Martin Sarah R, Fortier Michelle A, Kain Danielle I, Tan Edwin T, Huszti Heather, Wahi Aditi
Department of Anesthesiology and Perioperative Care, University of California, Irvine, CA, USA.
Paediatr Anaesth. 2011 Oct;21(10):1046-51. doi: 10.1111/j.1460-9592.2011.03596.x. Epub 2011 May 9.
To examine the role of ethnicity, language, and socioeconomic variables in parental desire for information regarding children's surgery.
To compare anesthetic and surgical information desired between English- and Spanish-speaking White and Hispanic mothers of children undergoing outpatient surgery.
Parents report wanting to receive detailed information regarding children's preoperative care; however, variables such as parent ethnicity and language spoken have not been accounted for in understanding desire for information.
METHODS/MATERIALS: One hundred and eighty-one mothers of children undergoing outpatient surgery, elective surgery, and general anesthesia were recruited and categorized into one of three groups: English-speaking White (ESW, n=79), English-speaking Hispanic (ESH, n = 63), and Spanish-speaking Hispanic (SSH, n = 39). In addition to providing demographic questionnaire, mothers completed the Parental Desire for Information (PDI) questionnaire, a 14-item measure of surgery and anesthesia-related statements.
Overall, mothers desired receiving information about the majority of the items on the PDI. As compared to ESW mothers, SSH mothers and ESH mothers were overrepresented in the 'have a right to know' response option, with significant differences existing in items concerning alternative methods of anesthesia, details of needles used, and location of PACU and OR.
Anesthesiologists should tailor the provision of preoperative information based on ethnicity and language of mothers involved. Ethnic and language differences shown in this study may exist in other populations as well.
探讨种族、语言和社会经济变量在父母对儿童手术信息需求方面所起的作用。
比较接受门诊手术患儿的讲英语和讲西班牙语的白人和西班牙裔母亲对麻醉和手术信息的需求。
父母表示希望获得有关儿童术前护理的详细信息;然而,在理解信息需求时,尚未考虑父母种族和所讲语言等变量。
方法/材料:招募了181名接受门诊手术、择期手术和全身麻醉患儿的母亲,并将她们分为三组之一:讲英语的白人(ESW,n = 79)、讲英语的西班牙裔(ESH,n = 63)和讲西班牙语的西班牙裔(SSH,n = 39)。除了提供人口统计学问卷外,母亲们还完成了“父母信息需求”(PDI)问卷,这是一项针对14项与手术和麻醉相关陈述的测量。
总体而言,母亲们希望获得有关PDI上大多数项目的信息。与ESW母亲相比,SSH母亲和ESH母亲在“有权知道”的回答选项中占比过高,在有关麻醉替代方法、所用针头细节以及麻醉后监护室(PACU)和手术室(OR)位置的项目上存在显著差异。
麻醉医生应根据相关母亲的种族和语言来调整术前信息的提供。本研究中显示的种族和语言差异可能在其他人群中也存在。