Tourigny J
Ecole des sciences infirmières de l'Université d'Ottawa, Ontario.
Can J Nurs Res. 1998 Summer;30(2):135-59.
This quasi-experimental study assessed the effects of an intervention with the parents of children aged 3-6 at 2 weeks before the child's admission for day surgery. It entailed providing the parents with an educational booklet embodying the learning theories of Gagné and of Bandura. The 150-parent sampling was randomized into 2 experimental groups (receiving the educational booklet) and 1 control group (receiving only an information leaflet). Their behaviour was observed by means of video camera at various times on the day of surgery. In addition, the subjects themselves (usually the mother) assessed their level of anxiety. The parents in the experimental groups displayed greater competence on the day of surgery, and reported less anxiety, than did the control subjects. The study underscores the effectiveness of an educational approach favouring the use of family-targeted instructional material. It also shows that parents are able to use the information they receive to effectively prepare their tots for day surgery. The implications for research and clinical practice are examined from the vantage points of benefits to parents, child, and nursing staff and implementation of new ambulatory-care strategies.
这项准实验研究评估了在儿童日间手术入院前两周,对3至6岁儿童家长进行干预的效果。该干预措施包括向家长提供一本体现加涅和班杜拉学习理论的教育手册。将150名家长样本随机分为2个实验组(接受教育手册)和1个对照组(仅接收信息传单)。在手术当天的不同时间,通过摄像机观察他们的行为。此外,受试者本人(通常是母亲)评估了自己的焦虑程度。与对照组相比,实验组的家长在手术当天表现出更强的能力,且报告的焦虑程度更低。该研究强调了采用以家庭为目标的教学材料的教育方法的有效性。研究还表明,家长能够利用所获得的信息,有效地为孩子的日间手术做好准备。从对家长、孩子和护理人员的益处以及新的门诊护理策略的实施等角度,探讨了该研究对研究和临床实践的启示。