Distraction with a hand-held video game reduces pediatric preoperative anxiety
Distraction with a hand-held video game reduces pediatric preoperative anxiety
复制标题
玩手持电子游戏这种分散注意力的方式可减轻小儿术前焦虑。
DOI：
10.1111/j.1460-9592.2006.01914.x
复制
发表时间：
2006-10-01
影响因子：
1.7
通讯作者：
Bennett, Henry
中科院分区：
文献类型：
--
作者：
Patel, Anuradha;Schieble, Thomas;Bennett, Henry
背景：电子游戏已经在医疗保健中得到广泛应用，用于分散注意力和行为矫正治疗。缺乏对术前认知分散影响的研究。我们评估的有效性，互动分心，手持视频游戏（VG）在减少术前焦虑的children.Methods：在一项随机，前瞻性研究，112名4-12岁的儿童接受门诊手术，焦虑进行了评估后，再次在麻醉面罩诱导，使用改良的耶鲁术前焦虑量表（mYPAS）。采用术后行为问卷（PHBQ）评估术后行为变化。患者被随机分为三组：父母在场（PP），PP +手持VG，PP +mg.kg-1）口服咪达唑仑（M）进入手术室前20分钟给予>结果：有一个在麻醉诱导M和PP组与基线相比，焦虑有统计学意义的增加（P < 0.01），但不是在VG组。VG患者表现出焦虑较基线降低（mYPAS中位变化-3），与PP（+11.8）相比差异显著（P = 0.04）。M组（+7.3）的焦虑变化与其他组无统计学差异。VG组63%的患者治疗后焦虑无变化或减轻，而M组和PP组分别为26%和28%（P = 0.01）。女性和男性patients.Conclusions之间的焦虑变化没有差异：一个手持VG可以提供给大多数儿童作为一个低成本，易于实施，便携式，有效的方法，以减少焦虑的术前区域和麻醉诱导期间。在一个愉快和熟悉的活动中分散注意力可以缓解焦虑，这可能是通过认知和运动的吸收。
Background : Video games have received widespread application in health care for distraction and behavior modification therapy. Studies on the effect of cognitive distraction during the preoperative period are lacking. We evaluated the efficacy of an interactive distraction, a hand-held video game (VG) in reducing preoperative anxiety in children.Methods: In a randomized, prospective study of 112 children aged 4-12 years undergoing outpatient surgery, anxiety was assessed after admission and again at mask induction of anesthesia, using the modified Yale Preoperative Anxiety Scale (mYPAS). Postoperative behavior changes were assessed with the Posthospital Behavior Questionnaire (PHBQ). Patients were randomly assigned to three groups: parent presence (PP), PP + a hand-held VG, and PP + 0.5 mg.kg(-1) oral midazolam (M) given > 20 min prior to entering the operating room.Results: There was a statistically significant increase in anxiety (P < 0.01) in groups M and PP at induction of anesthesia compared with baseline, but not in VG group. VG patients demonstrated a decrease in anxiety from baseline (median change in mYPAS -3), the difference compared with PP (+11.8) was significant (P = 0.04). The change in anxiety in the M group (+7.3) was not statistically different from other groups. Sixty-three percent of patients in VG group had no change or decrease in anxiety after treatment, compared with 26% in M group and 28% in PP group (P = 0.01). There was no difference in anxiety changes between female and male patients.Conclusions: A hand-held VG can be offered to most children as a low cost, easy to implement, portable, and effective method to reduce anxiety in the preoperative area and during induction of anesthesia. Distraction in a pleasurable and familiar activity provides anxiety relief, probably through cognitive and motor absorption.