Schwartz B H, Albino J E, Tedesco L A
J Pediatr. 1983 Apr;102(4):634-8. doi: 10.1016/s0022-3476(83)80211-x.
We studied the effect of preoperative preparation on stress reduction in children hospitalized for dental surgery under general anesthesia. Participants were 45 children, 3 and 4 years of age, with no previous hospital-surgery experience and no history of medical or psychological conditions requiring special care. Subjects were randomly assigned to one of three experimental groups: control, receiving no preoperative preparation; unrelated play therapy, receiving a preoperative play session unrelated to hospital or surgical procedures; and related play therapy, receiving a preoperative play session focusing on hospital and surgical procedures. Subjects' behavior was assessed using behavior observation scales for cooperation and upset at seven stress points: admission, nurse's examination, pediatric medical examination, blood test, preoperative injection, transfer to surgery, and induction. The related play therapy group was more cooperative and less upset than either the unrelated play therapy group or the control group across stress points. No significant heart rate differences were found among the three groups. The results suggest that play therapy related to hospital and surgical procedures can alleviate stress and anxiety in 3- and 4-year-old children.
我们研究了术前准备对接受全身麻醉下牙科手术的住院儿童减轻应激反应的影响。参与者为45名3至4岁的儿童，他们此前没有住院手术经历，也没有需要特殊护理的医疗或心理状况病史。受试者被随机分配到三个实验组之一：对照组，不接受术前准备；非相关游戏治疗组，接受与医院或手术程序无关的术前游戏环节；相关游戏治疗组，接受专注于医院和手术程序的术前游戏环节。使用行为观察量表在七个应激点评估受试者的行为，包括入院、护士检查、儿科医学检查、血液检查、术前注射、转至手术室和诱导麻醉。在各个应激点上，相关游戏治疗组比非相关游戏治疗组或对照组更合作且更不易心烦意乱。三组之间未发现显著的心率差异。结果表明，与医院和手术程序相关的游戏治疗可以减轻3至4岁儿童的应激和焦虑。
