信息视频对家长选择扁桃体切除术式的影响
Impact of an Informational Video on Parental Choice of Tonsillectomy Technique.
文献信息
| PMID | 42891039 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Amanda G Baanante |
| 作者单位 | Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo Buffalo New York USA. |
| 期刊 | OTO open |
| SCI 分区 | Q2 |
| IF | 1.7 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
目的： 评估在儿童耳鼻咽喉科门诊中，使用教育视频解释囊内与囊外扁桃体切除术的差异及其各自的风险和获益，是否会影响家长的决策。
方法： 2024年7月，在儿童耳鼻咽喉科门诊的诊室内张贴带有快速响应（QR）码的传单，该二维码链接至解释囊内与囊外扁桃体切除术式及相关并发症的视频。鼓励家长观看该视频。收集2024年5月至2025年1月期间实施的扁桃体切除术的数据，包括门诊就诊日期、患者年龄和性别、就诊时的家长、扁桃体切除术的指征以及所选术式。
结果： 在214例患者中，133例（62%）在传单张贴前就诊，81例（38%）在张贴后就诊。张贴前，仅24例（18%）选择囊内扁桃体切除术，而张贴后有34例（42%）选择该术式（P < .001）。阻塞性睡眠呼吸暂停（OSA）或睡眠呼吸障碍（SDB）是最常见的手术指征（N = 200，94%）。患者年龄和性别、就诊时的家长以及手术指征与所选术式无显著关联。
讨论： 这些发现提示教育干预可影响家长对扁桃体切除术式的偏好。提供易于获取且易于理解的信息可能有助于更明智的决策，并可能改善手术结局和家长满意度。
实践意义： 将简明的教育工具整合到门诊就诊中，为加强沟通和让家庭参与共同手术决策提供了一种实用方法。这些干预措施还可能使信息传递标准化，并减少不同提供者之间呈现选项方式的差异。
英文摘要
OBJECTIVE: To evaluate whether the use of an educational video explaining the differences between intracapsular and extracapsular tonsillectomy, as well as their respective risks and benefits, influences parental decision-making in a pediatric otolaryngology clinic.
METHODS: Flyers with a quick response (QR) code linking to a video that explained intracapsular versus extracapsular tonsillectomy techniques and associated complications were posted in exam rooms of a pediatric otolaryngology clinic in July 2024. Parents were encouraged to view the video. Data were collected for tonsillectomies performed between May 2024 and January 2025, including clinic visit date, patient age and gender, parent at the visit, indication for tonsillectomy, and procedure chosen.
RESULTS: Of 214 patients, 133 (62%) had clinic visits before flyers were posted and 81 (38%) after. Before the flyers, only 24 (18%) chose intracapsular tonsillectomy, compared to 34 (42%) afterward (P < .001). Obstructive sleep apnea (OSA) or sleep disordered breathing (SDB) were the most common surgical indications (N = 200, 94%). Patient age and gender, parent at visit, and surgical indication were not significantly associated with the procedure chosen.
DISCUSSION: These findings suggest educational interventions can influence parental preference for tonsillectomy type. Providing accessible, comprehensible information may support more informed decision-making, potentially improving surgical outcomes and parent satisfaction.
IMPLICATIONS FOR PRACTICE: Integrating concise educational tools into clinic visits offers a practical way to enhance communication and engage families in shared surgical decision-making. These interventions may also standardize information delivery and reduce variability in how options are presented across providers.