The position of a written document in preoperative information for pediatric surgery: A randomized controlled trial on parental anxiety, knowledge, and satisfaction

Landier, M.; Villemagne, T.; Touze, Anne Le; Braik, Karim; Meignan, Pierre; Cook, Ann-Rose; Morel, Baptiste; Lardy, H.; Binet, A.

doi:10.1016/j.jpedsurg.2017.04.009

Cited by 55 publications

(44 citation statements)

References 20 publications

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“…Recruited children underwent elective surgery under general or regional anesthesia. A sample size of at least 113 patients was determined based on a previous survey that included children and parents before pediatric surgery [14].…”

Section: Methodsmentioning

confidence: 99%

Evaluation of Preoperative Information Needs in Pediatric Anesthesiology

et al. 2018

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BackgroundAdequate preoperative information for pediatric patients and their families can prevent preoperative anxiety and improve postoperative outcome. The aim of this study was to conduct a survey to determine the preoperative information needs of children and their parents before anesthesia for elective surgery.Material/MethodsTwo healthcare centers enrolled children from 10 to 17 years of age who had planned elective surgery under general or regional anesthesia, and their parents and anesthesiologists. A questionnaire was designed for the study. Participants were asked to complete the questionnaire on the day of the preoperative visit of the pediatric anesthesiologist.ResultsThere were 158 respondents, including 43 children (27.2%) undergoing elective surgery, 92 parents (58.2%), and 23 pediatric anesthesiologists (14.6%). The most helpful way of providing information, according to 12 children (41.4%), 53 parents (67.1%), and 17 pediatric anesthesiologists (77.3%), was in written form as a leaflet. The most common requests for information included: the postoperative regimen, 78 parents (96.3%) and 28 children (90.3%); recovery from anesthesia, 77 parents (95.1%) and 29 children (93.5%); postoperative pain management, 78 parents (96.3%) and 26 children (83.9%); and duration of anesthesia, 78 parents (96.3%) and 23 children (74.2%).ConclusionsA preoperative survey of children and their parents showed that the most requested information was about the postoperative regimen, recovery from anesthesia, postoperative pain management, and duration of anesthesia. Both children and parents preferred to have preoperative information provided in written form, and the best time to provide information was on the day before surgery.

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Section: Methodsmentioning

confidence: 99%

Evaluation of Preoperative Information Needs in Pediatric Anesthesiology

et al. 2018

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“…Parents described the importance of other sources of information that they could access whenever they wanted to, such as written information and internet resources. Written information has been found to result in significant decreases in parental anxiety and improved parental comprehension and satisfaction prior to their child’s surgery 35. Multimedia-based health information has also been found to reduce parental anxiety36 although evidence supporting the greater effectiveness of any one method of information provision is lacking,36 37 highlighting the importance of individually tailoring information provision.…”

Section: Discussionmentioning

confidence: 99%

Parental understanding of our communication of morbidity associated with paediatric cardiac surgery: a qualitative study

Rajagopal

Brown

Pagel

et al. 2020

bmjpo

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BackgroundFollowing paediatric cardiac surgery, quality of life may be significantly impacted by morbidities associated with cardiac surgery. Parental understanding of the potential for postoperative morbidity is important for informed decision making. As part of a broader research study, we aimed to elicit parental understanding and experience of the communication of morbidities following their child’s cardiac surgery, using traditional focus groups together with an online forum.MethodsThe Children’s Heart Federation set up and moderated a closed, anonymous online discussion group via their Facebook page, focusing on complications, information needs and methods of providing families with information. Additionally, we ran three focus groups with parents/carers, moderated by an experienced independent professional. Focus groups were recorded and transcribed and a single transcript was generated from the online forum. All transcripts were thematically analysed.ResultsAll data were collected in 2014. The forum ran over 3 months in 2014 and involved 72 participants. Focus groups involved 13 participants. Three broad themes were identified: (1) clinicians’ use of language, (2) feeling unprepared for complications and (3) information needs of families.ConclusionsClinicians’ language is often misunderstood, with wide variability in the way morbidities are described, and between differing teams looking after the same child. Information may not be easily absorbed or retained by families, who often felt unprepared for morbidities that arose after their child’s heart surgery. Here, we propose key principles of good communication tailored to the individual receiving it.

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“…Assessing the level of anxiety in routine follow‐up, and using a simple tool, stands as the first step toward finding solutions to improve the psychological state of the parents. Indeed, In their study, Landier et al showed that the combination of oral information with written support before surgery diminished the level of parental anxiety when compared to simple oral information . Moreover, Simeone et al showed that a presurgical educational support from a specialist nurse contributed to reduce parental anxiety .…”

Section: Discussionmentioning

confidence: 99%

“…TA B L E 5 Paternal anxiety > or = to 8/10 information. 33 Moreover, Simeone et al showed that a presurgical educational support from a specialist nurse contributed to reduce parental anxiety. 34 Agostini et al showed a reduction of maternal anxiety after the intervention of clowns the hour before an anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Parental anxiety before invasive cardiac procedure in children with congenital heart disease: Contributing factors and consequences

Werner

Louali

Fouilloux

et al. 2019

Congenital Heart Disease

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Objective Medical information provided to parents of a child with a congenital heart disease can induce major stress. Visual analog scales have been validated to assess anxiety in the adult population. The aim of this study was to analyze parental anxiety using a visual analog scale and to explore the influencing factors. Design This prospective cross‐sectional study. Setting Tertiary care regional referral center for congenital heart disease of Marseille—La Timone university hospital. Patients Parents of children with a congenital heart disease, as defined by the ACC‐CHD classification, referred for cardiac surgery or interventional cardiac catheterization, were offered to participate. Intervention and outcome measure The parental level of anxiety was assessed using a visual analog scale (0‐10) before intervention and after complete information given by the cardiologist, the surgeon or the anesthetists. Results Seventy‐three children [7 days‐13 years], represented by 49 fathers and 71 mothers, were included in the study. A total of 42 children required cardiac surgery and 31 children underwent interventional cardiac catheterization. The mean score of maternal anxiety was significantly higher than the paternal anxiety (8.2 vs 6.3, P < .01). A high level of maternal anxiety (visual analog scale > 8) was associated with paternal anxiety (P = .02), the child's comorbidity (P = .03), the distance between home and referral center (P = .04), and the level of risk adjustment for congenital heart surgery (P = .01). In multivariate analysis, maternal anxiety was associated with paternal anxiety (OR = 4.9; 95% confidence interval [1.1‐19.2]), and the level of risk adjustment for congenital heart surgery (OR = 11.4; 95% confidence interval [1.2‐116.2]). No significant association was found between parental anxiety and prenatal diagnosis. Conclusion This study highlighted several factors associated with the parental anxiety. Identifying the parents at risk of high stress can be useful to set up psychological support during hospitalization.

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The position of a written document in preoperative information for pediatric surgery: A randomized controlled trial on parental anxiety, knowledge, and satisfaction

Cited by 55 publications

References 20 publications

Evaluation of Preoperative Information Needs in Pediatric Anesthesiology

Evaluation of Preoperative Information Needs in Pediatric Anesthesiology

Parental understanding of our communication of morbidity associated with paediatric cardiac surgery: a qualitative study

Parental anxiety before invasive cardiac procedure in children with congenital heart disease: Contributing factors and consequences

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