Margolis J O, Ginsberg B, Dear G L, Ross A K, Goral J E, Bailey A G
Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA.
Paediatr Anaesth. 1998;8(1):17-23. doi: 10.1046/j.1460-9592.1998.00698.x.
In a randomized controlled trial at Duke University and University of North Carolina Hospitals, 143 two to six year old children undergoing elective ambulatory surgery were randomized into a control group who received routine preoperative teaching or an intervention group who received an interactive teaching book. Changes in behaviour were measured by a Vernon behavioural questionnaire preoperatively and again two weeks postoperatively. A Global Mood Score was assessed in the preoperative holding area, at arrival into the operating room, and at the time of mask induction. The children in the control group were significantly more aggressive postoperatively than the intervention group (P < 0.05). Children who received the interactive teaching book exhibited higher levels of anxiety on the day of surgery, but fewer behavioural changes two weeks following surgery. Parents in the intervention group reported that preoperative teaching helped their child (87%) and themselves (83%).
在杜克大学和北卡罗来纳大学医院进行的一项随机对照试验中，143名接受择期门诊手术的2至6岁儿童被随机分为对照组和干预组，对照组接受常规术前教育，干预组则收到一本互动式教学手册。术前及术后两周，通过弗农行为问卷对行为变化进行测量。在术前等待区、进入手术室时以及面罩诱导时评估总体情绪评分。对照组儿童术后的攻击性明显高于干预组（P < 0.05）。收到互动式教学手册的儿童在手术当天表现出更高的焦虑水平，但术后两周行为变化较少。干预组的家长报告称，术前教育对孩子（87%）和他们自己（83%）都有帮助。
