A mixed-method study of effects of a therapeutic play intervention for children on parental anxiety and parents' perceptions of the intervention
A mixed-method study of effects of a therapeutic play intervention for children on parental anxiety and parents' perceptions of the intervention
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DOI：
10.1111/jan.12623
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发表时间：
2015-07-01
影响因子：
3.8
通讯作者：
Yobas, Piyanee
中科院分区：
文献类型：
--
作者：
He, Hong-Gu;Zhu, Li-Xia;Yobas, Piyanee
目的探讨儿童治疗性游戏干预对父母围手术期焦虑的影响，父母与儿童焦虑之间的关系，以及父母对干预的看法。鲜为人知的是，这样的干预儿童如何影响他们的父母'anxiets.DesignA混合方法的随机对照试验与定性过程evaluations.MethodsNinety-five对父母和儿童被招募到2011年11月至2013年8月之间，随机分为对照组或干预组。采用儿童状态焦虑量表和成人状态焦虑量表分别在基线、手术当天和术后24小时左右测量儿童和父母的焦虑。家长们接受了采访，了解他们对干预措施的看法。资料采用SPSS 220软件进行分析，采用主题分析法。结果与常规护理相比，家长参与干预后的焦虑程度无明显差异。父母和子女的基线焦虑与父母的术后焦虑和子女的术前焦虑均呈显著正相关。确定了四个主题：结论治疗性游戏干预对家长围手术期焦虑无明显影响。父母和孩子的围手术期焦虑是相关的。父母认为干预是有益的准备，为自己和他们的孩子接受择期手术。
AimTo examine the effects of a therapeutic play intervention for children on parents' perioperative anxiety, the relationship between parents' and their children's anxiety and to explore parents' perceptions of the intervention.BackgroundTherapeutic play intervention was found to reduce children's perioperative anxiety. Little is known about how such an intervention for children affects their parents' anxiety.DesignA mixed method of randomized controlled trial with qualitative process evaluation was used.MethodsNinety-five pairs of parents and children were recruited between November 2011-August 2013 and randomized into a control or an intervention group. The State Anxiety Scale for Children and the State Anxiety Scale for Adults were used to measure children's and parents' anxiety, respectively, at baseline, on surgery day and around 24hours after surgery. Parents were interviewed about their perceptions of the intervention. Data were analysed using SPSS version 220 and thematic analysis.ResultsThere was no difference in parents' anxiety after participating with their child in the intervention compared with usual care. There were significantly positive relationships between parents' and their children's baseline anxiety and parents' postoperative anxiety and their children's pre-operative anxiety. Four themes were identified: reducing anxiety, increasing knowledge and understanding about anaesthetic procedure, the worthiness of attending the intervention and suggestions for improvement of the intervention.ConclusionsTherapeutic play intervention had no significant effect on parents' perioperative anxiety. Parents' and their children's perioperative anxiety are correlated. Parents perceived the intervention as helpful preparation for themselves and for their children undergoing elective surgery.