Department of Urology, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.
J Pediatr Urol. 2012 Oct;8(5):521-6. doi: 10.1016/j.jpurol.2011.09.012. Epub 2011 Oct 20.
To develop and evaluate a visual tool to assist parents in assessing healing after surgical circumcision or revision circumcision (SCRC).
Among children undergoing SCRC, photographs were taken on postoperative days 0-1-2-3-5-7-10-14-21, and compiled into an atlas. Atlas utility was assessed during two 1-month periods. During the first period (M1) families received routine postoperative instructions only; during the second period (M2), families received the atlas in addition to routine instructions. Families were surveyed by phone and calls/contacts were tracked.
33 families (among 83 SCRCs) were surveyed during M1, vs 39 families (among 77 SCRCs) during M2 (p = 0.17). Nearly all reported the atlas helpful (59% very helpful, 27% moderately helpful, 9% somewhat helpful). All but one family used the atlas. There was a trend toward families receiving the atlas being more comfortable (64% vs 82% very comfortable, p = 0.12). Survey scores were similar between M1 and M2 for total score, satisfaction, and the number whose expectations were met (58% vs 55%, p = 0.21). Phone contacts decreased between M1 and M2, both in absolute number (M1 = 24 calls vs M2 = 12 calls), and as a proportion of total cases performed (29% vs 16%, p = 0.04).
The circumcision atlas was well received by families and was associated with a significant decrease in post-surgical telephone calls. The atlas has been put into routine clinical use with excellent response.
开发并评估一种可视工具，以帮助父母评估手术割礼或修正割礼（SCRC）后的愈合情况。
在接受 SCRC 的儿童中，在术后第 0-1-2-3-5-7-10-14-21 天拍摄照片，并将其汇编成图谱。在两个为期 1 个月的时间段内评估图谱的实用性。在第一个时期（M1），仅为家庭提供常规的术后指导；在第二个时期（M2），除了常规指导外，家庭还会收到图谱。通过电话对家庭进行调查，并跟踪电话/联系次数。
在 M1 期间调查了 33 个家庭（83 例 SCRC 中），而在 M2 期间调查了 39 个家庭（77 例 SCRC 中）（p=0.17）。几乎所有家庭都表示图谱很有帮助（59%非常有帮助，27%比较有帮助，9%有点帮助）。除了一个家庭外，所有家庭都使用了图谱。使用图谱的家庭更舒适的趋势明显（64% vs 82%非常舒适，p=0.12）。在总评分、满意度和满足期望的家庭数量方面，M1 和 M2 的调查评分相似（58% vs 55%，p=0.21）。与 M1 相比，M2 的电话联系数量减少，绝对值减少（M1 有 24 次电话，M2 有 12 次电话），并且占总手术量的比例也减少（29% vs 16%，p=0.04）。
割礼图谱受到家庭的欢迎，并与术后电话数量的显著减少相关。该图谱已投入常规临床使用，获得了良好的反馈。
