Carr Michele M, Printz Jillian, Thakur Shreya
Department of Otolaryngology-Head and Neck Surgery, West Virginia University, PO Box 9200, Morgantown, WV 26505, United States.
The Pennsylvania State University, College of Medicine, Hershey, PA, United States.
Int J Pediatr Otorhinolaryngol. 2017 Aug;99:36-39. doi: 10.1016/j.ijporl.2017.05.014. Epub 2017 May 24.
The purpose of this study was to see if parental regret following ventilation tube (VT) insertion was related to non-resolution of ear infections and thus ongoing need for otolaryngological care and VT reinsertion.
All consecutive parents presenting with children who had VT in place were given a validated regret survey and asked the reason for their visit. Chart review was used for medical history.
Two hundred and ten respondents were included. The children involved had a mean age of 5.2 years, 63.3% were male, and mean number of years since first VT insertion was 1.12 with a range of 0.04-9.28 years. 70.5% had a regret score of 0, with mean score 6.98 (95%CI 5.11-8.85). Scores were significantly higher for parents who presented their child with an ear complaint such as otorrhea (15.52, 95%CI 7.67-23.37, p = 0.004). Parents whose children had a history of reflux had significantly lower regret scores than parents whose children did not have a history of reflux (3.33 versus 7.89, p = 0.007). Parental regret was unrelated to patient age, other comorbidities, indication for initial tube insertion, hearing status on the day of inquiry, number of sets of tubes, visits for otorrhea, prescriptions given for eardrops, clinic visits, or length of follow-up.
Transient factors may influence decisional regret at any given time. For parents whose children receive VT, regret is not related to prolonged specialized ear care and need for VT reinsertion.
本研究旨在探讨鼓膜置管（VT）插入术后父母的遗憾情绪是否与耳部感染未愈相关，以及因此对耳鼻喉科护理和VT再次插入的持续需求。
所有带着正在接受VT治疗的孩子前来就诊的连续父母均接受了一项经过验证的遗憾情绪调查，并询问了他们就诊的原因。通过查阅病历获取病史。
纳入了210名受访者。所涉及的儿童平均年龄为5.2岁，63.3%为男性，自首次VT插入以来的平均年数为1.12年，范围为0.04 - 9.28年。70.5%的遗憾评分为0，平均评分为6.98（95%置信区间5.11 - 8.85）。对于那些带着孩子有耳部问题（如耳漏）前来就诊的父母，评分显著更高（15.52，95%置信区间7.67 - 23.37，p = 0.004）。孩子有反流病史的父母的遗憾评分显著低于孩子没有反流病史的父母（3.33对7.89，p = 0.007）。父母的遗憾情绪与患者年龄、其他合并症、初次置管的指征、询问当天的听力状况、置管套数、耳漏就诊次数、滴耳剂处方、门诊就诊次数或随访时间无关。
在任何特定时间，短暂因素可能会影响决策性遗憾情绪。对于孩子接受VT治疗的父母来说，遗憾情绪与长期的专科耳部护理和VT再次插入的需求无关。
