Cumino Débora de Oliveira, Cagno Guilherme, Gonçalves Vinícius Francisco Zacarias, Wajman Denis Schapira, Mathias Lígia Andrade da Silva Telles
Pediatric Anesthesia Committee, Sociedade Brasileira de Anestesiologia, São Paulo, SP, Brazil; Irmandade Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil; Department of Pediatric Anesthesiology, Hospital Infantil Sabará, São Paulo, SP, Brazil.
Department of Anesthesiology, Irmandade Santa Casa de São Paulo, São Paulo, SP, Brazil.
Braz J Anesthesiol. 2013 Nov-Dec;63(6):473-82. doi: 10.1016/j.bjane.2013.04.003. Epub 2013 Dec 5.
Preoperative Anxiety is a negative factor in anesthetic and surgical experience. Among the strategies for reducing children's anxiety, non-pharmacological strategies are as important as the pharmacological ones, but its validity is still controversial.
The aim of this study was to verify if the information provided to guardians interferes with child anxiety.
72 children, 4-8 years old, ASA I and II, undergoing elective surgical procedures and their guardians were randomly divided into two groups: control group (CG) = guardian received conventional information about anesthesia; informative group (IG) = guardian received an information leaflet about anesthesia. Children's anxiety was assessed using the modified Yale Preoperative Anxiety Scale (m-YPAS) on two occasions: at the surgical theater waiting room (WR) and at the operating room (OR). Parents' anxiety was assessed using the Hamilton Anxiety Scale (HAM-A) at the CT.
There was no difference in demographic data between groups. The level of anxiety in children showed no difference between groups at two measured times. There was statistically significant difference in anxiety levels between WR and OR in both groups, p = 0.0019 for CG and p < 0.0001 for GI, as well as the prevalence of anxiety for CG (38.9% WR and 69.4% OR, p = 0.0174) and GI (19.4% WR and 83.3% OR, p < 0.0001). The anxiety level of guardians did not differ between groups.
Regardless of the quality of information provided to the guardians, the level and prevalence of anxiety in children were low at WR time and significantly increased at OR time.
术前焦虑是麻醉和手术体验中的一个负面因素。在减轻儿童焦虑的策略中，非药物策略与药物策略同样重要，但其有效性仍存在争议。
本研究的目的是验证向监护人提供的信息是否会影响儿童的焦虑。
72名4-8岁、ASA I级和II级、接受择期手术的儿童及其监护人被随机分为两组：对照组（CG）=监护人收到关于麻醉的常规信息；信息组（IG）=监护人收到一份关于麻醉的信息传单。在两个时间点使用改良耶鲁术前焦虑量表（m-YPAS）评估儿童的焦虑：在手术等候室（WR）和手术室（OR）。在等候区使用汉密尔顿焦虑量表（HAM-A）评估家长的焦虑。
两组之间的人口统计学数据没有差异。在两个测量时间点，两组儿童的焦虑水平没有差异。两组在WR和OR之间的焦虑水平存在统计学显著差异，CG组p = 0.0019，IG组p < 0.0001，CG组焦虑发生率（WR为38.9%，OR为69.4%，p = 0.0174）和IG组（WR为19.4%，OR为83.3%，p < 0.0001）。两组监护人的焦虑水平没有差异。
无论向监护人提供的信息质量如何，儿童在WR时的焦虑水平和发生率较低，在OR时显著增加。
