Felder-Puig Rosemarie, Maksys Anna, Noestlinger Christiane, Gadner Helmut, Stark Herbert, Pfluegler Angela, Topf Reinhard
St. Anna Children's Hospital, Kinderspitalgasse 6, A-1090 Vienna, Austria.
Int J Pediatr Otorhinolaryngol. 2003 Jan;67(1):35-41. doi: 10.1016/s0165-5876(02)00359-2.
We evaluated the effects of surgery preparation using a children's book on pre- and postoperative anxiety and distress in 2-10 years old children undergoing tonsillectomy and/or adenoidectomy and their mothers.
Parents of the experimental group were given the preparation book during the preoperative visit at the hospital, whilst control subjects did not receive the book. Data collection was conducted on the evening prior to surgery (T1), and the evening post surgery (T2). At these two points in time, mothers completed a self-designed feeling states checklist and the state anxiety scale of the State and Trait Anxiety Inventory to assess their perceptions of the child's distress and their own level of anxiety. At T2, nurses were asked to give ratings of patient-caregiver variables, such as level of anxiety, cooperation with care or level of information. The sample under study consisted of 160 mother/child dyads in the experimental group and 240 controls.
We found that mothers who received the book exhibited less self-reported state anxiety prior to the operation compared to mothers who did not. Simultaneously, children of the experimental group showed less distress in 4 of 11 feeling states. Nurses assessed the mothers of the experimental group to participate more in the child's care than control mothers.
The results demonstrated that our preparation book can provide educational and anxiety-reducing benefits. Given the relatively low production costs and its easy administration, it can be recommended as a popular, practical and cost-efficient tool to prepare children and parents for surgery and hospitalization.
我们评估了使用一本儿童读物进行手术准备对2至10岁接受扁桃体切除术和/或腺样体切除术的儿童及其母亲术前和术后焦虑及痛苦的影响。
实验组的家长在术前到医院就诊时会收到这本准备读物，而对照组则不接收。在手术前一晚（T1）和手术后一晚（T2）进行数据收集。在这两个时间点，母亲们要完成一份自行设计的感觉状态清单以及状态-特质焦虑问卷中的状态焦虑量表，以评估她们对孩子痛苦的感知以及自身的焦虑程度。在T2时，护士要对患者-照顾者变量进行评分，如焦虑程度、配合护理情况或信息知晓程度。研究样本包括实验组的160对母婴和240名对照组。
我们发现，与未收到读物的母亲相比，收到读物的母亲在手术前自我报告的状态焦虑程度更低。同时，实验组的孩子在11种感觉状态中的4种状态下表现出的痛苦更少。护士评估发现，实验组的母亲比对照组的母亲更多地参与孩子的护理。
结果表明，我们的准备读物能带来教育及减轻焦虑的益处。鉴于其相对较低的制作成本和易于实施的特点，它可被推荐为一种受欢迎、实用且经济高效的工具，用于帮助儿童和家长为手术及住院做好准备。
