关于怀疑中枢神经系统感染的儿童的腰椎穿刺的家长态度
Aslıhan Sahin1, Ahu Kara-Aksay1, Gulsah Demir2
1From the Departments of Pediatric Infectious Diseases.
Pediatric emergency care
|July 18, 2023
概括
父母 父母 父母 父母 父母 父母 父母
科学领域:
- 儿科 儿科 儿科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 腰部穿刺 (LP) 是疑似儿童中枢神经系统感染的关键诊断程序.
- 对于儿科LP来说,父母的同意是必不可少的,但对该程序的态度可能会有所不同.
- 了解父母的担忧对于提高同意率和确保及时诊断至关重要.
研究的目的:
- 评估家长对怀疑中枢神经系统感染的儿童的腰部穿刺 (LP) 的态度.
- 确定父母拒绝LP的主要原因.
- 确定影响家长关于儿科LP的决定的因素.
主要方法:
- 一项调查对建议使用LP的儿童 (1个月-18岁) 的父母进行了调查.
- 统计分析了父母的社会人口统计特征和与同意相关的因素.
- 拒绝的原因被记录下来,后勤回归确定了同意的预测因素.
主要成果:
- 34%的家长拒绝同意LP.
- 拒绝的主要原因是害怕 (82.3%).
- 与住院医生相比,由专业医生通知的LP接受率显著增加 (7.1倍以上).
结论:
- 知情同意过程显著影响了家长对儿科LP的接受.
- 标准化知情同意程序,确保专业医生的清晰沟通,可以提高LP接受率.
- 解决家长的恐惧,特别是关于的恐惧,对于改善对这一至关重要的诊断程序的同意至关重要.
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