基于网络的针对父母和儿童门诊手术准备的个性化干预措施（WebTIPS）：形成性评价与随机对照试验
Web-based tailored intervention for preparation of parents and children for outpatient surgery (WebTIPS): formative evaluation and randomized controlled trial.
作者信息
Fortier Michelle A, Bunzli Elizabeth, Walthall Jessica, Olshansky Ellen, Saadat Haleh, Santistevan Ricci, Mayes Linda, Kain Zeev N
机构信息
From the *Department of Anesthesiology and Perioperative Care, University of California, Irvine School of Medicine, Irvine, California; †UCI Center on Stress & Health, Irvine, California; ‡Department of Anesthesiology, Yale School of Medicine, New Haven, Connecticut; §School of Nursing Science, University of California, Irvine, Irvine, California; ∥Child Life Department, Children's Hospital of Orange County, Orange, California; ¶Child Study Center, Yale University, New Haven, Connecticut.
出版信息
Anesth Analg. 2015 Apr;120(4):915-22. doi: 10.1213/ANE.0000000000000632.
BACKGROUND
The purpose of this 2-phase project was to conduct a formative evaluation and to test the preliminary efficacy of a newly developed Web-based Tailored Intervention for Preparation of parents and children undergoing Surgery (WebTIPS).
METHODS
Phase 1 enrolled 13 children 2 to 7 years of age undergoing outpatient elective surgery and their parents for formative evaluation of WebTIPS. Parent participation focus groups are common in qualitative research and are a method of asking research participants about their perceptions and attitudes regarding a product or concept. In phase 2, children 2 to 7 years of age in 2 medical centers were assigned randomly to receive the WebTIPS program (n = 38) compared with children receiving the standard of care (n = 44). The primary outcome of phase II was child and parent preoperative anxiety.
RESULTS
In phase 2, parents reported WebTIPS to be both helpful (P < 0.001) and easy to use (P < 0.001). In phase 2, children in the WebTIPS group (36.2 ± 14.1) were less anxious than children in the standard of care group (46.0 ± 19.0) at entrance to the operating room (P = 0.02; Cohen d = 0.59) and introduction of the anesthesia mask (43.5 ± 21.7 vs 57.0 ± 21.2, respectively, P = 0.01; Cohen d = 0.63). Parents in the WebTIPS group (32.1 ± 7.4) also experienced less anxiety compared with parents in the control group (36.8 ± 7.1) in the preoperative holding area (P = 0.004; Cohen d = 0.65).
CONCLUSIONS
WebTIPS was well received by parents and children and led to reductions in preoperative anxiety.
背景
这个两阶段项目的目的是进行一次形成性评估，并测试一种新开发的基于网络的、针对接受手术的患儿及其家长的定制干预措施（WebTIPS）的初步疗效。
方法
第一阶段招募了13名2至7岁接受门诊择期手术的儿童及其家长，以对WebTIPS进行形成性评估。家长参与焦点小组在定性研究中很常见，是一种询问研究参与者对产品或概念的看法和态度的方法。在第二阶段，两个医疗中心2至7岁的儿童被随机分配接受WebTIPS项目（n = 38），并与接受标准护理的儿童（n = 44）进行比较。第二阶段的主要结果是患儿及其家长术前焦虑情况。
结果
在第二阶段，家长报告称WebTIPS既有用（P < 0.001）又易于使用（P < 0.001）。在第二阶段，WebTIPS组的儿童在进入手术室时（36.2 ± 14.1）比标准护理组的儿童（46.0 ± 19.0）焦虑程度更低（P = 0.02；Cohen d = 0.59），在引入麻醉面罩时也是如此（分别为43.5 ± 21.7和57.0 ± 21.2，P = 0.01；Cohen d = 0.63）。WebTIPS组的家长（32.1 ± 7.4）在术前等待区的焦虑程度也低于对照组的家长（36.8 ± 7.1）（P = 0.004；Cohen d = 0.65）。
结论
WebTIPS受到了患儿及其家长的好评，并降低了术前焦虑程度。
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