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Visual guidelines and tutoring in pediatric urological surgery
Stanislav Kotcherov1, Shahar Rotem1, Jawdat Jaber1
1Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, Israel.
Insights
Visual aids for pediatric urology surgery did not reduce parental anxiety but decreased emergency room visits. Some parents preferred not to receive visual counseling in the future.
Area of Science:
- Pediatric Surgery
- Urology
- Parental Anxiety Management
Background:
- Parental stress and anxiety are significant concerns in pediatric urological surgery.
- Effective preoperative counseling is crucial for managing parental expectations and reducing distress.
Purpose of the Study:
- To assess the impact of visual guidelines (picture book) and tutoring on parental stress, anxiety, and postoperative outcomes in pediatric urological surgery.
- To determine if visual aids enhance preoperative counseling effectiveness.
Main Methods:
- Prospective randomized study involving 64 parents undergoing pediatric urological surgery.
- Group 1 received routine instructions plus a visual aid picture book; Group 2 received routine instructions only.
- Parental anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale; postoperative calls, ER visits, and complications were recorded.
Main Results:
- No significant difference in perioperative parental anxiety was observed between groups (p=0.88).
- The visual tutoring group showed a significantly lower rate of emergency room admissions (6.6% vs. 18.6%, p=0.0433).
- Parents in the visual tutoring group made more postoperative calls (9.9% vs. 3.1%), with similar overall complication rates and satisfaction.
Conclusions:
- Visual tutoring does not significantly reduce parental anxiety but may help decrease postoperative emergency room visits.
- A subset of parents expressed a preference against including visual information in future preoperative counseling.
Background:
The aim of this prospective randomized study was to evaluate the impact of visual guidelines (picture book) and parents tutoring on pediatric urological surgery on parent's stress and anxiety, the number of postoperative contacts, and complications.
Materials And Methods:
Following institutional ethical committee approval, a special picture book reflecting different stages of the convalescent period following multiple types of pediatric urological surgery was developed. Parents were randomly divided into 2 groups in which 33 parents in Group 1 received the picture book in addition to routine instructions prior to the surgery and 31 in Group 2 received only routine postoperative instructions. The parents were asked to answer a questionnaire (Amsterdam Preoperative Anxiety and Information Scale) regarding the level of anxiety before surgery and immediately after surgery in the recovery room. The number of postoperative parent's calls, nonplaned emergency room visits, and complications were recorded.
Results:
No statistically significant difference in perioperative parental anxiety was found (p = 0.88). The visual tutoring group had a significantly lower rate of emergency room admissions (6.6% vs. 18.6%, p = 0.0433), however parents from this group made a higher number of postoperative calls (9.9% vs. 3.1%, p = 0.38). Two (6.6%) from the tutoring group expressed their desire to omit visual counseling in future surgical preparation and 4 (13.2%) did not have an opinion. Overall satisfaction with regards to the preoperative counseling and information and the number of postoperative complications was similar in both groups.
Conclusions:
Visual tutoring does not add any value to parental anxiety but seems helpful in reducing postoperative emergency room visits. Some parents preferred to exclude visual information from future preoperative counseling.
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