Parental perspectives and concerns regarding exotropia surgery and comparison with clinicians’ predictions

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Seongyong Jeong MD , So Young Han MD , Sunghyuk Moon MD , Donghun Lee MD , Sook Young Kim MD , Mirae Kim MD , Jihyun Park MD , Myung Mi Kim MD , Won Jae Kim MD
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引用次数: 0

Abstract

Purpose

To evaluate parental perspectives and concerns regarding exotropia surgery and compare them with clinicians’ predictions of parental responses in Korean pediatric patients with intermittent exotropia.

Methods

This survey study included the parents of pediatric patients with intermittent exotropia who underwent surgery and clinicians at five hospitals from June 2022 to February 2023, who participated in the Survey of Parental Attitude and Concerns of Exotropia surgery (SPACE) study 1. Parental attitudes and concern about exotropia surgery were assessed using a questionnaire. Clinicians’ estimation of each item corresponding to the parental questionnaire was also assessed and compared with parental responses.

Results

A total of 266 parents and 41 clinicians were included. More parents responded that information about surgery was most helpful or most commonly received from clinicians than clinicians estimated (P = 0.001). More parents reported actively communicating with the child about surgery than clinicians estimated (P < 0.001). Parents showed a higher level of concern for general anesthesia and the hospital environment than clinicians thought they would (P = 0.002 and P < 0.001, resp.). In the postoperative follow-up items, parents showed high levels of concern regarding postoperative infection (P < 0.001), conjunctival redness (P = 0.040), persistent overcorrection (P < 0.001), and glasses wearing (P = 0.019).

Conclusions

Parental perspectives and concerns regarding pediatric intermittent exotropia surgery differed from clinicians’ estimations thereof. More parents obtain information on exotropia surgery from clinicians and actively talk about surgery with their child than estimated by clinicians. Parents had a higher level of concern regarding general anesthesia, hospital environment, postoperative infection, conjunctival redness, persistent overcorrection, and glasses wearing compared with clinician estimations.

家长对外斜手术的看法和担忧以及与临床医生预测的比较。
目的:评估韩国间歇性外斜儿科患者家长对外斜手术的看法和担忧,并将其与临床医生对家长反应的预测进行比较:这项调查研究的对象包括2022年6月至2023年2月期间接受手术治疗的间歇性外斜儿科患者的家长和5家医院的临床医生,他们都参加了外斜视手术家长态度和关注点调查(SPACE)研究1。我们通过问卷调查的方式评估了家长对外斜手术的态度和担忧。同时还评估了临床医生对家长问卷中每个项目的估计,并与家长的回答进行了比较:结果:共有266名家长和41名临床医生参与了问卷调查。认为临床医生提供的手术信息最有帮助或最常见的家长人数多于临床医生的估计人数(P = 0.001)。与临床医生的估计相比,有更多的家长表示会积极与孩子沟通手术事宜(P < 0.001)。家长对全身麻醉和医院环境的关注程度高于临床医生的估计(P = 0.002 和 P < 0.001)。在术后随访项目中,家长对术后感染(P < 0.001)、结膜发红(P = 0.040)、持续过度矫正(P < 0.001)和戴眼镜(P = 0.019)表现出高度关注:结论:家长对小儿间歇性外斜手术的看法和担忧与临床医生的估计不同。与临床医生的估计相比,更多的家长从临床医生那里获得了有关外斜手术的信息,并积极与孩子讨论手术问题。与临床医生的估计相比,家长对全身麻醉、医院环境、术后感染、结膜发红、持续过度矫正和佩戴眼镜的关注程度更高。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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