Roy Catherine F, Turkdogan Sena, Nguyen Lily H P, McHugh Tobial, Daniel Sam J, Yeung Jeffrey C
Department of Otolaryngology-Head and Neck Surgery, McGill University Health Center, Montreal, Quebec, Canada.
Department of Pediatric Surgery, Montreal Children's Hospital, Montreal, Quebec, Canada.
Otolaryngol Head Neck Surg. 2025 Apr;172(4):1427-1434. doi: 10.1002/ohn.1126. Epub 2025 Jan 7.
Information technologies may enhance our traditional perioperative teaching by providing more comprehensive information beyond the clinical visit. This quality improvement study aims to assess whether the implementation of an animated surgical video improves caregiver satisfaction for children undergoing adenotonsillectomy.
Prospective, single-blinded randomized-controlled trial was conducted between March 1 and October 1, 2023.
Tertiary care academic pediatric hospital.
A consecutive series of patients and their primary caregivers were randomly allocated to either the control arm, in which they received traditional patient education, or the intervention arm, additionally gaining access to the multimedia platform summarizing the surgical pathway for an adenotonsillectomy. Outcomes included caregiver satisfaction using the Care Transitions Measures (CTM-15) questionnaire, resource utilization, and qualitative feedback analysis.
A total of 100 patients (50 in each arm) completed the postintervention questionnaires (mean age 5.2 ± 3.0 years, female:male: 9:10) after undergoing an adenoidectomy (N = 28), tonsillectomy (N = 3), or both (N = 69). CTM-15 scores were high in both groups, with no observed difference between the intervention and control groups 85.82 12.91 versus 85.41 16.21, respectively, P = .89). Unplanned postoperative visits were comparable between groups, however, caregivers in the intervention arm were less likely to call a medical professional on more than 1 occasion postoperatively (16% vs 2%, P = .042). Most caregivers within the intervention arm agreed that the animated platform was interesting (94%) and useful (98%).
Animated surgical guides are an alluring complementary modality to standard clinician-led teaching and may help reduce perioperative resource utilization.
信息技术可以通过提供临床问诊之外更全面的信息来提升我们传统的围手术期教学。这项质量改进研究旨在评估实施动画手术视频是否能提高接受腺样体扁桃体切除术儿童的照料者满意度。
于2023年3月1日至10月1日进行前瞻性、单盲随机对照试验。
三级医疗学术儿科医院。
将一系列连续的患者及其主要照料者随机分配至对照组（接受传统患者教育）或干预组（额外获得总结腺样体扁桃体切除手术路径的多媒体平台）。结果包括使用护理过渡措施（CTM - 15）问卷评估照料者满意度、资源利用情况以及定性反馈分析。
共有100名患者（每组50名）在接受腺样体切除术（N = 28）、扁桃体切除术（N = 3）或两者皆做（N = 69）后完成了干预后问卷（平均年龄5.2±3.0岁，女性：男性 = 9 : 10）。两组的CTM - 15评分都很高，干预组和对照组之间未观察到差异（分别为85.82±12.91和85.41±16.21，P = 0.89）。两组间术后非计划就诊情况相当，然而，干预组的照料者术后多次致电医疗专业人员的可能性较小（16%对2%，P = 0.042）。干预组中的大多数照料者认为动画平台有趣（94%）且有用（98%）。
动画手术指南是标准的临床医生主导教学的一种有吸引力的补充方式，可能有助于减少围手术期资源利用。
