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新生儿臂丛神经麻痹患儿的医疗保健使用和信息需求:465 名荷兰患儿的横断面调查。

Health-care use and information needs of children with neonatal brachial plexus palsy: A cross-sectional survey among 465 Dutch patients.

机构信息

Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, the Netherlands.

Rijnlands Rehabilitation Center, Leiden, the Netherlands.

出版信息

J Child Health Care. 2020 Mar;24(1):46-63. doi: 10.1177/1367493518814916. Epub 2018 Dec 28.

Abstract

To investigate health-care use (HCU) and information needs of children aged 0-18 years with neonatal brachial plexus palsy (NBPP), a cross-sectional study was performed. Patients and/or parents seen in our NBPP clinic were invited to complete a survey comprising questions on HCU due to NBPP and current information needs. Outcomes were described for three age-groups (0-1/2-9/10-18 years), based on follow-up status (early/late/no-discharge). Four hundred sixty-five parents/patients participated (59 in the 0-1, 226 in the 2-9, and 180 in the 10-18-year group). Two hundred ninety-three patients had C5-C6 lesions, 193 were discharged from follow-up, 83 of whom categorized as 'early discharged' (<1 year of age). Over the past year, 198 patients had contact with the expert team (49 in the 0-1, 81 in the 2-9, and 68 in the 10-18-year group) and 288 with at least one other health-care professional (53 in the 0-1, 133 in the 2-9, and 102 in the 10-18-year group). Of the 83 patients discharged early, 34 reported health-care use. Two hundred twenty-eight participants reported current information needs of whom 23 were discharged early. HCU and information needs of Dutch children with NBPP remains considerable even in children who were discharged. Stricter follow-up and information provision for these patients is needed.

摘要

为了调查 0-18 岁患有新生儿臂丛神经麻痹(NBPP)儿童的医疗保健使用(HCU)和信息需求,进行了一项横断面研究。邀请在我们的 NBPP 诊所就诊的患者和/或家长完成一项调查,其中包括与 NBPP 相关的 HCU 和当前信息需求的问题。根据随访情况(早期/晚期/无出院),将结果描述为三个年龄组(0-1/2-9/10-18 岁)。共有 465 名家长/患者参与(0-1 岁组 59 名,2-9 岁组 226 名,10-18 岁组 180 名)。293 名患者为 C5-C6 病变,193 名患者已出院随访,其中 83 名被归类为“早期出院”(<1 岁)。在过去的一年中,198 名患者与专家团队有过接触(0-1 岁组 49 名,2-9 岁组 81 名,10-18 岁组 68 名),288 名患者与至少一名其他医疗保健专业人员有过接触(0-1 岁组 53 名,2-9 岁组 133 名,10-18 岁组 102 名)。在 83 名早期出院的患者中,有 34 名报告了医疗保健的使用情况。228 名参与者报告了当前的信息需求,其中 23 名是早期出院的。即使是已经出院的荷兰 NBPP 儿童,他们的 HCU 和信息需求仍然相当大。这些患者需要更严格的随访和信息提供。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b7/7323837/db800245832f/10.1177_1367493518814916-fig1.jpg

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