具对接受镇静治疗的儿童的看护人进行访谈。该工具旨在调查沟通质量、环境、提供的护理以及整体体验。我们在出院后的第二天通过电话对患者进行随访。使用卡方检验或线性关联检验评估满意度评分与人口统计学变量之间的关联；使用曼-惠特尼检验评估焦虑与非焦虑儿童之间满意度的平均水平。
在 222 名被接触的家长中，有 220 名同意参与（应答率=99.1%）。满意度的每个方面与家长的整体满意度之间存在显著关联（P<0.001）。以前的镇静、镇静类型、儿童年龄或任何个别提供者与整体满意度均无显著关联。焦虑儿童的看护人报告的满意度低于非焦虑儿童的看护人。接受磁共振成像的儿童的家长报告的平均满意度得分最低。
整体满意度较高，麻醉医生提供的护理与整体满意度显著相关。由于空间和隐私不足，机构内的一个地点与满意度显著降低有关。
