PREOPERATIVE PARENTAL ANXIETY PREDICTS BEHAVIORAL AND EMOTIONAL RESPONSES TO INDUCTION OF ANESTHESIA IN CHILDREN
PREOPERATIVE PARENTAL ANXIETY PREDICTS BEHAVIORAL AND EMOTIONAL RESPONSES TO INDUCTION OF ANESTHESIA IN CHILDREN
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DOI：
10.1007/bf03005466
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发表时间：
1990-03-01
期刊：
影响因子：
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通讯作者：
CARRANZA, R
中科院分区：
文献类型：
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作者：
BEVAN, JC;JOHNSTON, C;CARRANZA, R
如果父母在麻醉诱导过程中能让孩子更快乐、更合作，那就更好了。这项研究评估了儿童在儿科日托外科中心麻醉诱导时由父母陪伴时的情绪和行为反应。134例患者(年龄2~10岁，ASAI或II级)按手术天数分为两组，麻醉诱导时有父母陪同(治疗组)，或无父母陪伴(对照组)。术前、术后1周采用医院恐惧量表、行为问卷对S的恐惧和行为进行评分，采用父母焦虑自评量表对患儿进行评分。采用全球情绪评定量表评定患儿S行为，视觉模拟评定量表评定家长S入院时及麻醉诱导时的焦虑。所有患者和家长都受到了这一经历的干扰，但治疗组和对照组的干扰程度相同。“平静”和“焦虑”父母的亚组通过他们术前VAS评分的中位数分裂来识别。“冷静治疗”、“冷静控制”和“焦虑控制”小组的孩子们对诱导也同样感到不安。“焦虑治疗”亚组的儿童在诱导时受到的干扰最大，并且显著多于“焦虑控制”亚组的儿童。术前父母的焦虑水平也与孩子手术后一周的S恐惧和行为有关。因此，应在手术前评估父母的焦虑，以便让“平静的”父母在引产时在场，并让“焦虑的”父母被排除在外，接受咨询和支持。
Parental presence at induction of anaesthesia is desirable if it males the child happier and more cooperative. This study evaluated the emotional and behavioural responses of children to being accompanied by a parent at induction of anaesthesia in a paediatric day-care surgical centre. One hundred and thirty-four patients (aged 2-10 yr, ASA physical status I or II) were divided into two groups by day of surgery, to have a parent present at induction of anaesthesia (treatment group), or to be unaccompanied (control group). Before, and at one week after surgery, the child''s fears and behaviour were scored by the Hospital Fears Inventory (HFI) and Behavioural Questionnaire (BQ), and parental anxiety by the Parents'' Questionnaire (PQ) before and at one week after surgery. The Global Mood Scale (GMS) was used to assess the child''s behaviour and the Visual Analogue Scale (VAS) to assess the parent''s anxiety on arrival for surgery and at induction of anaesthesia. All patients and parents were disturbed by the experience, but to the same degree in the treatment and control groups. Subgroups of "calm" and "anxious" parents were identified by a median split of their preoperative VAS scores. Children in the "calm-treatment," "calm-control" and "anxious-control" subgroups were similarly upset at induction. Children in the "anxious-treatment" subgroup were the most disturbed at induction, and significantly more than those in the "anxious-control" subgroup. Preoperative parental anxiety levels also correlated with the child''s fears and behaviour one week after surgery. therefore, parental anxiety should be assessed preoperatively to allow "calm" parents to be present at induction if they wish, and "anxious" parents to be excluded and receive counselling and support.