Development and implementation of a photographic atlas for parental instruction and guidance after outpatient penile surgery
| Autor: | Rosemary Grant, Caleb P. Nelson, Ilina Rosoklija, Alan B. Retik |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
Parents medicine.medical_specialty Time Factors Urology Guidelines as Topic Atlases as Topic Atlas (anatomy) Photography medicine Humans Penile surgery Visual tool Postoperative Care Absolute number business.industry Infant Surgery medicine.anatomical_structure Ambulatory Surgical Procedures Circumcision Male Pediatrics Perinatology and Child Health Physical therapy business Follow-Up Studies Penis |
| Zdroj: | Journal of Pediatric Urology. 8:521-526 |
| ISSN: | 1477-5131 |
| DOI: | 10.1016/j.jpurol.2011.09.012 |
| Popis: | Objective To develop and evaluate a visual tool to assist parents in assessing healing after surgical circumcision or revision circumcision (SCRC). Methods Among children undergoing SCRC, photographs were taken on postoperative days 0-1-2-3-5-7-10-14-21, and compiled into an atlas. Atlas utility was assessed during two 1-month periods. During the first period (M1) families received routine postoperative instructions only; during the second period (M2), families received the atlas in addition to routine instructions. Families were surveyed by phone and calls/contacts were tracked. Results 33 families (among 83 SCRCs) were surveyed during M1, vs 39 families (among 77 SCRCs) during M2 (p = 0.17). Nearly all reported the atlas helpful (59% very helpful, 27% moderately helpful, 9% somewhat helpful). All but one family used the atlas. There was a trend toward families receiving the atlas being more comfortable (64% vs 82% very comfortable, p = 0.12). Survey scores were similar between M1 and M2 for total score, satisfaction, and the number whose expectations were met (58% vs 55%, p = 0.21). Phone contacts decreased between M1 and M2, both in absolute number (M1 = 24 calls vs M2 = 12 calls), and as a proportion of total cases performed (29% vs 16%, p = 0.04). Conclusions The circumcision atlas was well received by families and was associated with a significant decrease in post-surgical telephone calls. The atlas has been put into routine clinical use with excellent response. |
| Databáze: | OpenAIRE |
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