首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >B.07 An educational video improves consent in pediatric lumbar puncture: a randomized control trial
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B.07 An educational video improves consent in pediatric lumbar puncture: a randomized control trial

机译:B.07教育视频提高了儿科腰椎穿刺的同意:随机对照试验

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Background: Lumbar puncture (LP) is a low-risk procedure performed on pediatric patients for a variety of indications. There are no published studies of the nature of the concerns of parents in North America, and no studies examining a process to improve pediatric lumbar puncture consent. Methods: 72 patient-parent dyads were enrolled in a randomized control trial to receive standard consent with or without an educational video. A survey was provided to determine parent self-rated understanding of the procedure, their perception of its safety, their perception of the painfulness and their overall comfort with their child undergoing LP. In addition, demographic characteristics and qualitative information about parent concerns were collected. Results: Viewing the video significantly increased parent understanding of the procedure (p=0.015) and their perception of its safety (p=0.021) compared to controls. Parent comfort with the procedure increased after viewing the video (p = 0.002). Variability of answers was reduced in the video group (p = 0.03). Parents’ top three concerns were pain, infection, and neurologic injury. Conclusions: Pediatric lumbar puncture consent can be significantly improved with a short educational video to address the parental concerns and standardize consent.
机译:背景:腰椎穿刺(LP)是对儿科患者进行各种适应症的低风险程序。没有公布关于北美父母关切的本质的研究,并没有研究审查改善小儿腰椎穿刺同意的过程。方法:72例患者亲本二元在随机对照试验中注册,以获得有或没有教育视频的标准同意。提供了一项调查,以确定父母自我评价的程序的理解,他们对其安全性的看法,他们对疼痛的看法以及与他们的孩子接受过LP的痛苦和整体舒适度。此外,收集了有关家长问题的人口特征和定性信息。结果:查看视频显着提高了对程序的父母理解(P = 0.015),与对照相比,它们对其安全性(P = 0.021)的看法。观看视频后,父舒适度增加(p = 0.002)。视频组中答案的变化降低了(P = 0.03)。父母的三大问题是疼痛,感染和神经系统损伤。结论:通过短的教育视频可以显着改善儿科腰椎穿刺同意,以解决父母的关注和标准化同意。

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