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

J Pediatr Surg. 2018 Mar;53(3):375-380. doi: 10.1016/j.jpedsurg.2017.04.009. Epub 2017 Apr 21.

Abstract

Introduction: Preoperative information is a legal and ethical obligation. Very little studies have evaluated the preoperative information method in pediatrics. Having a child operated on is stressful for the parents. Improving information is a way to lower their anxiety. Our study aims to measure the impact of a leaflet, which supports spoken information on parental anxiety, the comprehension-memorization of the information and their satisfaction.

Materials & methods: Prospective study including 178 patients of outpatient surgery, randomized in two groups: spoken information versus spoken information supported by a leaflet, which is then handed out to the parents. The messages were identical: physiopathology, risks without treatment, surgical technique and its possible complications, description of the hospitalization day, and postoperative care. Parental evaluation was made with self-questionnaires after the preoperative consultation, then on the day of surgery. At each moment we evaluated the level of anxiety, satisfaction of information quality and the comprehension-memorization of the data.

Results: Written information significantly improves the scores of comprehension-memorization, parental satisfaction and significantly decreases the level of anxiety.

Conclusion: Significant impact of the written document as communication support in pediatric surgery, validating the method and encouraging it to be generalized to other pediatric surgery acts.

Level of evidence: Level I.

Type of study: Prognosis study.

Keywords: Anxiety; Communication; Office visits; Patient education; Pediatric surgery.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Anxiety / diagnosis
  • Anxiety / etiology
  • Anxiety / prevention & control
  • Child
  • Child, Preschool
  • Comprehension
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Parents / psychology*
  • Patient Education as Topic*
  • Pediatrics
  • Personal Satisfaction*
  • Preoperative Care / methods*
  • Professional-Family Relations*
  • Prospective Studies
  • Surveys and Questionnaires