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Published on: November 6, 2019
Local anesthesia in pediatric dermatologic surgery: Evaluation of a patient-centered approach
May El Hachem1, Claudia Carnevale1, Andrea Diociaiuti1
1Dermatology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Insights
Patient-centered care, including education and distraction, effectively reduces distress and improves satisfaction for children undergoing dermatologic surgery under local anesthesia. This approach ensures good tolerance for most pediatric patients and their families.
Area of Science:
- Pediatric Dermatology
- Surgical Psychology
Background:
- Limited research exists on local anesthesia's psychological impact in pediatric dermatologic surgery.
- A patient-centered approach aims to improve outcomes and satisfaction.
Purpose of the Study:
- To evaluate the psychological effects of a patient-centered approach.
- To assess global satisfaction in children undergoing dermatologic surgery under local anesthesia.
Main Methods:
- 388 children undergoing dermatologic surgery under local anesthesia were surveyed.
- Methods included questionnaires, therapeutic education (oral/written), and distraction techniques.
- Patient and parent-focused information and support were provided.
Main Results:
- Despite 54.5% experiencing some fear, overall distress was limited.
- High levels of satisfaction were reported by the majority of children and parents.
- Positive patient-team and patient-family relationships were noted.
Conclusions:
- Therapeutic pediatric patient education can mitigate anxiety, discomfort, and pain perception.
- Further controlled studies are needed to validate specific educational measure benefits.
- A patient-centered approach enhances tolerance for dermatologic procedures under local anesthesia.
Background/Objectives:
A few studies have documented the effect of local anesthesia for minor dermatologic surgical procedures on children and their parents. Our objective was to evaluate the psychological effect and global satisfaction of a patient-centered approach to dermatologic surgery under local anesthesia.
Methods:
Two self-administered questionnaires were used to evaluate the distress and global satisfaction of 388 children who underwent dermatologic surgery under local anesthesia, accompanied by oral and written therapeutic education measures (structured information and a cartoon brochure illustrating the procedure) addressed to children and parents. Distraction techniques were also used during the procedures.
Results:
Although 54.5% of patients manifested some degree of fear, all other parameters analyzed (pain, surgery-related distress, surgical team-patient and -family relationship, global satisfaction) indicated that the procedures resulted in limited distress and that the large majority of children and parents tolerated them well.
Conclusion:
Specific measures for therapeutic pediatric patient education may be helpful in limiting discomfort, anxiety, and pain perception linked to procedures performed under local anesthesia. Further controlled studies are required to more precisely assess the benefits of specific therapeutic education measures.
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