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儿科程序性镇静后家长满意度评估:仍有问题有待解决。

Parental Satisfaction Assessment After Paediatric Procedural Sedation: There Are Still Issues to Address.

作者信息

Saraçoğlu Kemal Tolga, Dal Didem, Baygın Ömer

机构信息

Department of Anaesthesiology, Marmara University Faculty of Medicine, İstanbul, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2014 Dec;42(6):332-40. doi: 10.5152/TJAR.2014.05025. Epub 2014 Jul 11.

Abstract

OBJECTIVE

As paediatric sedation practices are becoming safer and more feasible everyday, they have been widely used for diagnostic and therapeutic procedures. This study intended to determine the relation between parental satisfaction and the branches applying procedures and demographic data of the patients and their families, physicians, nurses, and the healthcare personnel in the room.

METHODS

In total, 223 successive patients under 18 years of age and ASA I-II undergoing diagnostic or therapeutic procedures in paediatric pulmonary disease, gastroenterology, cardiology, and invasive radiology units were included in the study. The satisfaction level of the patients' parents was determined through a questionnaire of 22 questions.

RESULTS

Average satisfaction scores for paediatric bronchoscopy and endoscopic interventions varied between 8.06 and 9.30, while the satisfaction scores of the interventions for the cardiovascular system, hepatic system, and renal system, as well as the invasive radiologic interventions, varied between 7.5 and 9.6. There was a statistically significant negative correlation between the age of parents and children and the necessity for a playground in the waiting area (p<0.05). A significant correlation was found between the age of children and the adequacy of the anaesthetist's behaviors (p<0.05).

CONCLUSION

Satisfaction levels of the parents were high at the units where paediatric sedation was applied. However, the expectations of young patients and their parents were higher. When the physical conditions and communication with patients and their relatives are improved and the process schedules are followed more precisely, the clinical results will increase in a positive way.

摘要

目的

随着儿科镇静操作日益安全且更具可行性,其已广泛应用于诊断和治疗程序。本研究旨在确定家长满意度与实施操作的科室、患者及其家属的人口统计学数据、医生、护士以及在场医护人员之间的关系。

方法

本研究纳入了223例18岁以下、ASA I-II级、在儿科肺病、胃肠病学、心脏病学和介入放射学科室接受诊断或治疗程序的连续患者。通过一份包含22个问题的问卷来确定患者家长的满意度水平。

结果

儿科支气管镜检查和内镜干预的平均满意度得分在8.06至9.30之间,而心血管系统、肝脏系统和肾脏系统的干预以及介入放射学干预的满意度得分在7.5至9.6之间。家长和孩子的年龄与等候区是否需要游乐场之间存在统计学上显著的负相关(p<0.05)。发现孩子的年龄与麻醉医生行为的适当性之间存在显著相关性(p<0.05)。

结论

在应用儿科镇静的科室,家长的满意度较高。然而,年轻患者及其家长的期望更高。当改善身体状况以及与患者及其亲属的沟通,并更精确地遵循流程安排时,临床效果将得到积极提升。

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