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使用患者报告结局(PRO)问卷评估小儿门诊手术后的护理

Using a Patient-Reported Outcome (PRO) Questionnaire to Assess Postoperative Care Following Pediatric Outpatient Surgery.

作者信息

Atladottir Hjördis Osk, Phillipsen Anne Treschow, Krøyer Karen Arnt, Jensen Anne Gade, Schougaard Liv Marit Valen, Ahlburg Peter

机构信息

Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.

Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

出版信息

Paediatr Anaesth. 2025 Aug;35(8):590-597. doi: 10.1111/pan.15111. Epub 2025 Apr 7.

Abstract

INTRODUCTION

In recent years, there has been a marked rise in the incidence of pediatric day surgery across Western countries. As postoperative recovery transitions to the home environment, it is incumbent on healthcare systems to develop methods for patient follow-up and caregiver support.

AIM

To describe a method of monitoring the postoperative home treatment of children, as well as giving families appropriate support and guidance.

METHOD

We developed and implemented an electronic patient-reported outcome (PRO) questionnaire, designed to assist parents in assessing and managing pediatric postoperative care at home following day surgery. We present questionnaire response rates, reasons for nonresponse, and the frequency and causes of postdischarge contact with the hospital.

RESULTS

Since its implementation in 2020, our PRO questionnaire has captured postoperative home-care data from 530 families. The questionnaire facilitated the identification of 157 families requiring additional postoperative support following discharge. The primary postoperative complication identified was pain, with nausea and vomiting being less frequently reported as isolated concerns.

CONCLUSION

We have found the use of a postdischarge electronic questionnaire helpful in the postoperative care and provision of timely guidance to families.

摘要

引言

近年来,西方国家小儿日间手术的发病率显著上升。随着术后恢复转移到家庭环境,医疗系统有责任开发患者随访和照顾者支持的方法。

目的

描述一种监测儿童术后家庭治疗的方法,并为家庭提供适当的支持和指导。

方法

我们开发并实施了一份电子患者报告结局(PRO)问卷,旨在帮助家长评估和管理小儿日间手术后的家庭护理。我们展示了问卷回复率、未回复原因以及出院后与医院联系的频率和原因。

结果

自2020年实施以来,我们的PRO问卷已收集了530个家庭的术后家庭护理数据。该问卷有助于识别157个出院后需要额外术后支持的家庭。确定的主要术后并发症是疼痛,恶心和呕吐作为单独问题的报告频率较低。

结论

我们发现出院后使用电子问卷有助于术后护理并为家庭提供及时指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97f2/12233046/1462d025769d/PAN-35-590-g001.jpg

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