Fortier Michelle A, Chorney Jill MacLaren, Rony Rachel Yaffa Zisk, Perret-Karimi Danielle, Rinehart Joseph B, Camilon Felizardo S, Kain Zeev N
Department of Anesthesiology and Perioperative Care, University of California, Irvine, CA, USA.
Anesth Analg. 2009 Oct;109(4):1085-90. doi: 10.1213/ane.0b013e3181b1dd48.
The purpose of this investigation was to identify what perioperative information children want to receive from the medical staff.
As a first step, we developed an instrument based on a qualitative study conducted with children in Great Britain, input from a focus group, and input from school children. On the day of surgery, 143 children aged 7-17 yr completed a 40-item assessment of desired surgical information and a measure of anxiety (State-Trait Anxiety Inventory for Children). Parents completed a measure assessing their child's temperament (Emotionality, Activity, Sociability, and Impulsivity Survey) and a measure of their own anxiety (State-Trait Anxiety Inventory).
Results indicated that the vast majority of children had a desire for comprehensive information about their surgery, including information about pain and anesthesia, and procedural information and information about potential complications. The most highly endorsed items by children involved information about pain. Children who were more anxious endorsed a stronger desire for pain information and lesser tendency to avoid information. Younger children wanted to know what the perioperative environment would look like more than adolescent children.
We conclude that the majority of children aged 7-17 yr who undergo surgery want to be given comprehensive perioperative information and health care providers should ensure adequate information regarding postoperative pain is provided.
本调查的目的是确定儿童希望从医护人员那里获得哪些围手术期信息。
第一步，我们基于对英国儿童进行的定性研究、焦点小组的意见以及学童的意见开发了一种工具。在手术当天，143名7至17岁的儿童完成了一项关于所需手术信息的40项评估以及一项焦虑测量（儿童状态-特质焦虑量表）。家长完成了一项评估其孩子气质的测量（情绪、活动、社交和冲动性调查）以及一项他们自己焦虑程度的测量（状态-特质焦虑量表）。
结果表明，绝大多数儿童希望获得有关其手术的全面信息，包括有关疼痛和麻醉的信息、手术步骤信息以及潜在并发症的信息。儿童最认可的项目涉及疼痛信息。焦虑程度较高的儿童更强烈地希望获得疼痛信息，且回避信息的倾向较小。年幼儿童比青少年儿童更想了解围手术期环境是什么样的。
我们得出结论，大多数接受手术的7至17岁儿童希望获得全面的围手术期信息，医疗保健提供者应确保提供有关术后疼痛的充分信息。
