Kain Zeev N, Caldwell-Andrews Alison A, Maranets Inna, Nelson William, Mayes Linda C
Center for the Advancement of Perioperative Health, Yale University School of Medicine, New Haven, Connecticut 06510, USA.
Anesth Analg. 2006 Jan;102(1):81-4. doi: 10.1213/01.ANE.0000181100.27931.A1.
Using a multiply matched, concurrent cohort analysis, with 568 subjects matched from data obtained by our laboratory over the past 7 yr, we examined whether parental presence during induction of anesthesia (PPIA) reduces children's anxiety depending on the interaction between child and parent's baseline anxiety. Children's and parents' baseline anxiety was assessed preoperatively; children's anxiety was again assessed during induction of anesthesia. We found that anxious children who received PPIA from a calm parent were significantly less anxious during induction of anesthesia as compared with anxious children who did not receive PPIA (P = 0.03). In contrast, calm children who received PPIA from an overly anxious parent were significantly more anxious as compared with calm children who were not accompanied by a parent (P = 0.002). We found no effect of PPIA on children's anxiety during induction of anesthesia when calm parents accompanied calm children into the operating room (P = 0.15) or when overly anxious parents accompanied anxious children (P = 0.49). We conclude that the presence of a calm parent does benefit an anxious child during induction of anesthesia and the presence of an overly anxious parent has no benefit.
我们采用多重匹配的同期队列分析方法，从我们实验室过去7年获取的数据中匹配了568名受试者，根据儿童与父母基线焦虑之间的相互作用，研究麻醉诱导期间父母陪伴（PPIA）是否能减轻儿童的焦虑。术前评估儿童和父母的基线焦虑；在麻醉诱导期间再次评估儿童的焦虑。我们发现，与未接受PPIA的焦虑儿童相比，从平静的父母那里接受PPIA的焦虑儿童在麻醉诱导期间焦虑程度明显更低（P = 0.03）。相比之下，与没有父母陪伴的平静儿童相比，从过度焦虑的父母那里接受PPIA的平静儿童焦虑程度明显更高（P = 0.002）。当平静的父母陪伴平静的儿童进入手术室时（P = 0.15），或者当过度焦虑的父母陪伴焦虑的儿童时（P = 0.49），我们发现PPIA对麻醉诱导期间儿童的焦虑没有影响。我们得出结论，在麻醉诱导期间，平静的父母陪伴确实对焦虑的儿童有益，而过度焦虑的父母陪伴则没有益处。
