Visual Guidelines and Tutoring in Pediatric Urological Surgery
Study Details
Study Description
Brief Summary
The aim of this study is checking impact of visual guidelines (picture book) and tutoring in pediatric urologic surgery
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The number of operations in pediatric urology performed on the basis of one day surgery has been increased tremendously over the last years. The shortening of the hospital admission intends to increase the efficacy of the health system, however at the same time puts an additional burdening regarding the postoperative care on the parents of the operated children. The parents often have no or has little experience with regards to the basic medical education. The lack of the proper tutoring in terms of possible complications, normal postoperative period may cause unnecessary patients and parents anxiety, visit to the emergency room or calls to the medical stuff, and in some case delay medical attention which can cause major surgery related complications. Visual guidelines and tutoring of the patients upon surgery may avoid these undesirable effects of the early hospital discharge
Patients and methods:
The investigators are proposing prospective study of 3 groups of patients which undergo the most often urological surgery Group 1 penile surgery, Group 2 inguinal surgery. Group 3 renal surgery required nephrostomy tube leave or drainage. Each group will be divided into two subgroups (20 patients each) with and without visual tutoring prior to the surgery. Visual tutoring will include the photograph pictures reflecting different stage of the convalescent period following surgery. The parents will be asked to answer on questionnaire regarding the level of anxiety before surgery, immediately after surgery, week and 3-6 months after surgery. The number of parents calls to the hospital staff, emergency or outpatient clinic visit will be recorded and compared between two groups. The statistical analysis will performed utilizing Graph Pad Prism version 5.00 for Windows, (Graph Pad software, San Diego, California, chi square and Fisher test), considering p value of <0.05 as significant).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: pictures book + standard education arm with children undergoing urological procedures and their parents will receive standard preoperative education + pictures book with pictures of surgical wound in different stages of healing |
Behavioral: Picture book
Arm with showing and explaining for parents about perioperative typical surgery site/wound view by study's team
|
| Active Comparator: Standard preoperative education Arm with children undergoing urological procedures and their parents will receive only standard preoperative education |
Behavioral: Standard preoperative education
Arm with standard, verbal explaining for a parents about perioperative site/wound view
|
Outcome Measures
Primary Outcome Measures
- Level of parents anxiety [Thirty minutes before surgery]
The following parameters will be compared between two groups: level of parents anxiety by questionnaire, numbers of parents calls to the hospital staff and non-planed visits to emergency department/outpatient clinic
- Level of parents anxiety [Fifteen minutes after surgery]
Measuring of parents anxiety in recovery room after surgery
- Level of parents anxiety [Week after surgery]
Measuring of parents anxiety one week after surgery
- Level of parents anxiety [Three weeks after surgery]
Measuring of parents anxiety 3-6 weeks after surgery
Secondary Outcome Measures
- Numbers of parents non-planed calls/visits [During a week before surgery]
We will note in two groups all non-planned calls/visits before surgery
- Numbers of parents non-planed calls/visits [During 48 hours after surgery]
We will note in two groups all non-planned calls/visits during 48 hours after surgery
- Numbers of parents non-planed calls/visits [0ne week after surgery]
We will note in two groups all non-planned calls/visits one week after surgery
- Numbers of parents non-planed calls/visits [During 3-6 weeks after surgery]
We will note in two groups of patients all non-planed calls/visits 3-6 weeks after surgery
Eligibility Criteria
Criteria
Inclusion Criteria:
- children with indications for penile, inguinal or kidney surgery
Exclusion Criteria:
- prior urological procedure (recurrent cases)
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | The Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University | Jerusalem, | Israel |
Sponsors and Collaborators
- Shaare Zedek Medical Center
Investigators
- Study Chair: Boris Chertin, MD, Prof., Head, The Department of Pediatric Urology, Shaare Zedek Medical Center, Clinical Professor in Surgery/Urology, Faculty of Medicine, Hebrew University, Jerusalem, Israel
Study Documents (Full-Text)
None provided.More Information
Publications
- Moix J, Bassets J, Caelles RM. [Effectiveness of audiovisual materials as a preparation for surgery in pediatric patients]. Cir Pediatr. 1998 Jan;11(1):25-9. Spanish.
- Nelson CP, Rosoklija I, Grant R, Retik AB. Development and implementation of a photographic atlas for parental instruction and guidance after outpatient penile surgery. J Pediatr Urol. 2012 Oct;8(5):521-6. doi: 10.1016/j.jpurol.2011.09.012. Epub 2011 Oct 20.
- Ono S, Oikawa I, Hirabayashi Y, Manabe Y. Preparation of a picture book to support parents and autonomy in preschool children facing day surgery. Pediatr Nurs. 2008 Jan-Feb;34(1):82-3, 88.
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