Abstract：
The majority of pediatric patients and their parents experience fear and anxiety related to their surgical experience. Traditionally, anesthesia providers addressed this anxiety with pharmacologic therapy, such as benzodiazepines, to provide amnesia and anxiolysis. However, this approach has been questioned due to the potential for developmental neurotoxicity, among other drawbacks. Further, the pharmacological approach does not remove preexisting anxiety that the child and parent experience before arrival and during check-in. Pediatric and parental preparation before surgery is an important step that continues to be inconsistently addressed, particularly in lower-resource community hospitals where the majority of routine pediatric outpatient procedures occur. This care gap provides an opportunity for preanesthesia nurses to intervene with valid, evidence-based preoperative education tools aimed at pediatric patients and their parents. Providing these resources before the day of surgery allows time for child-directed, at-home practice as often as the parent(s) and patient choose. Use of available resources from a leading children\'s hospital, nurses can create a tailored, developmentally appropriate preoperative education plan for pediatric patients and their parents, providing families with the power to create a positive surgical experience.
摘要：
大多数儿科患者及其父母经历与他们的手术经验相关的恐惧和焦虑。传统上,麻醉提供者通过药物治疗解决了这种焦虑，例如苯二氮卓类药物，提供健忘症和抗焦虑。然而,由于发育神经毒性的潜力，这种方法受到了质疑，在其他缺点中。Further,药理学方法不能消除儿童和父母在抵达前和入住期间的焦虑。手术前的儿科和父母准备是一个重要的步骤，继续不一致地解决，特别是在资源较低的社区医院中，大多数常规儿科门诊手术都发生在这些医院中。这种护理差距为麻醉前护士提供了有效干预的机会，针对儿科患者及其父母的循证术前教育工具。在手术当天之前提供这些资源可以让孩子有时间指导，在家里的做法，如经常父母（S）和病人选择。利用一家领先的儿童医院的可用资源，护士可以量身定制，为儿科患者及其父母制定适当的术前教育计划，为家庭提供创造积极手术体验的力量。
