父母对新生儿出院信中特定医疗指示的依从性。
Parents' compliance with specific medical instructions in newborn discharge letters.
作者信息
Schimmel Michael S, Wasserteil Netanel, Perry Zvi H, Erlichman Matti
机构信息
Department of Neonatology, Shaare Zedek Medical Center, and Faculty of Health, The Hebrew University of Jerusalem, Jerusalem;
出版信息
Paediatr Child Health. 2010 Dec;15(10):649-53. doi: 10.1093/pch/15.10.649.
BACKGROUND
Due to decreased hospital stay, follow-up of unresolved medical problems of babies with uncomplicated postpartum course is relegated to outpatient clinics.
OBJECTIVE
To identify factors in discharge letters that influence parent compliance.
METHODS
Telephone contact with parents three months after discharge queried compliance with routine and special instructions as written in discharge letters. Statistical analyses compared responses of compliant versus less compliant parents. P<0.05 was considered to be statistically significant. The present study was approved by the Institutional Ethical Review Board Committee.
RESULTS
Of the 2000 discharge letters, 319 (16%) included special instructions. Parents of 252 infants (79%) who received discharge letters containing 332 special instructions were interviewed by telephone. Compliance was greater for noninvasive instructions (86%) relative to others (57.8%) (P<0.001). Initiation of follow-up visits was correlated with parity (P<0.001) and maternal age (P<0.001).
CONCLUSION
Discharge letters should be read and discussed with parents before infants are discharged, and the relevance of specific medical instructions should be emphasized.
背景
由于住院时间缩短，产后过程无并发症婴儿未解决的医疗问题的随访工作被交由门诊进行。
目的
确定出院小结中影响家长依从性的因素。
方法
在出院三个月后与家长进行电话联系，询问其对出院小结中常规及特殊医嘱的依从情况。统计分析比较了依从性好与依从性差的家长的回答。P<0.05被认为具有统计学意义。本研究经机构伦理审查委员会批准。
结果
在2000份出院小结中，319份（16%）包含特殊医嘱。对252名（79%）收到包含332条特殊医嘱出院小结的婴儿的家长进行了电话访谈。无创医嘱的依从性（86%）高于其他医嘱（57.8%）（P<0.001）。随访就诊的开始与产次（P<0.001）和母亲年龄（P<0.001）相关。
结论
出院前应与家长一起阅读并讨论出院小结，并强调具体医疗医嘱的相关性。
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