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
{"title":"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。","authors":"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","doi":"10.1016/j.jaapos.2024.103862","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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 (<em>P</em> = 0.001). More parents reported actively communicating with the child about surgery than clinicians estimated (<em>P</em> < 0.001). Parents showed a higher level of concern for general anesthesia and the hospital environment than clinicians thought they would (<em>P</em> = 0.002 and <em>P</em> < 0.001, resp.). In the postoperative follow-up items, parents showed high levels of concern regarding postoperative infection (<em>P</em> < 0.001), conjunctival redness (<em>P</em> = 0.040), persistent overcorrection (<em>P</em> < 0.001), and glasses wearing (<em>P</em> = 0.019).</p></div><div><h3>Conclusions</h3><p>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.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1091853124000909/pdfft?md5=97a8cf3d8062cd847fa13132441ec36d&pid=1-s2.0-S1091853124000909-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Parental perspectives and concerns regarding exotropia surgery and comparison with clinicians’ predictions\",\"authors\":\"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\",\"doi\":\"10.1016/j.jaapos.2024.103862\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>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.</p></div><div><h3>Methods</h3><p>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.</p></div><div><h3>Results</h3><p>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 (<em>P</em> = 0.001). More parents reported actively communicating with the child about surgery than clinicians estimated (<em>P</em> < 0.001). Parents showed a higher level of concern for general anesthesia and the hospital environment than clinicians thought they would (<em>P</em> = 0.002 and <em>P</em> < 0.001, resp.). In the postoperative follow-up items, parents showed high levels of concern regarding postoperative infection (<em>P</em> < 0.001), conjunctival redness (<em>P</em> = 0.040), persistent overcorrection (<em>P</em> < 0.001), and glasses wearing (<em>P</em> = 0.019).</p></div><div><h3>Conclusions</h3><p>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.</p></div>\",\"PeriodicalId\":50261,\"journal\":{\"name\":\"Journal of Aapos\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1091853124000909/pdfft?md5=97a8cf3d8062cd847fa13132441ec36d&pid=1-s2.0-S1091853124000909-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Aapos\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1091853124000909\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aapos","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1091853124000909","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Parental perspectives and concerns regarding exotropia surgery and comparison with clinicians’ predictions
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.
期刊介绍：
Journal of AAPOS presents expert information on children''s eye diseases and on strabismus as it affects all age groups. Major articles by leading experts in the field cover clinical and investigative studies, treatments, case reports, surgical techniques, descriptions of instrumentation, current concept reviews, and new diagnostic techniques. The Journal is the official publication of the American Association for Pediatric Ophthalmology and Strabismus.
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