Ellerton M L, Merriam C
School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.
J Adv Nurs. 1994 Jun;19(6):1057-62. doi: 10.1111/j.1365-2648.1994.tb01188.x.
The increasing use of ambulatory care settings for children's surgery places more responsibility on parents for psychological preparation of children for surgery and for their post-operative care. This paper describes the evaluation of a pre-admission programme to prepare children between the ages of 3 and 15 years and their families psychologically for day surgery. Seventy-five families comprised the study sample, 23 in the programme group and 53 in the non-intervention group. The programme focused on familiarizing families with the physical and procedural components of day surgery through a videotape of a family in a naturally occurring day surgery situation, a tour, and hospital play. Fewer children and parents in the programme group reported high anxiety levels awaiting surgery. Children and parents with previous surgical experience reported higher levels of pre-surgical anxiety than inexperienced families. Families reported the physicians and day surgery nurse as their primary sources of information and rated the day surgery nurse highest in their satisfaction with information received. Implications for practice, particularly for meeting the needs of young children and out-of-town families, are discussed.
门诊护理机构越来越多地用于儿童手术，这使得家长在儿童手术心理准备及其术后护理方面承担了更多责任。本文描述了一项入院前计划的评估，该计划旨在让3至15岁的儿童及其家庭为日间手术做好心理准备。75个家庭构成了研究样本，其中23个家庭在计划组，53个家庭在非干预组。该计划通过一个自然发生的日间手术情境中的家庭录像带、一次参观和医院游戏活动，让家庭熟悉日间手术的身体和程序方面。计划组中报告在等待手术时焦虑程度高的儿童和家长较少。有过手术经历的儿童和家长报告的术前焦虑水平高于没有经验的家庭。家庭报告称医生和日间手术护士是他们的主要信息来源，并对日间手术护士提供的信息满意度评价最高。文中讨论了该研究对实践的启示，尤其是对满足幼儿和外地家庭需求的启示。
