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择期麻醉手术前父母焦虑与孩子焦虑之间相关性的预测:一项观察性研究。

Prediction of correlation between preoperative parents' anxiety and their child's anxiety before elective surgery under anaesthesia: An observational study.

作者信息

Kumari Kamlesh, Nemani Sugandhi, Rathod Darshana, Sharma Ankur, Bhatia Pradeep K, Goyal Shilpa

机构信息

Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

Department of Anaesthesiology and Critical Care, JIPMER, Pondicherry, India.

出版信息

Indian J Anaesth. 2024 Sep;68(9):809-814. doi: 10.4103/ija.ija_1269_23. Epub 2024 Aug 16.

Abstract

BACKGROUND AND AIMS

Preoperative parental anxiety can have a profound impact on their children undergoing surgery. The present study was done to analyse the correlation between preoperative parental anxiety and their child's anxiety in paediatric patients undergoing elective surgery.

METHODS

Paediatric patients aged 2-12 years, scheduled for elective surgeries under general anaesthesia, were included in the study. The child's behaviour and anxiety were assessed in the preoperative area using the modified Yale Preoperative Anxiety Scale (m-YPAS). The parent filled out the demographic questionnaire and the Spielberger State-Trait Anxiety Inventory (STAI) form in the preoperative area on the day of surgery. Statistical analysis was conducted using Statistical Package for the Social Sciences (SPSS) statistics software version 23.0 (IBM Corp, Armonk, NY, USA).

RESULTS

A total of 150 children undergoing elective surgery were analysed. Our results showed a strong positive correlation between a child's m-YPAS and his/her parents' anxiety on the day of the surgery (STAI-state) ( = 0.545, < 0.001). However, the correlation between a child's m-YPAS and his/her parents' anxiety levels (STAI-trait) was not found to be significant ( = 0.109, = 0.188). A positive correlation was observed between a parent's STAI-state and STAI-trait ( = 0.366, < 0.001). Factors like area of residence, type of surgery and previous hospitalisation had an influence on the anxiety levels of the child. The birth order of the child, previous hospitalisation and gender of the parent also influenced parental anxiety.

CONCLUSION

Parental anxiety has a significant impact on the child's anxiety during the preoperative period.

摘要

背景与目的

术前父母焦虑会对接受手术的孩子产生深远影响。本研究旨在分析择期手术小儿患者术前父母焦虑与其孩子焦虑之间的相关性。

方法

纳入年龄在2至12岁、计划在全身麻醉下进行择期手术的小儿患者。在术前区域使用改良耶鲁术前焦虑量表(m - YPAS)评估孩子的行为和焦虑情况。父母在手术当天于术前区域填写人口统计学问卷和斯皮尔伯格状态 - 特质焦虑量表(STAI)表格。使用社会科学统计软件包(SPSS)统计软件版本23.0(美国纽约州阿蒙克市IBM公司)进行统计分析。

结果

共分析了150例接受择期手术的儿童。我们的结果显示,孩子的m - YPAS与手术当天其父母的焦虑(STAI - 状态)之间存在强正相关( = 0.545, < 0.001)。然而,未发现孩子的m - YPAS与其父母的焦虑水平(STAI - 特质)之间存在显著相关性( = 0.109, = 0.188)。观察到父母的STAI - 状态与STAI - 特质之间存在正相关( = 0.366, < 0.001)。居住地区、手术类型和既往住院等因素对孩子的焦虑水平有影响。孩子的出生顺序、既往住院情况和父母性别也会影响父母的焦虑。

结论

父母焦虑在术前阶段对孩子的焦虑有显著影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc9/11460800/7339f61d0e4f/IJA-68-809-g001.jpg

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