Zuwala R, Barber K R
Hurley Medical Center, Flint, Mich., USA.
AANA J. 2001 Feb;69(1):21-5.
Fear and anxiety in a child undergoing surgery are correlated positively with the parent's level of anxiety, and interventions to decrease the parent's anxiety are appropriate. The purpose of this study was to determine whether viewing a video of an actual pediatric inhalation induction would reduce the level of parental anxiety. Eighty patients requiring an inhalation anesthetic induction were selected and randomized to 2 groups. Parents in the experimental group (group 1; n = 40) viewed a video demonstrating pediatric mask induction. Parents in the control group (group 2; n = 40) received an information pamphlet only. Anxiety was measured perioperatively in the parents and their children. Mean arterial pressure for children in group 1 was significantly lower during preoperative holding and following induction (P < .05). The level of anxiety postoperatively of children and parents in group 1 was significantly lower than that of children and parents in group 2 (P < .05). Viewing a preoperative video seems to be beneficial. Decreasing the parent's level of anxiety preoperatively may have a positive effect on the child's level of anxiety expressed postoperatively.
接受手术的儿童的恐惧和焦虑与父母的焦虑水平呈正相关，因此采取干预措施降低父母的焦虑是合适的。本研究的目的是确定观看一段实际的小儿吸入诱导视频是否会降低父母的焦虑水平。选择80例需要进行吸入麻醉诱导的患者并随机分为两组。实验组（第1组；n = 40）的父母观看了一段演示小儿面罩诱导的视频。对照组（第2组；n = 40）的父母仅收到一份信息手册。在围手术期对父母及其子女的焦虑进行了测量。第1组儿童在术前等待期和诱导后平均动脉压显著较低（P < 0.05）。第1组儿童和父母术后的焦虑水平显著低于第2组儿童和父母（P < 0.05）。观看术前视频似乎有益。术前降低父母的焦虑水平可能对术后儿童表现出的焦虑水平产生积极影响。
