Assistant Professor, Department of Pediatric Dentistry and Dental Public Health, Adams School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.
Assistant Professor, Department of Psychiatry and Human Behavior, at Warren Alpert Medical School, and at Center for Alcohol and Addiction Studies, School of Public Health, Brown University, Providence, RI, USA.
Pediatr Dent. 2024 Sep 15;46(5):324-331.
To assess existing knowledge of anesthesia and perioperative information needs/preferences in parents (parent, caregiver) of patients with special health care needs (SHCN) undergoing general anesthesia (GA) for dental procedures, and analyze the relations between caregiver anesthesia knowledge, health literacy level, and preoperative anxiety. Parents of patients with SHCN requiring GA for dental treatment completed an online survey with closed- and open-ended items assessing preferences and interest in perioperative information and educational resources, anesthesia knowledge, anxiety, and health literacy. Pearson product-moment correlation coefficients and descriptive statistics were used to summarize the findings. Fifty-two parents completed the survey. Over two-thirds of the sample identified as having "high information" perioperative requirements, 42.3 percent of respondents exhibited elevated levels of perioperative anxiety, and 67.4 percent had adequate health literacy levels that were positively associated with anesthesia knowledge. Ratings of importance and interest in learning more about GA for dental treatment were high. Facilitating increased caregiver involvement before, during, and after surgery was the highest-rated resource format. Parents of patients with special health care needs are generally interested in receiving more information and resources about general anesthesia for dental treatment. Identified gaps in anesthesia knowledge and preferences for content and format of resources can be used to inform the development of tailored educational resources for families regarding perioperative management to ensure that parents have a complete understanding of their patients' anesthetic management and surgical care.
为了评估特殊医疗需求(SHCN)患者的父母(家长、照顾者)对接受全麻(GA)进行牙科治疗的患者的麻醉和围手术期信息需求/偏好的现有认知,并分析照顾者麻醉知识、健康素养水平和术前焦虑之间的关系。需要 GA 进行牙科治疗的 SHCN 患者的父母完成了一项在线调查,其中包含封闭式和开放式问题,评估了对围手术期信息和教育资源、麻醉知识、焦虑和健康素养的偏好和兴趣。使用皮尔逊积矩相关系数和描述性统计来总结研究结果。 52 名家长完成了调查。超过三分之二的样本表示对围手术期信息有“高需求”,42.3%的受访者表现出较高的围手术期焦虑水平,67.4%的受访者具有足够的健康素养水平,与麻醉知识呈正相关。对更多了解牙科 GA 的重要性和兴趣评分很高。增加手术前后照顾者的参与度被评为最高级别的资源形式。 特殊医疗需求患者的父母通常有兴趣获得更多关于牙科 GA 的信息和资源。确定麻醉知识和对资源内容和形式的偏好存在差距,可以用来为家庭制定围手术期管理方面的定制化教育资源,以确保父母对患者的麻醉管理和手术护理有全面的了解。