Overhead-Extension fur die Therapie der isolierten Femurfraktur des Kleinkindes - Was lernt man von den Eltern

Wagner, Ferdinand; Schuetz, Viktoria und Hubertus, Jochen (2019): Overhead-Extension fur die Therapie der isolierten Femurfraktur des Kleinkindes - Was lernt man von den Eltern. In: Klinische Padiatrie, Bd. 231, Nr. 4: S. 199-205

Abstract

Background Conservative options are the standard for treatment of femoral fractures for patients under the age of 4 years. We investigated possible factors influencing the satisfaction of the parents in order to improve their experience. Patients: We analyzed 42 cases of children under the age of 4 years treated with overhead extension therapy (OHE) for femoral fracture. Methods Our protocol requires transition to spica cast treatment (SCT) and discharge from the hospital after the initial 10-day OHE. X-rays were analyzed for fracture healing. A pseudonymized questionnaire was sent to the parents in order to evaluate their experiences during the treatment. Results The nature of the fracture was explained to 73.3% of the parents in a way that was "understandable and in detail". However, 23.3 % stated that "many questions were not answered". Seventy percent of parents noticed behavioral abnormalities during treatment, and 63.3 % reported treatment-specific problems. Additionally, 86.7% of parents were satisfied with the therapy outcome, 80% were content with the type of therapy, and 73.3% would choose OHE again. We found a high Spearman correlation between general satisfaction and parents who felt well informed. There was also a strong correlation between high general satisfaction and the opportunity for any problems to be discussed and addressed during the medical rounds. Discussion The reasons for nonsatisfaction were primarily due to communication problems. Conclusion Thorough evaluation during medical rounds, communication with healthcare professionals and care provided by the nurses affects the contentment of the families significantly.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0300-8630
• Sprache: Englisch