Litman R S, Berger A A, Chhibber A
Department of Anesthesiology, Strong Memorial Hospital, Rochester, New York 14642, USA.
Paediatr Anaesth. 1996;6(6):443-7. doi: 10.1046/j.1460-9592.1996.d01-17.x.
We attempted to identify specific predictors of preoperative parental anxiety in a population of parents of healthy infants and children undergoing elective, outpatient surgery. We specifically examined the following factors: age of the child, whether or not the child had previous surgery, whether or not the parents' other children had previous surgery, parental gender, highest level of education obtained by the parent, and whether or not there was prior discussion between the parent and anaesthesiologist. In the immediate preoperative period, a questionnaire (State-Trait Anxiety Inventory) was given to all parents of infants and children presenting for elective, outpatient surgery. Six hundred parents of 417 children, aged two months to 16 years (mean = 4.5 years), participated in the study. They included 388 mothers and 212 fathers. Our results indicate that parents are more anxious when their child is less than one year of age and when it is the child's first surgery. When assessed separately by parental gender, both these factors were significant for mothers but not their fathers. We recommend that, although anaesthesiologists generally tailor their preoperative preparation based upon the best needs of their patients and families, they pay special attention to the groups we have identified which are at increased risk for preoperative anxiety.
我们试图在一群为健康婴幼儿和儿童进行择期门诊手术的家长中，确定术前家长焦虑的具体预测因素。我们特别考察了以下因素：孩子的年龄、孩子是否曾接受过手术、家长的其他孩子是否曾接受过手术、家长的性别、家长所获得的最高教育水平，以及家长与麻醉医生之间是否曾进行过术前讨论。在术前即刻，我们向所有前来接受择期门诊手术的婴幼儿和儿童的家长发放了一份问卷（状态-特质焦虑量表）。共有417名年龄在2个月至16岁（平均4.5岁）儿童的600名家长参与了这项研究。其中包括388名母亲和212名父亲。我们的研究结果表明，当孩子小于1岁以及这是孩子的首次手术时，家长更为焦虑。按家长性别分别评估时，这两个因素对母亲有显著影响，但对父亲则不然。我们建议，尽管麻醉医生通常会根据患者及其家庭的最佳需求来调整术前准备工作，但他们应特别关注我们所确定的那些术前焦虑风险增加的群体。
