Kain Z N, Wang S M, Caramico L A, Hofstadter M, Mayes L C
Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut 06510-8051, USA.
Anesth Analg. 1997 Feb;84(2):299-306. doi: 10.1097/00000539-199702000-00011.
The purpose of this investigation was to identify the perioperative anesthetic information parents want from the anesthesiologist, and to determine whether the provision of detailed anesthetic risk information is associated with increased parental anxiety. The investigation consisted of a cross-sectional study followed by a randomized controlled trial. In Phase 1, baseline and situational anxiety, coping strategy, and temperament were obtained from parents of children undergoing surgery (n = 334). A questionnaire examining the desire for perioperative information was administered to all parents. In Phase 2, 47 parents were randomly assigned to receive either routine anesthetic risk information (control) or detailed anesthetic risk information (intervention). The effect of the intervention on parental anxiety was assessed over four time points: prior to the intervention, immediately after the intervention, day of surgery in the holding area, and at separation to the operating room. For Phase 1, the majority of parents (> 95%) preferred to have comprehensive information concerning their child's perioperative period, including information about all possible complications. For selected items, increased parental educational level was associated with increased desire for information (P < 0.05). For Phase 2, when the intervention group was compared with the control group, there were no significant differences in parental anxiety over the four time points [F(1,45) = 0.6, P = 0.4]. Also, the interaction between time and group assignment was not significant [F(3,135) = 1.66, P = 0.18]. We conclude that parents of children undergoing surgery desire comprehensive perioperative information. Moreover, when provided with highly detailed anesthetic risk information, the parental anxiety level did not increase.
本研究的目的是确定父母希望从麻醉医生那里获得的围手术期麻醉信息，并确定提供详细的麻醉风险信息是否会增加父母的焦虑。该研究包括一项横断面研究，随后是一项随机对照试验。在第一阶段，从接受手术的儿童的父母（n = 334）那里获取基线和情境焦虑、应对策略及气质类型。向所有父母发放了一份关于围手术期信息需求的问卷。在第二阶段，47名父母被随机分配接受常规麻醉风险信息（对照组）或详细麻醉风险信息（干预组）。在四个时间点评估干预对父母焦虑的影响：干预前、干预后即刻、手术当天在等候区以及与孩子分离进入手术室时。对于第一阶段，大多数父母（> 95%）希望获得有关其孩子围手术期的全面信息，包括所有可能并发症的信息。对于某些特定项目，父母教育水平的提高与信息需求的增加相关（P < ） 0.05）。对于第二阶段，将干预组与对照组进行比较时，在四个时间点父母的焦虑没有显著差异[F(1,45) = 0.6, P = 0.4]。此外，时间与分组的交互作用也不显著[F(3,135) = 1.66, P = 0.18]。我们得出结论，接受手术的儿童的父母希望获得全面的围手术期信息。此外，当提供高度详细的麻醉风险信息时，父母的焦虑水平并未增加。
