Afzal Rafia, Rashid Saima, Khan Fauzia A
Anaesthesiology, Aga Khan University Hospital, Karachi, PAK.
Cureus. 2022 Jul 4;14(7):e26548. doi: 10.7759/cureus.26548. eCollection 2022 Jul.
Background and objective The parents of pediatric patients admitted for elective surgery exhibit significant levels of anxiety. The reduction in parental anxiety is directly proportional to the information and counseling provided to the parents preoperatively. The parenting style in South Asian culture is different from that of western cultures and may influence the response to these interventions. In this study, we aimed to compare the mean anxiety levels between parents of children (aged three to eight years) undergoing outpatient infraumbilical surgery equipped with standardized preoperative parental education and those without. Methods This was a randomized, controlled, and blinded trial. Parents of 72 pediatric patients (aged three to eight years) undergoing elective infraumbilical daycare surgery were enrolled and were divided into two groups: an intervention (Group I) and a non-intervention (Group NI) group. Both groups received routine verbal counseling at the preoperative clinic, but a standardized brochure was provided only to Group I. Parental anxiety was measured by using the Visual Analog Scale (VAS) at three different time points: in the outpatient surgery suite on the day of surgery, in the preoperative area 10 minutes before shifting the child to the operating room, and finally in the recovery room. Results The baseline mean VAS score was significantly higher in Group I compared to Group NI (p=0.017). After the intervention, the mean pain score significantly decreased from baseline in Group I as compared to Group NI (mean ±SD: 4.08 ±1.6 vs. 6.08 ±1.66; p=0.0005). Conclusion The information provided through standardized written material to the parents on the day of surgery before anesthesia helped to significantly attenuate preoperative parental anxiety.
背景与目的 因择期手术入院的儿科患者的父母表现出显著的焦虑水平。父母焦虑的减轻与术前向其提供的信息及咨询直接相关。南亚文化中的育儿方式与西方文化不同，可能会影响对这些干预措施的反应。在本研究中，我们旨在比较接受标准化术前家长教育的门诊脐下手术患儿（3至8岁）父母与未接受者之间的平均焦虑水平。方法 这是一项随机、对照、双盲试验。纳入72例接受择期脐下日间手术的儿科患者（3至8岁）的父母，并将其分为两组：干预组（第一组）和非干预组（非干预组）。两组在术前门诊均接受常规口头咨询，但仅向第一组提供标准化手册。在三个不同时间点使用视觉模拟量表（VAS）测量父母的焦虑程度：手术当天在门诊手术套房、将孩子转移至手术室前10分钟在术前区域，以及最后在恢复室。结果 与非干预组相比，第一组的基线平均VAS评分显著更高（p=0.017）。干预后，与非干预组相比，第一组的平均疼痛评分较基线显著降低（均值±标准差：4.08±1.6 对 6.08±1.66；p=0.0005）。结论 在麻醉前手术当天通过标准化书面材料向父母提供信息有助于显著减轻术前父母的焦虑。
