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Int J Pediatr Otorhinolaryngol ; 122: 6-11, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30921630

RESUMO

INTRODUCTION: Over 14,000 tonsillectomies are performed in Ontario annually. Challenges with home postoperative care frequently lead to Emergency Department (ED) visits. A 2013 Ontario Pediatric Health Council recommended the integration of patient education into tonsillectomy care. Understanding the existing educational services is fundamental to optimally implementing such programs into clinical settings. METHODS: Systematic review of the Ovid Medline, Cochrane, CINAHL and EMBASE Classic databases were conducted using PRISMA guidelines. RESULTS: Our search identified 335 articles. Final inclusion consisted of 10 studies. These studies included eight pre-operative booklets, one smartphone app, three text-message programs, one video program, one internet resource, and three caregiver programs. Most resources improved post-tonsillectomy ED visits, patient anxiety and pain management, while others had no effect on these factors. CONCLUSIONS: There is mixed data regarding the efficacy of pre-tonsillectomy education programs on perioperative outcomes. Further research is required to better understand the utility of such programs and their implementation into healthcare settings.


Assuntos
Pais/educação , Educação de Pacientes como Assunto , Autocuidado , Tonsilectomia , Ansiedade/etiologia , Ansiedade/prevenção & controle , Criança , Humanos , Dor Pós-Operatória/terapia , Educação de Pacientes como Assunto/métodos , Período Pós-Operatório , Tonsilectomia/efeitos adversos , Tonsilectomia/psicologia
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