Vulnerable child syndrome, parental perception of child vulnerability, and emergency department usage.
Vulnerable child syndrome, parental perception of child vulnerability, and emergency department usage.
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DOI：
10.1097/pec.0b013e318235bb4f
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发表时间：
2011-11
影响因子：
1.4
通讯作者：
Leonard AC
中科院分区：
文献类型：
--
作者：
Chambers PL;Mahabee-Gittens EM;Leonard AC
易受伤害儿童综合征（Vulnerable Child Syndrome，VPS）是指儿童被认为有行为、发育或医疗问题的风险。有抑郁症的家庭过度使用医疗资源，经常去看医生。本研究的目的是探讨儿童脆弱性（PPCV），父母的看法，急诊科（艾德）访问的频率之间的关系。1至15岁的患者的父母有资格向儿科艾德提出非紧急投诉。参与者完成了问卷调查，其中弱势儿童量表被用来产生一个衡量PPCV。主要结局包括艾德访视次数和PPCV分配。根据易受伤害儿童量表评分将儿童分为2个PPCV组：小于40（高PPCV）与40或更高（低PPCV）。在量表的脆弱端（低评分），从样本平均值（46.8）中选择1 SD（7.3）作为临界点。351名父母和儿童的平均年龄分别为30（SD，7.7）岁和5（SD，3.9）岁; 17%的儿童有高PPCV。高PPCV和低PPCV受试者之间有11个变量存在统计学差异，包括艾德就诊和住院次数、报告的儿童健康状况良好、妊娠问题、分娩问题、儿童心理健康问题、父母心理健康问题和儿童发育问题。我们的研究结果表明，具有较高PPCV的儿童的艾德就诊次数增加，并确定了较高感知脆弱性评分的风险因素。未来的调查，以干预家庭的动力学，可能是必要的。
Vulnerable child syndrome (VCS) describes children perceived to be at risk for behavioral, developmental, or medical problems. Families with the dynamics of VCS overuse health care resources with frequent visits to doctors’ offices. The objective of the study was to explore the relationship between VCS, parental perception of child vulnerability (PPCV), and frequency of emergency department (ED) visits. Parents of patients 1 to 15 years old presenting with nonurgent complaints to a pediatric ED were eligible. Participants completed questionnaires in which the Vulnerable Child Scale was used to generate a measure of PPCV. Primary outcomes included number of ED visits and PPCV assignment. Children were divided into 2 PPCV groups by Vulnerable Child Scale score: less than 40 (high PPCV) versus 40 or greater (low PPCV). The cutoff point was chosen as 1 SD (7.3) from the sample mean (46.8) on the vulnerable end of the scale (low scores). The mean ages of the 351 parents and children were 30 (SD, 7.7) years and 5 (SD, 3.9) years, respectively; 17% of children had high PPCV. Eleven variables differed statistically between subjects with high and low PPCV including number of ED visits and hospital admissions, excellent reported child health, pregnancy problems, delivery problems, child mental health problems, parent mental health problems, and child developmental problems. Our results reveal that children with higher PPCV had an increased number of ED visits, and risk factors for higher perceived vulnerability scores were identified. Future investigation on ways to intervene with families with the dynamics of VCS may be warranted.