Ching Christina B, Clayton Douglass B, Thomas John C, Pope John C, Adams Mark C, Brock John W, Tanaka Stacy T
Division of Pediatric Urology, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.
Int Braz J Urol. 2015 May-Jun;41(3):562-8. doi: 10.1590/S1677-5538.IBJU.2014.0164.
Literature pertaining to surgical disclosure to the pediatric patient is lacking. We hypothesized parents would find it difficult to disclose urologic surgery to a child.
Parents of patients <5 years old undergoing urologic surgery were contacted for telephone survey. Parents were asked about future plans of surgical disclosure, comfort with disclosure, and any support received.
98 parents consented to study participation. 87% of surgeries were on the genitalia with 62% being minor genitalia surgery (i.e. circumcision). 70% of parents would tell their child about minor genital surgery while 84% would tell about major genital surgery (p=0.07). 4 of 20 parents of children undergoing hypospadias repair (major genital surgery) did not plan to tell their child about surgery. All parents of children undergoing non-genital surgery would tell. Of all parents planning to tell their children about surgery, only 14% were nervous. 34% of parents would find guidance in talking to their child helpful despite the majority (90%) stating no guidance had ever been provided.
Parents seem comfortable discussing urologic surgeries with a child but about 1/3 would appreciate further counseling. 20% of parents of children undergoing hypospadias repair hope to avoid telling their child.
缺乏关于向儿科患者进行手术告知的文献。我们推测父母会发现向孩子透露泌尿外科手术情况很困难。
联系了接受泌尿外科手术的5岁以下患者的父母进行电话调查。询问父母关于手术告知的未来计划、对告知的舒适度以及获得的任何支持。
98位父母同意参与研究。87%的手术涉及生殖器，其中62%为小生殖器手术（即包皮环切术）。70%的父母会告诉孩子小生殖器手术的情况，而84%的父母会告知大生殖器手术的情况（p = 0.07）。接受尿道下裂修复术（大生殖器手术）的20名儿童的父母中有4人不打算告诉孩子手术情况。所有接受非生殖器手术的儿童的父母都会告知。在所有计划告诉孩子手术情况的父母中，只有14%感到紧张。34%的父母认为在与孩子交谈时获得指导会有帮助，尽管大多数（90%）表示从未得到过指导。
父母似乎愿意与孩子讨论泌尿外科手术，但约三分之一的父母希望得到进一步的咨询。接受尿道下裂修复术的儿童的父母中有20%希望避免告诉孩子。
