Related Experiment Videos

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.
Abstract

Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Psychosexual Stages of Personality: Anal01:26

Psychosexual Stages of Personality: Anal

Sigmund Freud's theory of psychosexual development describes the anal stage as occurring between 18 months and three years of age. During this period, children derive pleasure from controlling and releasing their bowel movements. However, they quickly learn that societal expectations impose restrictions on when and where this can happen. This stage marks a critical point where children begin to develop a sense of control and mastery over their bodily functions, as well as their broader...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Assessment of the Abdomen I: Inspection and Auscultation01:25

Assessment of the Abdomen I: Inspection and Auscultation

Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...