Dudhani Shreyas, Kumar Bindey, Sinha Amit Kumar, Kumar Amit, Rashi Rashi, Shandilya Gaurav
Department of Pediatric Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.
J Indian Assoc Pediatr Surg. 2024 Nov-Dec;29(6):573-578. doi: 10.4103/jiaps.jiaps_58_24. Epub 2024 Nov 5.
Consent is never truly exercised in children as parents act as their proxy and often do not understand the advantages, disadvantages, risks, and benefits of the procedure. Their high anxiety state is mirrored in the child, leading to slower recovery. Hence, this study was designed to understand if an intervention can impact the effect of consent on parents' anxiety, satisfaction, and knowledge.
A two-arm, parallel design, randomized controlled trial was conducted from March 2020 to March 2022 to analyze the effect of an educational video in comparison to an informational leaflet in parents giving proxy consents for various listed pediatric surgical procedures.
Parents in the video group had a higher mean knowledge score (6.97 vs. 6.77, = 0.40), comparable satisfaction scores (27.45 vs. 27.58, = 0.88), and statistically insignificant difference between anxiety scores. We noted highest score of satisfaction (28.5/40) in the parents educated up to High School level or less. Knowledge scores were lowest in pelvic-ureteric junction obstruction (5.1/10) patients.
Our study done over a period of 2 years included a variety of diagnoses, and the videos and information leaflets were self-designed. It showed comparable anxiety, knowledge, or satisfaction in parents. Studies with more participants would be needed to take this research forward.
在儿童医疗中，由于父母作为其代理人，且往往不理解手术的利弊、风险和益处，所以儿童从未真正行使过同意权。父母的高度焦虑状态会反映在孩子身上，导致恢复较慢。因此，本研究旨在了解一种干预措施是否会影响同意过程对父母焦虑、满意度和知识水平的影响。
2020年3月至2022年3月进行了一项双臂平行设计的随机对照试验，以分析教育视频与信息传单相比，在父母为各种列出的儿科手术提供代理同意时的效果。
视频组父母的平均知识得分较高（6.97对6.77，P = 0.40），满意度得分相当（27.45对27.58，P = 0.88），焦虑得分之间的差异无统计学意义。我们注意到，接受高中及以下教育水平的父母满意度得分最高（28.5/40）。盆腔输尿管连接部梗阻患者的知识得分最低（5.1/10）。
我们在2年时间内进行的研究涵盖了多种诊断，视频和信息传单均为自行设计。研究表明，父母的焦虑、知识水平或满意度相当。需要更多参与者的研究来推进这项研究。
