Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom.
Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
PLoS One. 2021 Apr 2;16(4):e0249514. doi: 10.1371/journal.pone.0249514. eCollection 2021.
Little evidence exists about parental satisfaction and their influence on referral to paediatric Outpatient Parenteral Antimicrobial Therapy (OPAT).
This study aimed to examine the experiences of parents, children and clinicians of OPAT at a large tertiary children's hospital.
A prospective e-survey, using closed and open questions, of parents (n = 33) of 33 children who had received OPAT (3 children completed a survey), and clinicians (n = 31) involved in OPAT at a tertiary hospital. Data were collected September 2016 to July 2018.
Data were analysed using simple descriptive statistics. The results show that OPAT offered benefits (less stress, re-establishment of family life) compared to hospital-based treatment for parents and children, although some were anxious. Clinicians' referral judgements were based on child, home, and clinical factors. Some clinicians found the process of referral complex.
Most parents and children were satisfied with the OPAT service and preferred the option of home-based treatment as it promoted the child's comfort and recovery and supported family routines.
关于父母的满意度及其对儿科门诊肠外抗菌治疗（OPAT）转介的影响，证据很少。
本研究旨在探讨大型三级儿童医院中父母、儿童和临床医生对 OPAT 的体验。
采用封闭式和开放式问题，对在三级医院接受 OPAT 的 33 名儿童的 33 名父母（3 名儿童完成了一项调查）和临床医生（n=31）进行前瞻性电子调查。数据收集于 2016 年 9 月至 2018 年 7 月。
使用简单描述性统计方法对数据进行分析。结果表明，与住院治疗相比，OPAT 为父母和儿童提供了好处（减轻压力，重新建立家庭生活），尽管有些父母感到焦虑。临床医生的转诊判断基于儿童、家庭和临床因素。一些临床医生发现转诊过程很复杂。
大多数父母和儿童对 OPAT 服务感到满意，并更喜欢家庭治疗的选择，因为它促进了儿童的舒适和康复，并支持家庭日常生活。
