An interventional study of Picture book and Standard preoperative education in Hypospadias, Undescended Testis and Hydrocele, sponsored by Shaare Zedek Medical Center. Completed at 1 site in Israel. Open to participants aged 2 Months to 18 Years. Per ClinicalTrials.gov, last updated 2016-10-27.
Sponsored by Shaare Zedek Medical Center · Not applicable, Interventional, and Treatment
The aim of this study is checking impact of visual guidelines (picture book) and tutoring in pediatric urologic surgery
The number of operations in pediatric urology performed on the basis of one day surgery has been increased tremendously over the last years. The shortening of the hospital admission intends to increase the efficacy of the health system, however at the same time puts an additional burdening regarding the postoperative care on the parents of the operated children. The parents often have no or has little experience with regards to the basic medical education. The lack of the proper tutoring in terms of possible complications, normal postoperative period may cause unnecessary patients and parents anxiety, visit to the emergency room or calls to the medical stuff, and in some case delay medical attention which can cause major surgery related complications. Visual guidelines and tutoring of the patients upon surgery may avoid these undesirable effects of the early hospital discharge
Patients and methods:
The investigators are proposing prospective study of 3 groups of patients which undergo the most often urological surgery Group 1 penile surgery, Group 2 inguinal surgery. Group 3 renal surgery required nephrostomy tube leave or drainage. Each group will be divided into two subgroups (20 patients each) with and without visual tutoring prior to the surgery. Visual tutoring will include the photograph pictures reflecting different stage of the convalescent period following surgery. The parents will be asked to answer on questionnaire regarding the level of anxiety before surgery, immediately after surgery, week and 3-6 months after surgery. The number of parents calls to the hospital staff, emergency or outpatient clinic visit will be recorded and compared between two groups. The statistical analysis will performed utilizing Graph Pad Prism version 5.00 for Windows, (Graph Pad software, San Diego, California, chi square and Fisher test), considering p value of \<0.05 as significant).
123 studies on the registry are indexed under Hypospadias; 34 are open to participants now.
This study's enrollment of 120 is above the median of 70 across 97 interventional studies indexed under Hypospadias.
Browse Hypospadias studies →Shaare Zedek Medical Center is the lead sponsor of 195 studies on the registry; 19 are open to participants now.
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Exclusion Criteria:
arm with children undergoing urological procedures and their parents will receive standard preoperative education + pictures book with pictures of surgical wound in different stages of healing
Behavioral: Picture book
Arm with children undergoing urological procedures and their parents will receive only standard preoperative education
Behavioral: Standard preoperative education
Arm with showing and explaining for parents about perioperative typical surgery site/wound view by study's team
Arm with standard, verbal explaining for a parents about perioperative site/wound view
Level of parents anxiety
The following parameters will be compared between two groups: level of parents anxiety by questionnaire, numbers of parents calls to the hospital staff and non-planed visits to emergency department/outpatient clinic
Time frame: Thirty minutes before surgery
Level of parents anxiety
Measuring of parents anxiety in recovery room after surgery
Time frame: Fifteen minutes after surgery
Level of parents anxiety
Measuring of parents anxiety one week after surgery
Time frame: Week after surgery
Level of parents anxiety
Measuring of parents anxiety 3-6 weeks after surgery
Time frame: Three weeks after surgery
Numbers of parents non-planed calls/visits
We will note in two groups all non-planned calls/visits before surgery
Time frame: During a week before surgery
Numbers of parents non-planed calls/visits
We will note in two groups all non-planned calls/visits during 48 hours after surgery
Time frame: During 48 hours after surgery
Numbers of parents non-planed calls/visits
We will note in two groups all non-planned calls/visits one week after surgery
Time frame: 0ne week after surgery
Numbers of parents non-planed calls/visits
We will note in two groups of patients all non-planed calls/visits 3-6 weeks after surgery
Time frame: During 3-6 weeks after surgery
The record gives a start of Mar 2014, a primary completion of Feb 2015 and a completion of Jun 2016. It does not say whether these dates are actual or estimated.
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This study is completed, as verified in Nov 2013. You cannot join it, but the record below documents what was studied.
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