Health education before pediatric day surgery should be moved forward
Preoperative health education is an important link to improve perioperative nursing quality by integrating medical, biological, psychological and social knowledge[8], and its effect and quality are one of the important factors determining surgical safety. On the day of admission, patients have only a short preparation time before surgery, the large amount of information transmitted by the surgeon, anesthesiologist, operating room nurse and day ward nurse will exceed the short-term memory capacity of parents, whose children undergoing day surgery, and also will reduce the effect of health education. In this study, parents' demand for health education ranked first when they made an appointment for day surgery. Education at this time can help parents have better operation cognition and psychological preparation, and reduce the no-show rate of day surgery, preoperative anxiety and postoperative complications[9]. Therefore, health education before pediatric day surgery should be moved forward, which can be moved forward to the appointment of day surgery, so as to increase the digestion time of parents about day surgery related knowledge, and relieve their tension and anxiety[10].
The content of preoperative health education for pediatric day surgery should be based on the needs of caregivers of children.
Day surgery is different from in-patient surgery. The hospitalization time of day surgery is short. Compared with in-patient surgery patients, patients with day surgery receive less direct medical care[11]. Patients and their caregivers need to undertake most of the preoperative preparation work completed by nurses. Therefore, preoperative health education should be targeted based on the needs of caregivers of children. In this study, the content of health education that parents want most before operation is the admission procedure, followed by the precautions before day surgery, which are also the contents that easily overlooked by nurses in the implementation of health education. Therefore, based on the needs of caregivers of children, constantly updating and optimizing the preoperative health education content of day surgery can ensure the smooth development of day surgery, reduce the temporary cancellation rate of day surgery and reduce the waste of manpower, material resources and time.
The ways of health education for pediatric day surgery should be diversified, mainly video health education, combined with health education manuals and nurses' explanations.
Many people can only remember 50% of the information they just listened to. For the character content sent by SMS, it needs further processing by the brain, and the information output efficiency is low and it is not easy to get feedback. Video contains images and audio, which can express what video producers want to express or present in the way that is closest to people's understanding of the surrounding environment at the beginning. The biggest feature and advantage of video in communication mode is directness and high efficiency. In this study, the way of health education by video ranks first, which shows that the video education mode is easy to be accepted by people. In the health education of pediatric day surgery, video education should be given priority to, combined with the health education manual and nurse's explanation[12], so that preoperative education can be smoothly and efficiently carried out. In the research of Lu Chaorong[13], Zhu Zhangling[14], it is also considered that the video education mode is superior to the traditional preoperative education mode.
The push mode of health education content of pediatric day surgery should be convenient and easy to obtain, and patients can watch and give feedback anytime, anywhere.
This survey shows that parents of children tend to use WeChat official account as the first choice for health education. WeChat is a convenient and accessible platform, and patients can receive health education anytime and anywhere by watching the push content of WeChat official account. The latest data of WeChat shows that every day, 1.09 billion users open WeChat, 780 million users enter the circle of friends and 360 million users read WeChat official account's articles. WeChat has become a "lifestyle" for people. People have taken WeChat official account as one of the main ways to get information[15]. The preoperative health education of pediatric day surgery should not be left behind in this new media wave. We should take WeChat official account and WeChat video number as the platform of health education, and strive to build a brand of pediatric day surgery health education service.