Parental Perception of Urgency of Illness

Parental Perception of Urgency of Illness
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DOI:
10.1097/pec.0b013e3181ea71b3
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发表时间:
2010-08-01
影响因子:
1.4
通讯作者:
Sethuraman, Usha
Sethuraman, Usha
中科院分区:
医学4区
文献类型:
--
作者:
Kalidindi, Shiva;Mahajan, Prashant;Sethuraman, Usha

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目的:评估父母对疾病紧迫性的认知,并将其与急诊科医生的评估进行比较。方法:对800名到儿科急诊科就诊的患者的父母/法定监护人的便利抽样进行前瞻性研究。父母和医生被要求对他们孩子疾病的紧迫性进行分类。结果:在这项研究中,我们将疾病的紧迫性归类为“紧急”(24小时内需要护理)和“非紧急”(护理可以安全地等到第二天)。94%的父母认为孩子的病情紧急,6%的父母认为不紧急。在父母认为疾病不紧急的患者中,31%的患者被医生评估为需要紧急关注。结论:在我们的研究中,父母对疾病紧急程度的看法与急诊科医生的评估存在显著差异。有相当大一部分儿童的探视被认为是非紧急的,确实需要紧急护理。
Objective: To assess parental perception of urgency of illness and compare this with an emergency department (ED) physician's assessment of the same.Methods: A prospective study was conducted on convenience sample of parents/legal guardians of 800 patients presenting to the pediatric ED. Parents and physicians were asked to classify the urgency of their child's illness.Results: For this study, we grouped the urgency of illness as "urgent" (care needed within 24 hours) and "nonurgent" (care could safely wait until the next day). Ninety-four percent of parents considered their child's illness as urgent and 6% as nonurgent. Of the patients whose parents perceived the illness as nonurgent, 31% were assessed by physicians as requiring urgent attention.Conclusions: In our study, there was a significant discrepancy between the parental perceptions of urgency of illness and the ED physician assessment of the same. A significant proportion of children whose visits are perceived as nonurgent do require urgent care.