Siddiqui Khalid Maudood, Khan Zohair Ahmed, Yousuf Muhammad Saad, Ali Muhammad Asghar
Department of Anaesthesiology Aga Khan University Karachi Pakistan.
Department of Anaesthesiology Aga Khan Health Services Gilgit Pakistan.
Health Sci Rep. 2024 Oct 7;7(10):e70087. doi: 10.1002/hsr2.70087. eCollection 2024 Oct.
Surgery in the pediatric age group entails a significant amount of anxiety for parents. Due to anxiety, parents are unable to take care of their children, which could affect the child's well-being and contributes to poor outcomes. The primary objective of this study is to determine the frequency of preoperative anxiety in parents before the surgery of their children.
It is a cross-sectional descriptive study that included either parent of 147 children of American Society of Anaesthesiology (ASA) I & II, aged 1-12 years undergoing tonsillectomy over the period of 1 year. Each parent's demographic data were recorded and requested to answer a proforma containing the Amsterdam Preoperative Anxiety Information Scale (APAIS) for assessing anxiety on a 5-point Likert scale. Median interquartile range (IQR), and frequency (%) were used to report the normal, skewed, and categorical variables. APAIS anxiety and information scores were compared by using either the Mann-Whitney -test or the Kruskal-Wallis test. Furthermore, anxiety scores were grouped (present/absent) with a cut-off score of 11 for the presence of anxiety, and multivariate logistic regression was performed to explore the relationship between potential risk factors and the parent's anxiety.
Overall, anxiety was present in 59 (40.1%) respondents with 20 (33.9%) being fathers and 39 (66.1%) mothers. The median (IQR) for APAIS anxiety and information score were 9 ± 5 and 5 ± 2, respectively. Higher median anxiety scores were observed statistically significant in children under 5 years old, mother respondents, mothers aged 35 or younger, fathers under 40, and mothers with graduate or higher education ( < 0.05). Father respondents (AOR = 0.3, 95% CI = 0.1-0.8, = 0.01), and mother's education less than graduation (AOR = 0.2, 95% CI = 0.1-0.6, = 0.006) were also found to be statistically significant predictors.
There is a significant prevalence of anxiety in parents of children who underwent surgery under general anaesthesia, and mothers have showed significantly higher anxiety levels than fathers.
儿科手术会让家长产生大量焦虑情绪。由于焦虑，家长无法照顾好孩子，这可能影响孩子的健康并导致不良后果。本研究的主要目的是确定孩子手术前家长术前焦虑的发生率。
这是一项横断面描述性研究，纳入了147名年龄在1至12岁、美国麻醉医师协会（ASA）分级为I级和II级、在1年期间接受扁桃体切除术的儿童的家长。记录每位家长的人口统计学数据，并要求他们回答一份包含阿姆斯特丹术前焦虑信息量表（APAIS）的表格，该量表用于以5分李克特量表评估焦虑程度。中位数四分位间距（IQR）以及频率（%）用于报告正态、偏态和分类变量。使用曼-惠特尼检验或克鲁斯卡尔-沃利斯检验比较APAIS焦虑和信息得分。此外，焦虑得分以11分为焦虑存在与否的临界值进行分组（存在/不存在），并进行多因素逻辑回归以探讨潜在风险因素与家长焦虑之间的关系。
总体而言，59名（40.1%）受访者存在焦虑，其中20名（33.9%）为父亲，39名（66.1%）为母亲。APAIS焦虑得分和信息得分的中位数（IQR）分别为9±5和5±2。在5岁以下儿童、母亲受访者、35岁及以下母亲、40岁以下父亲以及具有研究生及以上学历的母亲中，观察到较高的中位数焦虑得分具有统计学意义（P<0.05）。还发现父亲受访者（比值比[AOR]=0.3，95%置信区间[CI]=0.1-0.8，P=0.01）以及母亲学历低于毕业水平（AOR=0.2，95%CI=0.1-0.6，P=0.006）是具有统计学意义的预测因素。
接受全身麻醉手术的儿童家长中焦虑发生率较高，且母亲的焦虑水平显著高于父亲。
