腰椎穿刺教育视频对家长知识及自我报告的预期行为的影响。
Effect of lumbar puncture educational video on parental knowledge and self-reported intended practice.
作者信息
Temsah Mohamad-Hani, Al-Eyadhy Ayman, Alsohime Fahad, Alhasan Khalid A, Bashiri Fahad A, Salleeh Hashim Bin, Hasan Gamal M, Alhaboob Ali, Al-Sabei Narjes, Al-Wehaibi Abdullah, Temsah Omar, Somily Ali M, Al-Zamil Fahad
机构信息
College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
出版信息
Int J Pediatr Adolesc Med. 2021 Jun;8(2):112-116. doi: 10.1016/j.ijpam.2020.11.003. Epub 2020 Nov 19.
BACKGROUND
Lumbar puncture (LP) remains an essential diagnostic procedure for neurological and infectious diseases. However, it remains a source of anxiety to patients and families. This research aimed to assess the impact of a newly developed educational simplified video about LP, in the parents' native language, that is tailored to their social background and beliefs and to assess whether it can facilitate their consent for the procedure.
METHODS
This prospective, interventional study was conducted at the outpatient pediatric clinics at a teaching hospital. The conventional arm used verbal explanation about LP. The second method utilized a standardized video, having the same information as the conventional arm, with streaming of graphic depictions. Parents' knowledge and perceived LP risks were measured before and after the intervention.
RESULTS
Two hundred and one parents were enrolled, with no significant differences in the socio-demographic and baseline characteristics. Both verbal and video-based counseling were found to provide a statistically significant increase in knowledge scores, and a Wilcoxon signed-rank test showed that knowledge gains for both groups were statistically significant (Verbal Explanation: W = 2693, n = 83, < .001 and Video: W = 5538, n = 117, < .001). However, the conventional verbal counseling resulted in more consistent gain of knowledge (SD = 14.5) as compared to the video group (SD = 18.94). The video group reported higher perceived risk (Mean 8.2, SD 3.59) than the verbal explanation group (Mean 7.12, SD 2.51). The less educated parents perceived LP procedure to be of significantly higher risk after watching the video ( < .001). It was found that 73.6% of persons with perceived intention to refuse LP changed their opinion after either of the counseling interventions, with significant opinion difference pre- and post-counseling intervention ( value .002).
CONCLUSIONS
Video education in parents' native language about LP is as effective as conventional verbal education for informed consent, with the additional advantage of reproducibility and more illustrations to give parents better insight. However, this video should be followed by direct interaction with parents to ensure their full understanding and address any further concerns.
背景
腰椎穿刺（LP）仍然是诊断神经系统疾病和传染病的重要程序。然而，它仍然是患者及其家属焦虑的来源。本研究旨在评估一个新开发的、以父母母语制作的、根据他们的社会背景和信仰量身定制的关于LP的简化教育视频的影响，并评估它是否能促进他们对该程序的同意。
方法
这项前瞻性干预研究在一家教学医院的门诊儿科诊所进行。传统组采用关于LP的口头解释。第二种方法使用标准化视频，其包含与传统组相同的信息，并配有图形描绘。在干预前后测量父母的知识水平和对LP风险的认知。
结果
招募了201名父母，他们在社会人口统计学和基线特征方面没有显著差异。发现口头和基于视频的咨询都使知识得分在统计学上有显著提高，Wilcoxon符号秩检验表明两组的知识增长在统计学上都有显著意义（口头解释：W = 2693，n = 83，P <.001；视频：W = 5538，n = 117，P <.001）。然而，与视频组（标准差 = 18.94）相比，传统的口头咨询导致知识增长更一致（标准差 = 14.5）。视频组报告的感知风险（平均值8.2，标准差3.59）高于口头解释组（平均值7.12，标准差2.51）。受教育程度较低的父母在观看视频后认为LP程序的风险显著更高（P <.001）。发现73.6%有拒绝LP意向的人在任何一种咨询干预后改变了他们的意见，咨询干预前后意见有显著差异（P值.002）。
结论
以父母母语进行的关于LP的视频教育在知情同意方面与传统的口头教育一样有效，具有可重复性和更多插图的额外优势，能让父母有更好的理解。然而，在播放此视频后应与父母进行直接互动，以确保他们完全理解并解决任何进一步的担忧。
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