Botngård Anja, Skranes Lars P, Skranes Jon, Døllner Henrik
Department of Pediatrics, St. Olav's University Hospital, Trondheim, Norway.
Patient Educ Couns. 2013 Dec;93(3):389-93. doi: 10.1016/j.pec.2013.04.017. Epub 2013 May 15.
To determine whether multimedia based health information presented to parents of children with breathing difficulties in a pediatric acute ward, is more effective than verbal information, to reduce parental anxiety and increase satisfaction.
This randomized controlled trial was conducted in a pediatric acute ward in Norway, from January to March 2011. Parents were randomly assigned to a multimedia intervention (n=53), or verbal health information (n=48). Primary outcome measure was parental anxiety, and secondary outcome measures were parental satisfaction with nursing care and health information.
Parental anxiety decreased from arrival to discharge within both groups. At discharge the anxiety levels in the intervention group were no lower than in the control group. There was no difference in satisfaction with nursing care between the groups, but parents in the intervention group reported higher satisfaction with the health information given in the acute ward (p=.005).
Multimedia based health information did not reduce anxiety more than verbal information, among parents to children with breathing difficulties. However, after discharge the parents were more satisfied with the multimedia approach.
More research is needed to recommend the use of multimedia based information as a routine to parents in pediatric emergency care.
确定在儿科急症病房向呼吸困难儿童的家长提供基于多媒体的健康信息，是否比口头信息更有效，以减轻家长的焦虑并提高满意度。
这项随机对照试验于2011年1月至3月在挪威的一家儿科急症病房进行。家长被随机分配到多媒体干预组（n = 53）或口头健康信息组（n = 48）。主要结局指标是家长的焦虑，次要结局指标是家长对护理和健康信息的满意度。
两组家长从入院到出院时焦虑程度均有所下降。出院时，干预组的焦虑水平不低于对照组。两组对护理的满意度没有差异，但干预组的家长对急症病房提供的健康信息满意度更高（p = .005）。
对于呼吸困难儿童的家长，基于多媒体的健康信息在减轻焦虑方面并不比口头信息更有效。然而，出院后家长对多媒体方式更满意。
需要更多研究来推荐将基于多媒体的信息作为儿科急诊护理中向家长提供信息的常规方式。
