Abstract

CAPROTTA, Gustavo et al. Presencia de los padres y/o cuidadores de pacientes durante la realización de procedimientos: ¿Qué opinan los médicos que asisten niños?. Arch. argent. pediatr. [online]. 2004, vol.102, n.4, pp.246-250. ISSN 0325-0075.

Objectives. To know the opinion of the medical staff at the Hospital Materno-Infantil de San Isidro "Dr. Carlos Gianantonio" about the presence of parents or other caregivers of pediatric patients when performing procedures and its rationale. Population, material and methods. Observational and cross-sectional study. An annonymous and semistructured survey was sent to physicians that assist neonatal and pediatric patients at our hospital excluding those who work in obstetrics, anesthesia and laboratory areas. The medical staff were asked about procedures which were classified based on an increasing level of procedural invasiveness: venipuncture, laceration repair, lumbar puncture, endotracheal intubation and procedures related to cardiopulmonary resuscitation. Results. Nearly 75% of those inquired had indicated, presenced or performed some of the procedures during the month prior to the survey. The acceptance of parental presence was, in general terms, inversely proportional to the level of the procedural invasiveness, except the laceration repair which received an affirmative answer in 75% of the cases. Among the most frequent causes to refuse parental presence we found: the physician's anxiety generated by the procedure (close to 25%) and the traumatic effect in the parents (near 20%). The favorable attitude towards parental presence was focused on the possibility of bringing parental emotional contention to the child (close to 45%). There was no correlation between affirmative or negative answers with the age, sex, number of children, years since graduation or speciality of the inquired. Conclusion. Most of the surveyed plysicians allow parental presence in those procedures of low invasiveness, considering that they could bring parental emotional contention to the child and exclude the parents during those procedures of a higher level of invasiveness, estimating that parental presence generates anxiety on the physician who performs them and is traumatic for the parents.

Keywords : Presence; Parents; Procedures; Caregivers; Opinion.

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