Jones T M, Temple R H, Morar P, Roland N J, Rogers J H
Department of Otolaryngology, Alder Hey Hospital, Liverpool, UK.
Int J Pediatr Otorhinolaryngol. 1997 Mar 6;39(2):97-102. doi: 10.1016/s0165-5876(96)01459-0.
General Practitioner (GP) consultations were audited in paediatric patients who have undergone an elective tonsillectomy on our unit over a 6 month period. As there is no formal follow-up, it is the department's practice to discuss with the patients the problems to expect following the operation. This is reinforced with a tonsillectomy advice sheet. An initial audit of GP consultations was performed by a telephone survey of the relevant GP. This revealed an attendance rate of 41%. Following the implementation of a change in management (chewing gum was added to the post operative care instructions) a subsequent audit of 91 children was performed. A marked reduction in the GP attendance was observed. We now routinely recommend the use of chewing gum in the post-operative period after tonsillectomy to our patients.
对在我们科室接受择期扁桃体切除术的儿科患者进行了为期6个月的全科医生（GP）会诊审核。由于没有正式的随访，科室的做法是与患者讨论术后可能出现的问题。这会通过一张扁桃体切除术后建议单加以强化。首次对GP会诊的审核是通过对相关GP进行电话调查来进行的。结果显示就诊率为41%。在实施管理变更（在术后护理指导中增加了口香糖）后，对91名儿童进行了后续审核。结果发现GP就诊率显著降低。我们现在常规向患者推荐在扁桃体切除术后的恢复期使用口香糖。
