Hackmann Thomas, Haworth Rebecca A, Hong Paul, Gillespie Joanne, Chorney Jill
AORN J. 2017 Jun;105(6):605-612. doi: 10.1016/j.aorn.2017.04.002.
Children's declarative memories of medical procedures can influence their responses to subsequent events. No previous study has examined the accuracy of children's declarative memories after surgery. We tested the memory of 34 anesthesia-naïve five- to nine-year-old children undergoing ambulatory surgery for accuracy of contextual details, pain, and fear two weeks postoperatively. Parents were not present during induction, and we did not use sedative premedication. Children had a mean contextual recall accuracy of 64.5%. Most children (60.6%) remembered a prompt that was given one minute after receiving nitrous oxide. Children's memories of pain and fear were similar to their reported pain and fear on the day of surgery. Of 29 children, 6 (20.7%) exaggerated their memory of fear, and 8 of 22 children (36.4%) exaggerated their memory of pain. Although a small proportion of children had exaggerated memories, there was no evidence of consistent bias in their memory of fear or pain.
儿童对医疗程序的陈述性记忆会影响他们对后续事件的反应。此前尚无研究考察手术后儿童陈述性记忆的准确性。我们测试了34名从未接受过麻醉的5至9岁接受门诊手术的儿童在术后两周对情境细节、疼痛和恐惧的记忆准确性。诱导过程中家长不在场，且我们未使用镇静性术前用药。儿童情境回忆的平均准确率为64.5%。大多数儿童（60.6%）记得在吸入一氧化二氮一分钟后给出的提示。儿童对疼痛和恐惧的记忆与他们在手术当天报告的疼痛和恐惧情况相似。在29名儿童中，6名（20.7%）夸大了他们对恐惧的记忆，22名儿童中有8名（36.4%）夸大了他们对疼痛的记忆。尽管一小部分儿童有夸大的记忆，但没有证据表明他们对恐惧或疼痛的记忆存在持续偏差。
