首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Quality of care provided to children with cerebral palsy, Alexandria, Egypt
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Quality of care provided to children with cerebral palsy, Alexandria, Egypt

机译:为埃及亚历山大脑瘫儿童提供的护理质量

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Background: Assessing the quality of care has become increasingly important to health care providers, regulators andpurchasers of care.Aims: This study assessed the quality of care provided to children with cerebral palsy attending Alexandria UniversityChildren’s Hospital, Egypt.Methods: Paediatric neurology residents (n = 15) who provided care to children with cerebral palsy at the hospital completeda structured checklist assessing their compliance with generic care standards. The medical records of 84 childrenwith cerebral palsy who received care at the hospital were reviewed using the same checklist. Another checklist was completedby the head of the paediatric neurology unit, medical director of the hospital, head of physical medicine and headnurse to assess adherence to process and service improvement standards. Face-to-face interviews were conducted withthe caregivers/parents of the children using a client satisfaction questionnaire.Results: Based on what was reported by health care providers, most did not adhere to the recommended practices in thecare of children with cerebral palsy. Review of the medical records also showed a lack of compliance with standards. Themean total satisfaction percentage score of parents/caregivers was 55.43% (SD 18.16). Satisfaction was particularly low forwaiting time, waiting area and availability of required facilities for their child’s care.Conclusions: There is a wide gap between the actual care provided to children with cerebral palsy and the recommendedstandards. Moreover, the documentation system in the hospital is poor. A quality improvement plan is needed for theprovision of care to children with cerebral palsy.
机译:背景:评估护理质量对医疗保健提供者,监管者和护理购买者变得越来越重要。目的:本研究评估了就读于埃及亚历山大大学儿童医院的脑瘫患儿的护理质量。方法:小儿神经病学居民(n = 15)在医院为脑瘫患儿提供护理的人填写了一份结构化清单,以评估他们是否符合通用护理标准。使用相同的检查表对在医院接受治疗的84例脑瘫患儿的病历进行了回顾。儿科神经内科主任,医院医学主任,物理医学和护士长完成了另一份清单,以评估对过程和服务改进标准的遵守情况。结果:根据医疗保健提供者的报告,大多数人没有遵循推荐的护理方法治疗脑瘫儿童,因此对他们的照顾者/父母进行了面对面的访谈。对病历的审查还显示缺乏对标准的遵守。父母/照顾者的总满意度总得分为55.43%(SD 18.16)。满意的等待时间,等待区域和所需的儿童护理设施特别少。结论:为脑瘫儿童提供的实际护理与推荐标准之间存在很大差距。而且,医院的文件系统很差。需要质量改善计划来为脑瘫儿童提供护理。

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