CAJ | 학술논문

目的评估中国患儿父母对于减缓自身术前焦虑的需求及其对于不同减缓焦虑措施的态度,并探讨可能影响其态度的因素.方法选取104对患儿及父母,通过问卷调查获取患儿及其父母一般信息及父母对于减缓自身术前焦虑的需求及其对于不同减缓焦虑措施的态度;分别利用改良的耶鲁术前焦虑状态量表和中文版状态-特质焦虑量表评估患儿及父母术前焦虑的程度.结果父母术前焦虑程度与患儿术前焦虑程度呈正相关(r=0.254,P＜0.05).父母希望通过接受“医务人员亲自指导”来减缓其术前焦虑的愿望显著高于其他各项选择(P＜0.01);希望通过“父母陪同患儿进行麻醉诱导(PPIA)”缓解其术前焦虑的愿望显著低于其他各项选择(P＜0.05).影响父母态度的因素包括性别、受教育程度、术前焦虑程度以及患儿术前焦虑程度.结论为减缓中国患儿父母术前焦虑,临床麻醉医生应该重视术前访视环节,尽量与患儿父母进行充分沟通,再辅以文字、视频信息,为父母提供足够的麻醉与手术相关信息;在采用PPIA时,要充分考虑父母意愿;同时适时给予父母支持与安慰.
목적 평고중국환인부모대우감완자신술전초필적수구급기대우불동감완초필조시적태도,병탐토가능영향기태도적인소.방법 선취104대환인급부모,통과문권조사획취환인급기부모일반신식급부모대우감완자신술전초필적수구급기대우불동감완초필조시적태도;분별이용개량적야로술전초필상태량표화중문판상태-특질초필량표평고환인급부모술전초필적정도.결과 부모술전초필정도여환인술전초필정도정정상관(r=0.254,P＜0.05).부모희망통과접수“의무인원친자지도”래감완기술전초필적원망현저고우기타각항선택(P＜0.01);희망통과“부모배동환인진행마취유도(PPIA)”완해기술전초필적원망현저저우기타각항선택(P＜0.05).영향부모태도적인소포괄성별、수교육정도、술전초필정도이급환인술전초필정도.결론 위감완중국환인부모술전초필,림상마취의생응해중시술전방시배절,진량여환인부모진행충분구통,재보이문자、시빈신식,위부모제공족구적마취여수술상관신식;재채용PPIA시,요충분고필부모의원;동시괄시급여부모지지여안위.
Objective To assess Chinese parental requirement for relieving their preoperative anxiety,and their attitudes regarding the measures reducing their anxiety and to investigate the possible factors associated with increased anxiety.Methods One hundred and four pairs of pediatric patients (aged 2-12 yr,of ASA physical status Ⅰ or Ⅱ) undergoing elective surgery under general anesthesia and their parents were enrolled in this study.The general data of the pediatric patients and their parents and parental requirement for relieving their preoperative anxiety,and their attitudes regarding the measures reducing their anxiety were obtained using a questionnaire.Parental and children's anxiety? levels were assessed using the State-Trait Anxiety Inventory (STAI) and modified Yale Preoperative Anxiety Scale (m-YPAS),respectively.Results Parental anxiety levels were positively correlated with the children's anxiety levels (r =0.254).Parental desires to relieve their own anxiety under the personal direction of medical staff were significantly higher than the desires for the other measures; parental desires to relieve their own anxiety through parent-present induction of anesthesia (PPIA) were significantly lower than the desires for the other measures.The factors influencing parental attitudes included gender,educational level,preoperative anxiety level,and preoperative children' s anxiety level.Conclusion To relieve Chinese parental anxiety before surgery,the anesthesiologists should be aware that the majority of parents have a high desire to receive verbal instructions from medical staff before surgery was performed on their children and should provide enough information related to anesthesia and surgery; when PPIA is applied,parental desire for PPIA should be taken into full account; the anesthesiologists offer support and comfort for the parents properly.