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Visual guidelines and tutoring in pediatric urological surgery

当代泌尿学（英文） 2024年第1期18卷 18-22页

作者： Stanislav Kotcherov Shahar Rotem Jawdat Jaber Galit Avraham Gennady Lev michal darmon Yudith Gabay Boris Chertin Department of Pediatric Urology Shaare Zedek Medical CenterFaculty of MedicineHebrew UniversityJerusalemIsrael Department of Pediatric Surgery Shaare Zedek Medical CenterFaculty of MedicineHebrew UniversityJerusalemIsrael The Operation Room Shaare Zedek Medical CenterJerusalemIsrael

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 con-valescent period following multiple types of pediatric urological surgery was *** 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 *** parents were asked to answer a questionnaire(Amsterdam Preoperative Anxiety and Infor-mation Scale)regarding the level of anxiety before surgery and immediately after surgery in the recovery *** number of postop-erative 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 sig-nificantly lower rate of emergency room admissions(6.6％vs.18.6％,p=0.0433),however parents from this group made a higher num-ber 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 *** 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 *** parents preferred to exclude visual information from future preoperative counseling.

关键词： Anesthesia Children Hypospadias Pediatric case Questionnaires

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