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[法国卢瓦尔河地区家长对卢瓦尔河婴儿随访团队(LIFT)早产及高危婴儿网络的满意度]

[Parent satisfaction with the Loire Infant Follow-up Team (LIFT) premature and at-risk infant network in the Pays-de-la-Loire area (France)].

作者信息

Branger B, Rouger V, Beucher A, Bouderlique C, Blayo S, Le Mauff E, Roze J-C, Moret L, Paillé-Ricolleau C, N'guyen S, Winer N

机构信息

Réseau de périnalité Sécurité naissance - naître ensemble des Pays-de-la-Loire, 1, allée Baco, 44000 Nantes, France.

出版信息

Arch Pediatr. 2010 Oct;17(10):1406-15. doi: 10.1016/j.arcped.2010.04.027. Epub 2010 Jun 9.

DOI:10.1016/j.arcped.2010.04.027
PMID:20538441
Abstract

BACKGROUND

The Loire Infant Follow-up Team (LIFT) is a network for caring for premature infants whose gestational age is 34 WA or less and at-risk neonates in the Pays-de-la-Loire area in France. The network aims to screen for clinical anomalies early and to propose adapted care. Trained physicians follow the included children in a standardized manner at 3, 6, 9, 12, and 18 months and 2 years, with a specific examination by psychologists at 2 years. The aim of the study was to assess the satisfaction of the parents of the children followed.

METHODS

To evaluate parent satisfaction, a questionnaire from the Consumer Satisfaction Survey (CSS) in its French version was sent to parents whose infants were 2 years old, stratifying on the presence of an anomaly. The questioner had 39 items, with 8 specific items on the network and 31 from the CSS. The questionnaire was mailed twice in September 2006.

RESULTS

Out of 300 questionnaires mailed, 269 were returned (rate 89.7 %). The questionnaire was assessed using principal component analysis with 2 dimensions for the 30 items common to all children, one of which covered empathy with physicians and the other with the consulting psychologists at 2 years. The validity was good (Cronbach coefficient, 0.91). The answers to overall questions such as "We are satisfied with the care in the network" scored 16.1±0.7/20, with 90 % "totally agree" or "moderately agree" responses. The "The care is perfect" scored 14.6±0.7/20 with 78 % agreeing with the statement. The total score for 30 general questions was 14.6±3.1 (median, 14.9). The total score was lower for infants with anomalies: 13.7±3.3 versus 14.9±2.9 (P<0.01). The answers with a low score (<10) were given by 22 parents (8.2 %). There was no significant relation between the total score or the satisfaction score and neonatal events.

CONCLUSION

A postal survey is helpful to know the views of parents on the follow-up of their infants. This good level of satisfaction seems to stem from the parents feeling they belong to the network, the quality of the relationships with personnel, and the doctors' empathy, as well as the number of contacts between parents and the network coordinator.

摘要

背景

卢瓦尔河婴儿随访团队(LIFT)是一个为法国卢瓦尔河地区胎龄34周及以下的早产儿和高危新生儿提供护理的网络。该网络旨在早期筛查临床异常并提供适配的护理。经过培训的医生在3个月、6个月、9个月、12个月、18个月和2岁时以标准化方式对纳入的儿童进行随访,2岁时由心理学家进行专项检查。本研究的目的是评估接受随访儿童的家长的满意度。

方法

为评估家长满意度,将法语版的消费者满意度调查问卷(CSS)发送给婴儿满2岁的家长,根据是否存在异常进行分层。问卷有39个项目,其中8个是关于该网络的特定项目,31个来自CSS。问卷于2006年9月邮寄了两次。

结果

在邮寄的300份问卷中,回收了269份(回收率89.7%)。对问卷进行主成分分析,对所有儿童共有的30个项目分为两个维度,其中一个维度涉及对医生的同理心,另一个维度涉及对2岁时咨询心理学家的同理心。效度良好(克朗巴哈系数为0.91)。诸如“我们对该网络的护理感到满意”等总体问题的回答得分为16.1±0.7/20,90%的回答为“完全同意”或“中度同意”。“护理非常完美”的得分为14.6±0.7/20,78%的人同意该说法。30个一般问题的总分为14.6±3.1(中位数为14.9)。有异常的婴儿的总分较低:13.7±3.3,而无异常婴儿为14.9±2.9(P<0.01)。22位家长(8.2%)给出了低分(<10)的回答。总分或满意度得分与新生儿事件之间无显著关联。

结论

邮寄调查有助于了解家长对其婴儿随访情况的看法。这种较高的满意度似乎源于家长感觉自己属于该网络、与工作人员关系的质量、医生的同理心以及家长与网络协调员之间的联系次数。

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