儿童上肢骨折的推治疗方法在整形外科医生和实习生之间有所不同
Ritt R Givens1, Jennifer A Kunes2, Riley Sevensky1
1Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
概括
儿童骨折管理缺乏标准化,医生之间缺乏一致意见. 实习生倾向于推比临床医生更具侵入性的治疗方法,强调需要改善儿童骨科的教育和一致的实践.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 骨折管理 骨折管理
背景情况:
- 目前的儿科骨折管理实践显示出显著的变化.
- 对于可接受的调整和最佳治疗的现有建议是广泛的,这引发了关于最佳实践的问题.
- 需要评估协议,并确定儿科骨折如何管理的模式.
研究的目的:
- 为了确定儿科骨折的管理模式.
- 评估不同培训水平的医生在治疗决策中的共识.
- 为了比较住院医生,研究员和参与骨科外科医生的管理方法.
主要方法:
- 通过对15个常见儿科骨折病例进行了横截面调查.
- 参与者包括住院医生,研究员和护理骨科外科医生 (儿科和非儿科).
- 受访者在每个病例中选择四种治疗方案,并根据培训水平和实践特征分析数据.
主要成果:
- 在所有子组 (参加者和实习者) 中,关于骨折管理的总体共识是不公平的.
- 儿科护理人员喜欢与远距离半径和两骨骨折的受训者相比,进行更少的侵入性治疗.
- 与临床医生相比,实习生更有可能推侵入性或手术治疗.
结论:
- 儿童上肢骨折管理在不同医生组中没有标准化.
- 关于治疗的协议很低,特别是在实习生和护理人员之间.
- 需要进一步的研究和加强居民教育,以标准化儿科骨折护理.
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