How many parents should we let into the operating room?

How many parents should we let into the operating room?
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DOI:
10.1111/j.1460-9592.2008.02889.x
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发表时间:
2009-03-01
影响因子:
1.7
通讯作者:
Mayes, Linda
Mayes, Linda
中科院分区:
医学4区
文献类型:
--
作者:
Kain, Zeev N.;Maclaren, Jill;Mayes, Linda

文献摘要

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本研究比较了麻醉诱导时父母一人和两人在场的儿童的焦虑,获得了父母和儿童焦虑的基线测量值;父母被随机分配到两个研究组。验证和可靠的工具被用来评估interests.We的结果发现,观察到的焦虑的儿童,以及儿童与诱导过程的依从性是没有什么不同的两个研究组之间。父母的焦虑也进行了评估,采用双向方差分析与重复测量。一组通过时间的相互作用被证明,单亲组的父母报告的焦虑显着高于双亲组的父母(M = 48.6,sd = 13.1 vs M = 39.7,sd = 11.5,P < 0.02)。我们的结论是,虽然允许两个父母进入手术室不会影响观察到的儿童焦虑,但它确实减少了父母自我报告的焦虑。由于在侵入性医疗程序中多个父母的存在与以家庭为中心的护理是一致的,我们建议机构研究这种方式。
This study compared anxiety of children with one and two parents present at anesthesia induction.Baseline measures of parent and child anxiety were obtained; parents were randomly assigned to the two study groups. Validated and reliable tools were used to assess the outcomes of interest.We found that observed anxiety of children as well as compliance of children with the induction process was not different between the two study groups. Parent's anxiety was also evaluated using two-way anova with repeated measures. A group by time interaction was demonstrated and parents in the one-parent group reported significantly higher anxiety than parents in the two-parents group (M = 48.6, sd = 13.1 vs M = 39.7, sd = 11.5, P < 0.02).We conclude that while allowing two parents into the operating rooms does not affect observed child anxiety, it does reduce parent self-reported anxiety. As the presence of multiple parents during invasive medical procedures is in congruence with family centered-care we recommend that institutions examine this modality.