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缓解家长担忧:关于术前教育方法减轻手术患儿家长焦虑的系统评价与网状Meta分析

Easing Parental Worries: A Systematic Review and Network Meta-analysis on Preoperative Education Methods for Reducing Anxiety in Parents of Children Undergoing Surgery.

作者信息

Priyadarshini Saundarya, Agarwala Sandeep, Priya Harsh, Jain Vishesh, Goel Prabudh, Dhua Anjan, Yadav Devendra Kumar

机构信息

Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Department of Public Health Dentistry, CDER, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Indian Assoc Pediatr Surg. 2025 Jul-Aug;30(4):427-437. doi: 10.4103/jiaps.jiaps_276_24. Epub 2025 Jul 4.

Abstract

Parental anxiety during the time leading up to a child's surgery is a major concern. One approach that's gained attention for helping ease this stress is preoperative education, but there's still no clear agreement on which type of educational method works best. This review looked into a range of educational strategies to find out which ones are most effective at lowering anxiety in parents. Between January and March 2024, researchers conducted an extensive search across databases like PubMed, EMBASE, Web of Science, and Google Scholar. They focused on studies that evaluated preoperative education for parents, specifically targeting those that measured parental anxiety using validated tools. From this search, 23 studies were included in the final review, and 19 of them, involving nearly 2,000 participants, were analyzed in a network meta-analysis. The interventions examined varied and included things like videos, web-based platforms, printed booklets, multimedia content, and educational games. When all the data were compared, web-based education stood out as the most effective, with a significant reduction in anxiety levels (SMD = -1.40). Video-based approaches also helped, though to a lesser extent (SMD = -0.42). On the other hand, booklets and game-based education didn't seem to have as strong an impact. In short, web-based educational tools appear to be the best option for helping parents manage the stress of their child's upcoming surgery. These findings could help hospitals and surgical teams choose the most effective ways to prepare and support families during this challenging time.

摘要

在孩子手术前这段时间,家长的焦虑是一个主要问题。术前教育作为一种有助于缓解这种压力的方法受到了关注,但对于哪种教育方法效果最佳仍没有明确的共识。这篇综述研究了一系列教育策略,以找出哪些策略在降低家长焦虑方面最有效。在2024年1月至3月期间,研究人员在PubMed、EMBASE、科学网和谷歌学术等数据库中进行了广泛搜索。他们关注那些评估家长术前教育的研究,特别针对那些使用经过验证的工具测量家长焦虑的研究。通过这次搜索,最终综述纳入了23项研究,其中19项研究涉及近2000名参与者,并进行了网络荟萃分析。所考察的干预措施多种多样,包括视频、网络平台、印刷手册、多媒体内容和教育游戏。当对所有数据进行比较时,基于网络的教育脱颖而出,是最有效的,焦虑水平显著降低(标准化均数差= -1.40)。基于视频的方法也有帮助,不过程度较小(标准化均数差= -0.42)。另一方面,手册和基于游戏的教育似乎没有那么大的影响。简而言之,基于网络的教育工具似乎是帮助家长应对孩子即将进行手术的压力的最佳选择。这些发现可以帮助医院和手术团队在这个具有挑战性的时期选择最有效的方法来准备和支持家庭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a449/12316422/8b4a5e9e6f47/JIAPS-30-427-g001.jpg

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