Department of Anaesthesiology and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Anaesthesiology and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Anaesth Crit Care Pain Med. 2020 Oct;39(5):667-672. doi: 10.1016/j.accpm.2019.10.019. Epub 2020 Apr 18.
To assess the extent of preoperative information provided to patients' parents, their expressed need for more information and its effect on paediatric anxiety and parental satisfaction with the perioperative care provided.
Prospective observational study.
Public university hospital.
100 children, 2-12 years scheduled to undergo elective day-care surgery under general anaesthesia.
The parents were interviewed preoperatively with a questionnaire, which included a list of items about preoperative preparation likely to contribute to patients' satisfaction with the health care services. The baseline anxiety level in the participant children and its possible predictors were recorded. Before discharge, the parents were asked a questionnaire for satisfaction scoring.
Eighty-five (85%) parents were aware of the surgical procedure whereas 5 (5%) were aware of anaesthesia. Seventy-five (79%) families were not keen to know about anaesthesia. Amongst all the parents surveyed, 16 (16%) reported that receiving more information on anaesthesia would increase their anxiety while 84 (84%) reckoned that although more information would not increase their anxiety, it was unnecessary. Preoperative baseline anxiety was identified in 71 (71%) of children with a median mYPAS of 46.4 (95%CI: 41.4, 48.64). Amongst the potential predictors of anxiety analysed, low paternal education level was associated with high preoperative anxiety in children (adjusted OR: 3.67; 95%CI: 1.35, 9.99; P=0.01). Ninety-four (94%) and 57 (57%) parents expressed satisfaction with the obtained information from the surgeon and anaesthesiologist, respectively.
The present study revealed the high incidence of preoperative anxiety in children and highlighted the expectations of parents regarding preoperative preparation suggesting the need to evolve the existing preparatory program in the context of a developing world setting.
评估术前向患儿家长提供信息的程度、家长表达的对更多信息的需求，以及其对患儿焦虑和家长对围手术期护理满意度的影响。
前瞻性观察研究。
公立大学医院。
100 名 2-12 岁择期日间手术的患儿，在全身麻醉下进行。
术前对家长进行问卷调查，内容包括术前准备项目清单，这些项目可能会影响家长对医疗服务的满意度。记录患儿的基线焦虑水平及其可能的预测因素。患儿出院前，家长填写满意度调查问卷。
85%（85/100）的家长了解手术过程，而 5%（5/100）的家长了解麻醉。75%（75/100）的家庭不希望了解麻醉。在接受调查的所有家长中，16%（16/100）表示，如果能了解更多关于麻醉的信息，会增加他们的焦虑，而 84%（84/100）认为，尽管了解更多信息不会增加他们的焦虑，但这是不必要的。71%（71/100）的患儿术前基线存在焦虑，中位数 mYPAS 为 46.4（95%CI：41.4，48.64）。在分析的焦虑潜在预测因素中，父亲受教育程度低与患儿术前焦虑相关（调整 OR：3.67；95%CI：1.35，9.99；P=0.01）。94%（94/100）和 57%（57/100）的家长对从外科医生和麻醉师处获得的信息表示满意。
本研究显示，儿童术前焦虑发生率较高，强调了家长对术前准备的期望，这表明需要在发展中国家的背景下改进现有的准备方案。
