Ho Emily S, Ulster Alissa A
Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children,Toronto, Ontario, Canada.
Fam Syst Health. 2011 Sep;29(3):206-14. doi: 10.1037/a0025105.
Children with obstetrical brachial plexus palsy may have chronic physical impairment in their affected upper extremity. Affected children and their families may benefit from psychosocial interventions including therapeutic relationships with health professionals, meeting other families living with obstetrical brachial plexus palsy, support groups, and social work. One method of addressing psychosocial needs is through a support and education day. The purpose of this quality improvement project is to evaluate parental perceptions of a support and education day called the "Brachial Plexus Family Day." Families of children with obstetrical brachial plexus palsy who attended the Brachial Plexus Family Day completed a questionnaire to evaluate the different programs offered during the day. The families also ranked the importance of different psychosocial supports offered in the clinic. Sixty-three out of 69 families completed the questionnaire. Each program of the Brachial Plexus Family Day was rated as good or excellent by the respondents. Ninety-seven percent of respondents rated meeting other families and children with obstetrical brachial plexus palsy as helpful supports. Attending a Brachial Plexus Family day event (86%), followed by connecting with a doctor (60%), and physical or occupational therapist (59%) were the highest ranked supports reported by the families. The parents and caregivers that attended the Brachial Plexus Family Day rated the program highly. This group also valued the opportunity to connect with other families and children affected with the same condition.
患有产瘫性臂丛神经麻痹的儿童,其患侧上肢可能会出现慢性身体损伤。患病儿童及其家庭可能会从心理社会干预中受益,这些干预包括与医疗专业人员建立治疗关系、与其他患有产瘫性臂丛神经麻痹的家庭会面、支持小组以及社会工作。满足心理社会需求的一种方法是举办支持与教育日活动。这个质量改进项目的目的是评估家长对一个名为“臂丛神经家庭日”的支持与教育日活动的看法。参加了臂丛神经家庭日活动的产瘫性臂丛神经麻痹患儿的家庭,完成了一份问卷,以评估当天提供的不同项目。这些家庭还对诊所提供的不同心理社会支持的重要性进行了排名。69个家庭中有63个完成了问卷。臂丛神经家庭日的每个项目都被受访者评为良好或优秀。97%的受访者认为与其他患有产瘫性臂丛神经麻痹的家庭和儿童见面是有帮助的支持。家庭报告中排名最高的支持包括参加臂丛神经家庭日活动(86%),其次是与医生联系(60%),以及与物理治疗师或职业治疗师联系(59%)。参加了臂丛神经家庭日活动的家长和照顾者对该项目评价很高。这个群体也重视与其他受相同疾病影响的家庭和儿童建立联系的机会。