Comprehensive Colorectal Center, Department of Surgery, Children's Mercy Kansas City, 2401 Gillham Road, Kansas City, MO, 64108, USA.
Tanta University Hospital, Faculty of Medicine, Tanta University, Tanta, Egypt.
Pediatr Surg Int. 2024 Nov 10;40(1):301. doi: 10.1007/s00383-024-05886-8.
Anorectal malformations (ARMs) are rare congenital anomalies causing altered anatomy and frequent hospitalizations. Parental awareness and clear communication are crucial in family-centered care. This study assesses the impact of patient-held ARM Medical Alert Cards on healthcare providers and caregivers.
Caregivers of children with ARMs, including cloacal anomalies, received Medical Alert Cards with (1) contact details; (2) disease-related information; and (3) patient-specific data. A survey evaluated these cards' effectiveness in enhancing ARM awareness among healthcare professionals and caregivers.
Among 33 respondents, 29 (88%) found the cards helpful in increasing ARM awareness. Both caregivers and providers found the content coherent, with a median readability score of 9 (IQR 8-10). The card layout was well-received by 30 out of 32 respondents (94%), and all noted the clarity of the contact details, facilitating patient referrals to specialized care. Most caregivers (13 out of 14, 93%) expressed willingness to use these cards in medical settings. Suggestions for improvement included adding more patient-specific information, enhancing readability, and providing visual anatomy diagram.
Medical Alert Cards for patients with ARMs can enhance understanding of ARMs among caregivers and healthcare providers, serving as a vital tool in patient-centered management strategies tailored to individual needs.
肛门直肠畸形(ARM)是一种罕见的先天性异常,会导致解剖结构改变,并频繁住院。在以家庭为中心的护理中,家长的意识和清晰的沟通至关重要。本研究评估了患者持有的 ARM 医疗警示卡对医疗保健提供者和护理人员的影响。
患有 ARM 的儿童(包括会阴直肠畸形)的护理人员收到了载有(1)联系信息;(2)与疾病相关的信息;和(3)患者特定数据的医疗警示卡。一项调查评估了这些卡片在提高医疗保健专业人员和护理人员对 ARM 的认识方面的有效性。
在 33 名受访者中,有 29 名(88%)认为这些卡片有助于提高对 ARM 的认识。护理人员和提供者都认为内容连贯,可读性中位数评分为 9(IQR 8-10)。32 名受访者中有 30 名(94%)对卡片的布局表示满意,所有人都注意到了联系信息的清晰度,方便了患者向专门护理机构转诊。大多数护理人员(13 名中的 14 名,93%)表示愿意在医疗环境中使用这些卡片。改进建议包括添加更多患者特定信息、提高可读性以及提供视觉解剖图。
患有 ARM 的患者的医疗警示卡可以提高护理人员和医疗保健提供者对 ARM 的理解,是针对个体需求制定以患者为中心的管理策略的重要工具。