McEwen Andrew, Moorthy Claire, Quantock Christopher, Rose Hannah, Kavanagh Richard
Specialist Registrar in Anaesthesia, Anaesthetic Department, Deriford Hospital, Plymouth, UK.
Paediatr Anaesth. 2007 Jun;17(6):534-9. doi: 10.1111/j.1460-9592.2006.02173.x.
The purpose of this study was to determine whether audiovisual information, describing the process of undergoing and recovering from anesthesia, could reduce anxiety levels in parents before their child's induction of anesthesia.
One hundred and eleven parents were recruited into this study. Of these 56 were randomized to a control group and 55 to an intervention group. All parents completed the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaires on admission to hospital on the day of surgery and then again just before accompanying their child to the anesthetic room. In addition to the normal preoperative preparation, parents randomized into the study group watched a short 8-min information video after completing the first questionnaire. The video illustrated the events and procedures surrounding a child's admission to hospital for day-case surgery, including the induction of anesthesia.
The results were analyzed using repeated measures of anova. There was a statistically significant reduction in anxiety and desire for information in the intervention group compared with the control group (P < 0.05).
The reduction in anxiety in the intervention group indicates that preoperative information videos are an effective method of reducing anxiety in parents. Furthermore, the reduction in need for information score in the intervention group indicates that preoperative videos may be a useful tool for providing parents with information.
本研究的目的是确定描述麻醉过程及恢复情况的视听信息是否能降低孩子麻醉诱导前家长的焦虑水平。
111名家长被纳入本研究。其中56名被随机分配到对照组，55名被分配到干预组。所有家长在手术当天入院时以及在陪同孩子前往麻醉室之前再次填写阿姆斯特丹术前焦虑与信息量表（APAIS）问卷。除了常规的术前准备外，被随机分配到研究组的家长在完成第一份问卷后观看了一段8分钟的信息视频。该视频展示了日间手术患儿入院时的相关事件和流程，包括麻醉诱导。
采用重复测量方差分析对结果进行分析。与对照组相比，干预组的焦虑和信息需求有统计学意义的降低（P < 0.05）。
干预组焦虑水平的降低表明术前信息视频是降低家长焦虑的有效方法。此外，干预组信息需求得分的降低表明术前视频可能是向家长提供信息的有用工具。
