Paton Elizabeth A, Davis Sharon K, Gaylord Nan, Cao Xueyuan, Gosain Ankush
Department of Acute and Tertiary Care, College of Nursing, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, 49 North Dunlap, 2nd Floor, Memphis, TN, 38105, USA.
College of Nursing, University of Tennessee, Room 241, 1200 Volunteer Blvd, Knoxville, TN, 37996, USA.
Pediatr Surg Int. 2018 Dec;34(12):1345-1352. doi: 10.1007/s00383-018-4352-z. Epub 2018 Sep 25.
Before performing a surgical procedure, informed consent (IC) is obtained. Parents may exhibit anxiety and/or a desire for more knowledge during the IC process for their child. The purpose of this study was to measure the impact of a multimedia intervention (MMI) versus conventional discussion on parental understanding and anxiety during the IC process for infants undergoing surgery for hypertrophic pyloric stenosis.
A time-interrupted series design was employed over a 9-month period. In the first phase, conventional discussion for IC was performed. In the second phase, a MMI was utilized. In both phases, anxiety scores and post-consent knowledge tests were collected.
31 participants were included in the study, 17 in the conventional consent and 14 in the MMI phase. Parental anxiety around the IC discussion was measured. There was a significant decrease in anxiety noted with use of the MMI (p = 0.046) but no significant difference in knowledge (p = 0.84).
The MMI significantly reduced parental anxiety during the IC process. Providers may consider applying this type of MMI to other surgical procedures. Securing IC in a manner that improves knowledge and decreases anxiety may improve long-term understanding and parental satisfaction with the health care process.
在进行外科手术前，需获得知情同意（IC）。在为孩子获取知情同意的过程中，家长可能会表现出焦虑和/或希望了解更多信息。本研究的目的是衡量多媒体干预（MMI）与传统讨论相比，对肥厚性幽门狭窄手术患儿家长在知情同意过程中的理解和焦虑的影响。
采用时间中断序列设计，为期9个月。在第一阶段，进行传统的知情同意讨论。在第二阶段，采用多媒体干预。在两个阶段中，均收集焦虑评分和同意后知识测试结果。
31名参与者纳入研究，17名参与传统同意阶段，14名参与多媒体干预阶段。测量了家长在知情同意讨论中的焦虑程度。使用多媒体干预后焦虑显著降低（p = 0.046），但知识方面无显著差异（p = 0.84）。
多媒体干预在知情同意过程中显著降低了家长的焦虑。医疗服务提供者可考虑将这种多媒体干预应用于其他外科手术。以提高知识水平并减轻焦虑的方式获得知情同意，可能会改善家长对医疗过程的长期理解和满意度。
