Parental anxiety associated with referral of a child to a pediatric cardiologist for evaluation of a Still's murmur
Parental anxiety associated with referral of a child to a pediatric cardiologist for evaluation of a Still's murmur
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DOI：
10.1067/mpd.2002.124379
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发表时间：
2002-06-01
影响因子：
5.1
通讯作者：
Fulton, DR
中科院分区：
文献类型：
--
作者：
Geggel, RL;Horowitz, LM;Fulton, DR
目的：当儿童被转诊至心脏病诊所评估斯蒂尔杂音时，我们评估了导致父母焦虑的因素。方法：95 名儿童的父母完成了问卷调查，旨在评估家庭和患者特征、父母对其焦虑的评分以及儿科医生对他们的保证，以及当前（状态）和总体焦虑水平。结果：父母报告了对多种问题的焦虑，包括需要药物治疗 （49%）、运动限制（41%）、心脏手术（29%）、兄弟姐妹的心脏风险（20%）和过早死亡（13%）。在报告的母亲中，19% 的人认为杂音是由她们在怀孕期间做错了什么造成的。尽管儿科医生让 54% 的家长非常放心，但只有 17% 的家长对专科就诊没有任何焦虑。在心脏病专家的保证后，7% 的父母有持续的焦虑。在多变量分析中，有两个与转诊儿科医生相关的特征与父母的焦虑水平显着相关。父母的高度焦虑与较低的儿科医生放心评级和较长的儿科医生执业年限相关。结论：父母焦虑在转诊进行专业评估的儿童的父母中很常见。提高儿科医生与家长沟通技巧的教育策略可能会提高护理质量。
Objective: We assessed factors contributing to parental anxiety when children are referred to a cardiology clinic for evaluation of a Still's murmur.Methods: Parents of 95 children completed questionnaires designed to assess family and patient characteristics, parents' ratings of their anxiety and the reassurance they received from their pediatrician, and current (state) and gen- eral anxiety levels.Results: Parents reported anxiety about multiple issues including the need for medication (49%), sports restrictions (41%), cardiac surgery (29%), cardiac risk for siblings (20%), and premature death (13%). Of reporting mothers, 19% felt the murmur resulted from something they did wrong during pregnancy. Although 54% of parents were extremely reassured by their pediatrician, only 17% had no anxiety associated with the specialty visit. After reassurance from the cardiologist, 7% of parents had persistent anxiety. In multivariable analysis, 2 features, both related to the referring pediatrician were significantly related to parental anxiety level. High parental anxiety was associated with lower pediatrician reassurance ratings and greater pediatrician practice years.Conclusions: Parental anxiety is common among parents of children refer-red for specialty evaluation. Educational strategies to improve pediatrician communication skills with parents may improve quality of care.