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在儿科泌尿外科手术视觉指南和辅导
Stanislav Kotcherov1, Shahar Rotem1, Jawdat Jaber1
1Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, Israel.
Current urology
|March 20, 2024
概括
儿童泌尿外科手术的视觉辅助器件并没有减少家长的焦虑,但减少了急诊室的访问. 一些家长宁愿在未来不接受视觉辅导.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 家长焦虑管理 管理家长焦虑
背景情况:
- 父母的压力和焦虑是儿科泌尿外科手术中的重要问题.
- 有效的手术前咨询对于管理父母的期望和减少痛苦至关重要.
研究的目的:
- 评估视觉指南 (图书) 和辅导对儿童泌尿外科手术中父母压力,焦虑和术后结果的影响.
- 确定视觉辅助器是否提高了手术前咨询的有效性.
主要方法:
- 一项前性随机研究,涉及64名接受儿科泌尿外科手术的家长.
- 第1组接受了例行指令以及视觉辅助图书;第2组仅接受了例行指令.
- 用阿姆斯特丹手术前焦虑和信息量表来测量家长的焦虑;手术后的电话,急救室的访问和并发症都被记录下来.
主要成果:
- 两组之间没有观察到术后父母焦虑的显著差异 (p=0.88).
- 视觉辅导组的急诊室入院率明显较低 (6.6%与18.6%,p=0.0433).
- 视觉辅导小组的家长进行了更多的术后电话 (9.9%对3.1%),整体并发症率和满意度相似.
结论:
- 视觉辅导并不能显著减少家长的焦虑,但可能有助于减少术后急诊室的访问.
- 一部分家长表示,他们不希望在未来的手术前咨询中包括视觉信息.
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