Platto Jody F, Maarouf Melody, Hendricks Aleksi, Kurtzman Drew Jb, Shi Vivian Y
Division of Dermatology, Department of Medicine, University of Arizona, Tucson, Arizona.
Dermatol Online J. 2019 Mar 15;25(3):13030/qt5f51t2xf.
Pre-operative anxiety is common in patients undergoing dermatologic surgery. This pilot study aimed to evaluate whether the addition of an animated educational video to conventional in-person surgery consultation helps to reduce pre-operative anxiety related to anesthesia, surgery, wound care, and post-operative pain in patients undergoing outpatient dermatologic surgery. Patients awaiting dermatologic surgery were randomized into groups with conventional consultation, or video with consultation prior to undergoing their procedure. The conventional consultation group received conventional consultation with the surgeon, whereas the video with consultation group received conventional consultation and a two-minute-long animated educational video. Intra- and inter-individual score differences were assessed based on baseline and subsequent surveys. Although not statistically significant, video with consultation group anxiety scores were lower than conventional consultation group across all categories. After crossing over, conventional consultation group patients reported statistically significant improvement in anxiety related to all areas except wound care, in which anxiety did not change significantly, although a trend toward reduced anxiety was seen. Animated educational videos during surgical consultation can reduce pre-operative anxiety related to anesthesia, surgery, and post-operative pain. Future studies should explore its benefit to clinical outcomes and overall surgical experience.
术前焦虑在接受皮肤科手术的患者中很常见。这项初步研究旨在评估在传统的面对面手术咨询中增加一段动画教育视频是否有助于减轻门诊皮肤科手术患者与麻醉、手术、伤口护理及术后疼痛相关的术前焦虑。等待皮肤科手术的患者被随机分为接受传统咨询的组或在手术前接受视频加咨询的组。传统咨询组接受外科医生的传统咨询，而视频加咨询组接受传统咨询和一段两分钟长的动画教育视频。根据基线调查和后续调查评估个体内和个体间的得分差异。尽管无统计学意义，但视频加咨询组在所有类别中的焦虑评分均低于传统咨询组。在交叉后，传统咨询组患者报告称，除伤口护理外，所有领域的焦虑均有统计学意义的改善，伤口护理方面焦虑虽无显著变化，但有焦虑减轻的趋势。手术咨询期间的动画教育视频可减轻与麻醉、手术及术后疼痛相关的术前焦虑。未来的研究应探索其对临床结局和整体手术体验的益处。
