Papsin Emily, Haworth Rebecca, Chorney Jill M, Bezuhly Michael, Hong Paul
Department of Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada.
Department of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Int J Pediatr Otorhinolaryngol. 2014 Dec;78(12):2258-61. doi: 10.1016/j.ijporl.2014.10.028. Epub 2014 Oct 25.
The elective nature of pediatric otoplasty requires that parents are well educated regarding the risks involved. Simple educational tools have been found to enhance risk recall in some surgical procedures.
To assess the effectiveness of information handouts in improving parental risk recall.
Fifty caregivers were randomly assigned to receive traditional oral dialog of the surgical risks, or to receive oral discussion and a written handout outlining the risks of otoplasty. Twelve to 14 days after the consultation, parents were contacted for assessment of risk recall.
Overall risk recall was 48% (3.4 of 7 risks recalled). Bleeding (82%) was the most commonly recalled risk, while cartilage necrosis/deformation (14%) was the least recalled risk. Mean risk recall was higher in the group that received written information (3.9 of 7 risks) compared to the group that received only oral discussion (2.8 of 7 risks) (p=0.003). No child or parental variables were significantly related to higher risk recall on multivariable analysis.
Caregiver risk recall in pediatric otoplasty was improved with the addition of written information provided during the informed consent process. As the consent process serves a vital role in pediatric otolaryngology, the use of supplementary educational materials should be further studied.
小儿耳整形手术的选择性意味着需要让家长充分了解其中涉及的风险。已发现简单的教育工具可提高某些外科手术中的风险记忆。
评估信息手册在改善家长风险记忆方面的有效性。
50名护理人员被随机分配，一组接受关于手术风险的传统口头交流，另一组接受口头讨论以及一份概述耳整形手术风险的书面手册。咨询后12至14天，联系家长评估风险记忆情况。
总体风险记忆率为48%（7项风险中能回忆起3.4项）。出血（82%）是最常被回忆起的风险，而软骨坏死/变形（14%）是最不常被回忆起的风险。与仅接受口头讨论的组（7项风险中能回忆起2.8项）相比，接受书面信息的组平均风险记忆率更高（7项风险中能回忆起3.9项）（p = 0.003）。多变量分析显示，没有儿童或家长变量与更高的风险记忆显著相关。
在知情同意过程中增加书面信息可提高小儿耳整形手术中护理人员的风险记忆。由于知情同意过程在小儿耳鼻喉科中起着至关重要的作用，应进一步研究补充教育材料的使用。
