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[近年来,急诊科侵入性操作过程中家长在场的情况有所增加吗?]

[Has the presence of parents during invasive procedures in the emergency department increased in the last few years?].

作者信息

Angel Solà J, Sagué Bravo S, Parra Cotanda C, Trenchs Sainz de la Maza V, Luaces Cubells C

机构信息

Servicio de Urgencias, Hospital Universitario de Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.

Servicio de Urgencias, Hospital Universitario de Sant Joan de Déu, Esplugues de Llobregat, Barcelona, España.

出版信息

An Pediatr (Barc). 2015 Jan;82(1):6-11. doi: 10.1016/j.anpedi.2014.02.004. Epub 2014 Mar 12.

DOI:10.1016/j.anpedi.2014.02.004
PMID:24629904
Abstract

INTRODUCTION

In the recent years, parents are playing an important role in Pediatric Emergency Department (PED), and wish to be present when invasive procedures (IP) are performed.

OBJECTIVES

  1. To compare the presence of parents during IP in PED in Spain between 2008 and 2012. 2) To compare the arguments to restrict the presence and problems arising from this, and 3) To determine whether the views of health personnel have changed on this subject.

METHODOLOGY

A descriptive multicenter comparative study was conducted in 2008 and 2012. A total of 42 questionaires were sent by email to PED managers, with the responding hospitals being included in the 2 periods of the study.

RESULTS

A total of 22 hospitals participated in the study. The presence of parents in the PED increased between 2008 and 2012 for all IP, significantly in the blood test and urine catheterization. In 2012, managers state that children are not so nervous, and anxiety of the parents and staff fear of a poorer performance, as an argument to restrict family presence. There were few problems during the 2 periods, with the poor behavior of the children decreasing. According to managers, the opinion of health personnel has not changed in the last four years.

CONCLUSIONS

The presence of parents during the IP in the PED has increased in the last four years, although the presence is low for more invasive procedures. Managers argue the presence of fewer behavior problems to restrict family presence. The opinion of the staff has not changed in the last four years, although more studies are required on this issue.

摘要

引言

近年来,家长在儿科急诊科(PED)中发挥着重要作用,并希望在进行侵入性操作(IP)时在场。

目的

1)比较2008年至2012年西班牙儿科急诊科侵入性操作期间家长在场的情况。2)比较限制家长在场的理由及由此产生的问题,以及3)确定卫生人员在这个问题上的观点是否发生了变化。

方法

在2008年和2012年进行了一项描述性多中心比较研究。通过电子邮件向儿科急诊科管理人员共发送了42份问卷,回复的医院被纳入研究的两个时间段。

结果

共有22家医院参与了研究。2008年至2012年期间,儿科急诊科所有侵入性操作中家长在场的情况都有所增加,在血液检查和导尿方面显著增加。2012年,管理人员表示孩子不那么紧张了,以及家长的焦虑和工作人员担心操作表现变差,作为限制家属在场的理由。两个时间段内问题较少,孩子的不良行为有所减少。据管理人员称,卫生人员的观点在过去四年中没有改变。

结论

在过去四年中,儿科急诊科侵入性操作期间家长在场的情况有所增加,尽管对于侵入性更强的操作在场率较低。管理人员以行为问题较少为由限制家属在场。工作人员的观点在过去四年中没有改变,尽管在这个问题上还需要更多研究。

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