Chua Michael E, Ming Jessica M, Sauders Megan A, Fernandez Nicolas, Hannick Jessica H, Abu Awazayed Ibraheem, Odeh Rakan I, Bagli Darius J, Koyle Martin A, Farhat Walid A
Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada.
Division of Urology, The Hospital for Sick Children, Toronto, ON, Canada.
Urology. 2018 Feb;112:151-154. doi: 10.1016/j.urology.2017.10.001. Epub 2017 Oct 12.
To determine the effect of the postpenile surgery illustrated healing atlas on caregivers' anxiety levels pre- and postoperatively, the frequency of family's postoperative communication with the urology care team, and the number of unplanned emergency room (ER) return for wound checks.
A prospective cohort enrolled children who underwent penile surgeries (distal hypospadias repair and phalloplasty) with no concomitant procedures from December 2016 to June 2017. A 6-item short-form Spielberger State-Trait Anxiety Inventory (STAI) was used to determine baseline and postoperative anxiety levels of the caregivers. Two groups were created: caregivers who did not view the illustrated atlas vs caregivers who were shown the atlas. Baseline characteristics and demographics were compared, along with caregiver's pre- to postoperative anxiety level difference, frequency of postoperative communication, and number of unplanned ER return for wound checks.
Fifty-four patients were enrolled with 27 families in each group. Baseline characteristics and demographics were comparable with no significant differences. The assessment of the pre- to postoperative anxiety levels in both groups showed no significant differences (median difference -5 [interquartile range -8 to -5] vs -5 [interquartile range -8 to -4], P = .94). Although no differences were noted for ER-return rates between the groups (18% vs 11.1%, P = .704), significantly less postoperative calls and e-mails were noted among families who received or viewed the postpenile surgery illustrated healing atlas (51.9% vs 11.1%, P = .003).
The utilization of a postpenile surgery illustrated healing atlas as part of the postoperative support provided to families was able to decrease postoperative calls and e-mails.
确定阴茎手术后图示愈合图谱对护理人员术前和术后焦虑水平的影响、家庭术后与泌尿外科护理团队沟通的频率以及伤口检查计划外急诊室（ER）复诊的次数。
一项前瞻性队列研究纳入了2016年12月至2017年6月期间接受阴茎手术（远端尿道下裂修复和阴茎成形术）且无伴随手术的儿童。使用6项简版斯皮尔伯格状态-特质焦虑量表（STAI）来确定护理人员的基线和术后焦虑水平。创建了两组：未查看图示图谱的护理人员与查看了图谱的护理人员。比较了基线特征和人口统计学数据，以及护理人员术前至术后焦虑水平的差异、术后沟通频率和伤口检查计划外ER复诊的次数。
共纳入54例患者，每组27个家庭。基线特征和人口统计学数据具有可比性，无显著差异。两组术前至术后焦虑水平的评估无显著差异（中位数差异-5[四分位间距-8至-5] vs -5[四分位间距-8至-4]，P = 0.94）。虽然两组之间的ER复诊率没有差异（18% vs 11.1%，P = 0.704），但在接受或查看阴茎手术后图示愈合图谱的家庭中，术后电话和电子邮件明显更少（51.9% vs 11.1%，P = 0.003）。
将阴茎手术后图示愈合图谱作为向家庭提供的术后支持的一部分加以利用，能够减少术后电话和电子邮件。
