Rajani Seema, Sawyer-Bennett Jessica, Shirton Leanne, DeHaan Gail, Kluthe Cheryl, Persad Rabindranath, Huynh Hien Q, Turner Justine
Department of Pediatrics, University of Alberta, Edmonton, Canada.
Can J Gastroenterol. 2013 Aug;27(8):463-6. doi: 10.1155/2013/537160.
To assess patient and parent satisfaction with a primarily nurse- and dietitian-led celiac disease clinic in a tertiary pediatric centre.
An online survey was sent to families and patients attending the Stollery Children's Hospital's Multidisciplinary Pediatric Celiac Clinic (Edmonton, Alberta) since 2007. The survey focused on clinic attendance, satisfaction with clinic structure, processes, and education and preference for alternatives to the current process. Respondents were asked to rank satisfaction or preference on a five-point Likert scale, with 1 being lowest and 5 being highest.
Most satisfaction related to follow-up with serology (4.6) and with a dietitian (4.3). The most preferred changes included either meeting the entire multidisciplinary team after the biopsy (4.7), or meeting with only the dietitian and nurse after the biopsy (4.4). The preferred education resources were the Internet (4.3) and the dietitian (4.2). The mean overall satisfaction score of the Multidisciplinary Pediatric Celiac Clinic was 4.0.
Results of the present survey suggested that patients and families value a multidisciplinary follow-up clinic for children with celiac disease. In particular, feedback based on repeat blood work and regular contact with a dietitian were highly valued. The present survey, outlining the most valued aspects of the clinic, may be useful for service delivery in other regions. In addition, it provides information on how to better support pediatric patients with celiac disease.
评估在一家三级儿科中心主要由护士和营养师主导的乳糜泻诊所中患者及家长的满意度。
自2007年起,向斯托里儿童医院多学科儿科乳糜泻诊所(加拿大艾伯塔省埃德蒙顿市)的家庭和患者发送了一份在线调查问卷。该调查聚焦于诊所就诊情况、对诊所结构、流程、教育的满意度以及对当前流程替代方案的偏好。要求受访者按照五点李克特量表对满意度或偏好进行排序,1分为最低,5分为最高。
大部分满意度与血清学随访(4.6)以及与营养师的接触(4.3)有关。最希望的改变包括活检后与整个多学科团队会面(4.7),或者活检后仅与营养师和护士会面(4.4)。最受欢迎的教育资源是互联网(4.3)和营养师(4.2)。多学科儿科乳糜泻诊所的总体平均满意度得分为4.0。
本次调查结果表明,患者和家庭重视为乳糜泻患儿设立的多学科随访诊所。特别是,基于重复血液检查以及与营养师定期接触的反馈备受重视。本次调查概述了诊所最受重视的方面,可能对其他地区的服务提供有所帮助。此外,它还提供了有关如何更好地支持乳糜泻儿科患者的信息。