Chen Yang,Xie Xiaolong,Wang Qi,et al.Influencing factors of parental selections of non-surgical interventions for acute pediatric intussusception[J].Journal of Clinical Pediatric Surgery,,19():734-740.[doi:10.3969/j.issn.1671-6353.2020.08.014]
Influencing factors of parental selections of non-surgical interventions for acute pediatric intussusception
- Keywords:
- Intussusception; Enema; Factor Analysis; Statistical; Treatment Outcome; Child
- CLC:
- R574.3;R452
- Abstract:
- Objective To explore the influencing factors of parental selections of non-surgical interventions of X-ray guided pneumatic reduction or ultrasound guided hydrostatic reduction for acute intussusception. Methods From December 2018 to April 2020, a questionnaire survey was conducted among parents of children with acute intussusception undergoing X-ray guided pneumatic reduction or ultrasound guided hydrostatic reduction. The investigation content included the basic characteristics of children and their parents, health insurance of the patient, the symptoms, signs and previous treatments, reduction status;post-procedural complications and the factors considered by parents when choosing different non-surgical treatments. Then the influencing factors of parental selections were analyzed. Results A total of 440 valid questionnaires were collected. There were X-ray guided pneumatic reduction group (n=158) and ultrasound guided hydrostatic reduction group (n=282). In univariable model, factors associated with ultrasound guided hydrostatic reduction included:parental education level, monthly household income, concerns of radiation effects, concerns of cost and consideration of the possibility of discovering the primary cause of intussusception. And multivariable analysis revealed that the factors associated with ultrasound guided hydrostatic reduction were bachelor degree (junior college) or above (OR=1.747, P=0.022), monthly household income >5000 yuan (OR=3.657, P<0.001), concerns about potential radiation exposure (OR=4.182, P<0.001) and consideration of the possibility of discovering the primary cause of intussusception. (OR=2.163, P=0.001). Conclusion Bachelor degree (junior college) or above, monthly household income > 5000 yuan, concerns about potential radiation exposure, consideration of the possibility of discovering the primary cause of intussusception are the influencing factors for parental selection of ultrasound guided hydrostatic reduction.
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Memo
收稿日期:2020-05-09。
基金项目:四川省科技厅项目（编号：2020YFS0108）
通讯作者:向波,Email:xb_scu.edu@hotmail.com