Perioperative Information Needs of Parents of Patients With Special Health Care Needs: A Cross-Sectional Study.

Pediatric dentistry Pub Date : 2024-09-15
Caroline M Sawicki, Melissa Pielech, Spencer D Wade
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Abstract

Purpose: To assess existing knowledge of anesthesia and perioperative information needs/preferences in parents (parent, caregiver) of patients with special health care needs (SHCN) undergoing general anesthesia (GA) for dental procedures, and analyze the relations between caregiver anesthesia knowledge, health literacy level, and preoperative anxiety. Methods: Parents of patients with SHCN requiring GA for dental treatment completed an online survey with closed- and open-ended items assessing preferences and interest in perioperative information and educational resources, anesthesia knowledge, anxiety, and health literacy. Pearson product-moment correlation coefficients and descriptive statistics were used to summarize the findings. Results: Fifty-two parents completed the survey. Over two-thirds of the sample identified as having "high information" perioperative requirements, 42.3 percent of respondents exhibited elevated levels of perioperative anxiety, and 67.4 percent had adequate health literacy levels that were positively associated with anesthesia knowledge. Ratings of importance and interest in learning more about GA for dental treatment were high. Facilitating increased caregiver involvement before, during, and after surgery was the highest-rated resource format. Conclusions: Parents of patients with special health care needs are generally interested in receiving more information and resources about general anesthesia for dental treatment. Identified gaps in anesthesia knowledge and preferences for content and format of resources can be used to inform the development of tailored educational resources for families regarding perioperative management to ensure that parents have a complete understanding of their patients' anesthetic management and surgical care.

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有特殊健康护理需求患者家长的围手术期信息需求:一项横断面研究
目的:评估接受牙科手术全身麻醉(GA)的有特殊健康护理需求(SHCN)患者的父母(家长、护理者)对麻醉和围术期信息需求/偏好的现有知识,并分析护理者麻醉知识、健康素养水平和术前焦虑之间的关系。方法需要进行牙科治疗全身麻醉的特殊儿童患者的家长完成了一项在线调查,调查内容包括封闭式和开放式项目,评估对围术期信息和教育资源的偏好和兴趣、麻醉知识、焦虑和健康素养。采用皮尔逊积矩相关系数和描述性统计来总结调查结果。结果:52 位家长完成了调查。超过三分之二的样本认为围手术期的要求 "信息量大",42.3%的受访者表现出较高的围手术期焦虑水平,67.4%的受访者有足够的健康知识水平,这些水平与麻醉知识呈正相关。受访者对学习更多牙科治疗中的 GA 的重要性和兴趣的评分都很高。促进护理人员在术前、术中和术后更多参与是评分最高的资源形式。结论有特殊健康护理需求患者的家长普遍希望获得更多有关牙科治疗中全身麻醉的信息和资源。所发现的麻醉知识差距以及对资源内容和形式的偏好可用于为家属开发有关围手术期管理的定制教育资源,以确保家长对患者的麻醉管理和手术护理有全面的了解。
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