Patient Education Before Orthognathic Surgery
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Purpose
To evaluate the effectiveness in the use of an educational material through: Assessment of knowledge about post-operative orthognathic surgery; assessing levels of anxiety with the survey of Anxiety Inventory-STATE-TRAIT; clinical evaluation of self-care in the management of postoperative signs and symptoms
| Condition | Intervention |
|---|---|
|
Malocclusion Anxiety Micrognathism Prognathism |
Other: Booklet - Preoperative Educational |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Single Blind (Investigator) Primary Purpose: Health Services Research |
| Official Title: | Evaluation of an Educational Booklet for Perioperative Orthognathic Surgery: Randomized Clinical Trial. |
- Number of patients with clinical changes during the postoperative recovery [ Time Frame: The care of oral hygiene, nutrition, mobility and sensitivity, appearance of lips, swelling, pain and sleep will be assessed weekly in the first forty days postoperatively (seventh day, fourteenth day, twenty-first day and fortieth day after the surgery) ] [ Designated as safety issue: Yes ]A review of the patient's recovery after surgery will occur during follow-up visits with the surgeon. The patient will be accompanied by the researcher during the return and the data will be evaluated and investigated as annotated patient outcomes.
- Number of patients with better knowledge about the surgery [ Time Frame: A test with multiple choice questions about care after surgery. This will be delivered in the first contact with the patient before surgery and on the seventh day after surgery ] [ Designated as safety issue: Yes ]The patient's knowledge about the surgery will be assessed by a test developed by the researcher (multiple choice questions about care after surgery) on two occasions: first contact with the patient before surgery, signed a consent form before the start researcher educational intervention (during the preoperative phase). The second test will be given at the first follow-up visit with the surgeon (seventh postoperative day)
- Reducing levels of anxiety after educational intervention [ Time Frame: The inventory of state-trait anxiety will be applied in the first contact with the patient before surgery and on the seventh day after surgery ] [ Designated as safety issue: Yes ]The levels of anxiety during the perioperative period will be measured with the inventory of state-trait anxiety. The existing scale will be applied on two occasions: first contact with the patient before surgery, signed a consent form before the start researcher educational intervention (during the preoperative phase). The second test will be given at the first follow-up visit with the surgeon (seventh postoperative day)
| Estimated Enrollment: | 48 |
| Study Start Date: | February 2013 |
| Estimated Study Completion Date: | February 2015 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Booklet - Preoperative Educational
This group received the booklet in the preoperative consult, they will monitoring during the postoperative phase
|
Other: Booklet - Preoperative Educational
the patients receive a booklet during the preoperative phase. The educational session with a booklet will occur before the surgery.
|
|
No Intervention: Control
This group don't received booklet, they will be monitored during the postoperative period to control
|
Detailed Description:
It is a clinical randomized controlled trial being developed from February 2013 to December 2014, divided into two phases: a pilot study without randomization for impact testing and evaluation of intervention and, in the second time, the clinical randomized study with possible changes after the pilot study.
Will be entered in the study patients undergoing maxillofacial surgery originating at outpatient clinic located in the municipality of São Paulo. The study aims to evaluate the effects of educational material in postoperative education orthognathic surgery, with intervals between pre and postoperative serials.
Recruitment plan of patients: the patients seen in oral and maxillofacial surgery and traumatology clinic located in the municipality of São Paulo with indication for orthognathic surgery will be covered by personally and invited to participate in intervention research. To control the bias will be included in the study patients of the same surgical team, to ensure the same surgical technique and postoperative guidance conduct by the surgeon.
Study variables: it is intended to analyse the socio-demographic variables: sex, age, level of education; independent variables: surgical technique, recovery time, difficulties experienced during the postoperative period, possible surgical complications; dependent variables: signs and symptoms postoperatively (presence or absence) and monitoring of care during the postoperative period; level of knowledge about the post-op of orthognathic surgery and anxiety levels (State-trait anxiety inventory-IDATE).
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients undergoing orthognathic surgery during the study and with surgical technique:
- sagittal maxillary bilateral osteotomy;
- maxillary;
- vertical osteotomy;
- Lefort I osteotomy combined with or without mentoplastia and maxillary disjunction.
- Informed consent
- Patients in the maxillofacial outpatient clinic located at Sao Paulo
Exclusion Criteria:
- patients undergoing reoperation of orthognathic surgery;
- with cleft lip-palate.
Contacts and Locations| Contact: Cristina S Sousa, MsC | + 55 11 996017972 | crissousa@usp.br |
| Brazil | |
| Cristina Silva Sousa | Recruiting |
| Sao Paulo, Brazil, 04116020 | |
| Contact: Cristina S Sousa, MsC + 55 11 996017972 crissousa@usp.br | |
| Principal Investigator: Cristina S Sousa, MsC | |
| Sub-Investigator: Ruth Natalia T Turrini, PhD | |
| Principal Investigator: | Cristina S Sousa, MsC | University of Sao Paulo |
More Information
No publications provided
| Responsible Party: | Cristina Silva Sousa, Student PhD, University of Sao Paulo |
| ClinicalTrials.gov Identifier: | NCT01803204 History of Changes |
| Other Study ID Numbers: | 193.454 |
| Study First Received: | February 25, 2013 |
| Last Updated: | February 28, 2013 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by University of Sao Paulo:
|
Anxiety Orthognathic surgery Patient educational as topic Patient educational handout Pamphlets |
Additional relevant MeSH terms:
|
Tooth Diseases Anxiety Disorders Malocclusion Micrognathism Prognathism Mental Disorders Stomatognathic Diseases Jaw Abnormalities |
Jaw Diseases Musculoskeletal Diseases Maxillofacial Abnormalities Craniofacial Abnormalities Musculoskeletal Abnormalities Stomatognathic System Abnormalities Congenital Abnormalities Mandibular Diseases |
ClinicalTrials.gov processed this record on June 18, 2013