Srivastava T, Betts G, Rosenberg A R, Kainer G
Department of Nephrology, Sydney Children's Hospital, Randwick, Sydney, New South Wales, Australia.
J Paediatr Child Health. 2001 Jun;37(3):271-3. doi: 10.1046/j.1440-1754.2001.00663.x.
To investigate whether parents' expectations of their child's fear, distress or pain during a micturating cystourethrogram (MCU) are realized.
Prospective study in which parents were asked to fill out two questionnaires using a visual analogue scale, one before (pre) and the other after the MCU procedure (post), was conducted at a tertiary level paediatric hospital in Sydney, Australia. The questionnaires were designed to compare the parents' anticipated and experienced anxiety about their child's procedure and their perception of fear, distress and pain in their child during and after the procedure. The parents' satisfaction with information provided to them on the procedure was also recorded. Twenty-five parents participated in the study.
There were significant differences between anticipated and experienced parental anxiety. Parents' reporting of fear, distress and pain in their child during the MCU and after the procedure was lower than they had anticipated. There was a significant correlation between the parents' anxiety and their perception of severity of their child's fear (r = 0.52, P = 0.009), distress (r = 0.48, P = 0.017) and pain (r = 0.50, P = 0.01) during the procedure, but less so with the child's distress after the procedure (r = 0.39, P = 0.059). The parents were satisfied with the information given to them regarding the MCU procedure.
Parents' perception of their child's fear, distress and pain during the MCU, as well as distress following the MCU, was not as severe as they had anticipated. Parental anxiety is an important factor in the perception of fear, distress and pain in children during and after the procedure.
调查父母对孩子在排尿性膀胱尿道造影（MCU）过程中的恐惧、痛苦或疼痛的预期是否与实际情况相符。
在澳大利亚悉尼一家三级儿科医院进行了一项前瞻性研究，要求父母使用视觉模拟量表填写两份问卷，一份在MCU检查前（术前），另一份在MCU检查后（术后）。问卷旨在比较父母对孩子检查的预期焦虑和实际经历的焦虑，以及他们对孩子在检查期间和检查后恐惧、痛苦和疼痛的感知。还记录了父母对所提供的有关该检查信息的满意度。25名父母参与了该研究。
父母预期的焦虑与实际经历的焦虑之间存在显著差异。父母报告孩子在MCU检查期间及检查后的恐惧、痛苦和疼痛程度低于他们的预期。父母的焦虑与他们对孩子在检查期间恐惧（r = 0.52，P = 0.009）、痛苦（r = 0.48，P = 0.017）和疼痛（r = 0.50，P = 0.01）严重程度的感知之间存在显著相关性，但与孩子检查后痛苦的相关性较低（r = 0.39，P = 0.059）。父母对所提供的有关MCU检查的信息感到满意。
父母对孩子在MCU检查期间的恐惧、痛苦和疼痛以及检查后的痛苦的感知不如他们预期的严重。父母的焦虑是孩子在检查期间和检查后恐惧、痛苦和疼痛感知的一个重要因素。
