General Operating Theatres, South Infirmary Victoria University Hospital, Cork, Ireland.
J Clin Nurs. 2010 Oct;19(19-20):2879-87. doi: 10.1111/j.1365-2702.2010.03273.x.
To identify the information needs of children undergoing tonsillectomy with reference to content of information, method of delivery, information providers and timing of information provision.
Tonsillectomy can be anxiety provoking for children and preoperative preparation programmes are long recognised to reduce anxiety. However, few have been designed from the perspectives of children and to date little is known about how best to prepare children in terms of what to tell them, how to convey information to them, who can best provide information and what is the best timing for information provision.
A qualitative descriptive study.
Data were collected from nine children (aged 6-9) using interviews supported by a write and draw technique. Data were coded and categorised into themes reflecting content, method, providers and timing of information.
Children openly communicated their information needs especially on what to tell them to expect when facing a tonsillectomy. Their principal concerns were about operation procedures, experiencing 'soreness' and discomfort postoperatively and parental presence. Mothers were viewed as best situated to provide them with information. Children were uncertain about what method of information and timing would be most helpful to them.
Preoperative educational interventions need to take account of children's information needs so that they are prepared for surgery in ways that are meaningful and relevant to them. Future research is needed in this area.
Practical steps towards informing children about having a tonsillectomy include asking them what they need to know and addressing their queries accordingly. Child-centred information leaflets using a question and answer format could also be helpful to children.
确定接受扁桃体切除术的儿童的信息需求，参考信息内容、信息传递方式、信息提供者以及信息提供时间。
扁桃体切除术可能会让儿童感到焦虑，长期以来，术前准备计划已被公认为可以减轻焦虑。然而，从儿童的角度出发设计的计划很少，迄今为止，关于如何最好地为儿童做好准备，告知他们什么、如何向他们传达信息、谁能最好地提供信息以及何时提供信息等方面的信息还知之甚少。
定性描述性研究。
通过访谈收集了 9 名 6-9 岁儿童的数据，并辅以写和画技术。对数据进行编码和分类，形成反映信息内容、方法、提供者和时间的主题。
儿童公开表达了他们的信息需求，特别是在面对扁桃体切除术时应该告诉他们什么。他们主要关心的是手术程序、术后“疼痛”和不适以及父母的存在。母亲被认为是为他们提供信息的最佳人选。儿童对最有助于他们的信息方法和时间不确定。
术前教育干预措施需要考虑到儿童的信息需求，以便以对他们有意义和相关的方式为手术做好准备。在这方面需要进一步研究。
告知儿童进行扁桃体切除术的实用步骤包括询问他们需要了解什么，并相应地解答他们的问题。使用问答格式的以儿童为中心的信息传单也可能对儿童有帮助。
