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Children with high and intermediate imperforate anus: their experiences of hospital care
Maria Ojmyr-Joelsson1, Björn Frenckner, Per-Anders Rydelius
1Pediatric Surgery Unit, Department of Women's and Children's Health, Astrid Lindgren Children's Hospital, Karolinska Institutet, Stockholm, Sweden. maria.ojmyr-joelsson@karolinska.se
Insights
Children with imperforate anus (IA) generally had positive hospital experiences but desired clearer information about their care. Their perspectives are crucial for improving treatment for this congenital condition.
Area of Science:
- Pediatric Surgery
- Child Health Services Research
- Congenital Anomaly Research
Background:
- Imperforate anus (IA) is a congenital condition requiring complex medical interventions.
- Understanding the patient experience is vital for improving healthcare delivery.
- Children with high and intermediate IA face unique challenges during hospital care.
Purpose of the Study:
- To investigate the hospital care experiences of children with high and intermediate imperforate anus (IA).
- To compare the experiences of children with IA to those of their peers without the condition.
Main Methods:
- A cohort of 25 children (9 boys, 16 girls) aged 8.0-13.6 years with high/intermediate IA participated.
- Self-report questionnaires using a 5-point Likert scale were administered.
- Two control groups were included for comparative analysis.
Main Results:
- Children with IA reported generally positive experiences with hospital care.
- However, they expressed lower satisfaction with the information received.
- Understanding of hospital visit rationale was also lower compared to control groups.
Conclusions:
- Despite invasive treatments, children with IA perceive their care positively.
- There is a significant need for improved information provision tailored to children with IA.
- Incorporating children's perspectives is essential for advancing specialized care for congenital defects.
Purpose:
The purpose of this study was to examine the experiences of children with high and intermediate imperforate anus (IA), and specifically their experiences of hospital care.
Methods:
Twenty-five children born with high and intermediate IA participated; 9 boys and 16 girls. The mean age was 10.5 years (range 8.0-13.6). Two control groups were involved in the study. A self-report questionnaire was used to gather the data concerning children's experiences of hospital care. Items were scored on a 5-point Likert scale.
Results:
The children's responses on hospital care items scored high. The children with IA reported being less satisfied with the information given, and understood less why they needed to visit the hospital than did the children in the two control groups.
Conclusion:
The children's experiences of care seemed to be positive even though the children born with IA are subjected to invasive treatment. More research is called for in the unexplored area of information to the children, and particularly to the children born with a defect. Children's views are important and should always be considered, as their answers most certainly reflect a genuine experience, contributing to the further development of their specific care.
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