Dievinė, Roberta

Aim of the study: To evaluate the parental perspective of the benefit of gastrostomy tube feeding in children and assess if it changes with time. Methods: It was a questionnaire‐based study. Participants were caregivers of children with gastrostomy (GS). They were allocated to groups according to how long their child had GS – less than 1 year (early group) or more than 1 year (late group). Data about GS placement, infections, complications, child’s, andparents’ well‐being were obtained. Ethical approval No. BEC‐MF‐75. Statistical analyses were performed using SPSS software. A Chi‐square test was performed to evaluate the qualitative data. Main results: The study included 100 parents. There were 32 respondents in the early and 68 in the lategroup. In the late group, parents reported a decrease in respiratory infection rate (42 (66.7%) cases), while in the early group, this was observed in only 6 patients (28.6%) (p=0.006). According to parents,accessibility to psychological health is better within the first year after GS placement (23, 74.2% vs 33,51.6%), p=0.036. However, the child’s (10 (31.3%) 29 (43.9%)) and parents’ (17 (53.1%) vs 43 (65.2%)) well‐being improved significantly after GS placement without differences between early and late groups, p>0.05. Conclusions: According to parents, the respiratory infection rate tends to decrease later after gastrostomy placement. Even though accessibility to psychological health is better within the first year after surgery, parents and their child’s well‐being improve immediately after GS placement and time doesn’t affect it.

Prospektyvinio tyrimo metu buvo apklausti 181 tėvai / globėjai, surinkta informacija apie jų patiriamą nerimą, jo priežastis, pasitenkinimą gydytojo konsultacija, gebėjimą įsiminti svarbiausią informaciją prieš numatomą vaiko operaciją. Tiriamieji buvo randomizuoti į dvi grupes: vieni gavo tik žodinę informaciją, kiti žodinę informacija kartu su informaciniu lankstinuku. Tyrimas parodė, kad informacinis lankstinukas buvo svarbus veiksnys, kuris didina tėvų pasitenkinimą gydytojo konsultacija ir didina gebėjima įsiminti pateiktą informaciją.

Objectives. Child’s surgery is stressful event for parents. There are many factors, influencing parental anxiety. Our aim was to determine reasons and level of parental anxiety before child’s surgery and factors for successful Doctor-Patient communication. Materials and Methods. This is a prospective observational study. Legal guardian or parent of the patient (child’s age 0-15yrs) has answered 2 self-questionnaires: after the consultation of pediatric surgeon in outpatient clinic/emergency department and on the operation day. Parent’s anxiety was evaluated with the Visual Analog Scale (100=maximum), Amsterdam Preoperative Anxiety and Information Scale (20=maximum). Possible factors for anxiety (urgency of the surgery, child’s age, previous operations, prematurity, parent demographic characteristics) were analysed. Satisfaction with the quality of the given information was evaluated through a numerical scale (0=minimum, 10=maximum). Results. 77 patients’ parents were included in the study. The most common reasons for parental anxiety were possible postoperative complications (63%) and the fear of child’s reaction after surgery (55%). Multiple regression analysis showed that younger child’s age (p=0,001) and lower parental education (p=0,047) were significant factors for higher anxiety level after initial consultation. Meanwhile younger child’s age (p=0,07), urgent surgery (p=0,023) and lower satisfaction with given pre-operative information (p=0,031) were independent factors for higher anxiety level on the operation day. The survey showed that parents were most interested in information about the surgical care benefits, postoperative care and complications. Parental satisfaction was higher in elective surgeries group than in urgent ones (p<0,01). Longer waiting time for operation was associated with lower parental satisfaction (p<0,001, r=-0,536). Conclusion. The most common reason for parenta[...]