J Korean Ophthalmol Soc.  2018 Aug;59(8):703-710. 10.3341/jkos.2018.59.8.703.

Guardians' Perceptions of Pediatric Oculoplasty: Comparative Analysis in 2007 and 2017

Affiliations
  • 1Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. sonjh@ynu.ac.kr
  • 2Cheil Eye Hospital, Daegu, Korea.

Abstract

PURPOSE
With regard to the process by which the guardians of pediatric oculoplastic patients choose medical care, this study assessed whether their perceptions changed after the department name was changed to oculoplasty. The study involved a comparative analysis of changes in the perceptions between a 10-year period from 2007-2017, to assess whether the name change led to better medical service.
METHODS
Questionnaires, which were the same as those distributed in 2007, were distributed to the guardians of pediatric oculoplastic patients who were hospitalized for surgery for epiblepharon and ptosis. The results from 100 guardians who completed the survey were compared and analyzed with those collected in 2007.
RESULTS
The average age of respondents was 38.1 years, and most respondents were mothers. Most had become aware of the primary symptoms after medical examinations of infants and school eyesight tests. The ophthalmologist had the most direct effect on the decision for oculoplastic surgery. With regard to economic status, most respondents were middle-class. Most had a college degree or higher, which was significantly increased when compared with the educational levels in 2007.
CONCLUSIONS
Overall, guardians' perceptions had improved due to continuous education about oculoplasty, including notification of the name change to the Department of Oculoplasty, but it is necessary to continue efforts, such as providing professional information and medical consultations, to encourage patients to make the right decisions when selecting medical care.

Keyword

Guardians' perceptions; Pediatric oculoplasty; Questionnaire

MeSH Terms

Education
Humans
Infant
Mothers
Referral and Consultation
Surveys and Questionnaires

Figure

  • Figure 1 Distribution of respondent in quastionnaire. Question is ‘observers who found the symptoms’. VA = visual acuity.

  • Figure 2 Distribution of respondent in quastionnaire. Question is ‘who had the greatest influence on the operation decision’.

  • Figure 3 Distribution of respondent in quastionnaire. Question is ‘the reasons for operation’.

  • Figure 4 Distribution of respondent in quastionnaire. Question is ‘main informative sources for operation’.

  • Figure 5 Distribution of respondent in quastionnaire. Question is ‘perception of the existence of Oculoplasty department’.

  • Figure 6 Distribution of respondent in quastionnaire. Question is ‘awareness of both plastic surgery and oculoplasty department on operation’.

  • Figure 7 Distribution of respondent in quastionnaire. Question is ‘the reason why guardians chose oculoplasty even though they already knew both oculoplasty and plastic surgery can perform operation’.

  • Figure 8 Distribution of respondent in quastionnaire. Question is ‘academic background of guardians of pediatric oculoplastic patients’.

  • Figure 9 Correlation between the academic background of education of guardians and the perception level of oculoplastic clinic at the department of ophthalmology (p = 0.383). Percentage of perception level in each categories of educational background.

  • Figure 10 Correlation between the academic background of education of guardians and perception level that oculoplastic surgery can be done at both eye clinic and a plastic surgery clinic (p = 0.609). Percentage of perception level in each categories of educational background.

  • Figure 11 Distribution of respondent in quastionnaire. Question is ‘economic status of guardians of pediatric oculoplastic patients’.

  • Figure 12 Correlation between the economic status of guardians and perception level of oculoplastic clinic at the department of ophthalmology (p = 0.425). Percentage of perception level in each categories of economic states.

  • Figure 13 Correlation between the economic status of guardians and perception level that oculoplastic surgery can be done at both eye clinic and a plastic surgery clinic (p = 0.208). Percentage of perception level in each categories of economic states.

  • Figure 14 Correlation between the way of introduced university hospital and perception level of oculoplastic clinic at the department of ophthalmology (p = 0.783). Percentage of perception level in each categories of the ways that introduced patients to universty hostpital.

  • Figure 15 Correlation between the way of introduced university hospital and perception level that oculoplastic surgery can be done at both eye clinic and a plastic surgery clinic (p = 0.711). Percentage of perception level in each categories of the ways that introduced patients to universty hostpital.


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