PDF(Pubmed)
Abstract：
BACKGROUND: Preoperative anxiety in children causes negative postoperative outcomes. Parental presence at induction is a non-pharmacological strategy for relieving anxiety; nevertheless, it is not always possible or effective, namely when parents are overly anxious. Parental presence via video has been demonstrated to be useful in other contexts (divorce, criminal court). This study reports the feasibility of a randomized controlled trial to investigate the effect of video parental presence and parental coaching at induction on preoperative anxiety.
METHODS: The study was a randomized, 2 × 2 factorial design trial examining parental presence (virtual vs. physical) and coaching (provided vs. not provided). Feasibility was assessed by enrollment rate, attrition rate, compliance, and staff satisfaction with virtual method with the NASA-Task Load Index (NASA-TLX) and System Usability Scale (SUS). For the children\'s anxiety and postoperative outcomes, the modified Yale Preoperative Anxiety Scale (mYPAS) and Post-Hospitalization Behavioral Questionnaire (PHBQ) were used. Parental anxiety was evaluated with the State-Trait Anxiety Inventory (STAI) questionnaire.
RESULTS: A total of 41 parent/patient dyads were recruited. The enrollment rate was 32.2%, the attrition rate 25.5%. Compliance was 87.8% for parents and 85% for staff. The SUS was 67.5/100 and 63.5/100 and NASA-TLX was 29.2 (21.5-36.8) and 27.6 (8.2-3.7) for the anesthesiologists and induction nurses, respectively. No statistically significant difference was found in mYPAS, PHBQ and STAI.
CONCLUSIONS: A randomized controlled trial to explore virtual parental presence effect on preoperative anxiety is feasible. Further studies are needed to investigate its role and the role of parent coaching in reducing preoperative anxiety.
METHODS: The study was a randomized, 2 × 2 factorial design trial examining parental presence (virtual vs. physical) and coaching (provided vs. not provided). Feasibility was assessed by enrollment rate, attrition rate, compliance, and staff satisfaction with virtual method with the NASA-Task Load Index (NASA-TLX) and System Usability Scale (SUS). For the children\'s anxiety and postoperative outcomes, the modified Yale Preoperative Anxiety Scale (mYPAS) and Post-Hospitalization Behavioral Questionnaire (PHBQ) were used. Parental anxiety was evaluated with the State-Trait Anxiety Inventory (STAI) questionnaire.
RESULTS: A total of 41 parent/patient dyads were recruited. The enrollment rate was 32.2%, the attrition rate 25.5%. Compliance was 87.8% for parents and 85% for staff. The SUS was 67.5/100 and 63.5/100 and NASA-TLX was 29.2 (21.5-36.8) and 27.6 (8.2-3.7) for the anesthesiologists and induction nurses, respectively. No statistically significant difference was found in mYPAS, PHBQ and STAI.
CONCLUSIONS: A randomized controlled trial to explore virtual parental presence effect on preoperative anxiety is feasible. Further studies are needed to investigate its role and the role of parent coaching in reducing preoperative anxiety.
摘要：
背景：儿童术前焦虑导致术后不良结局。父母在诱导时的存在是缓解焦虑的非药物策略；然而，它并不总是可能或有效的，当父母过度焦虑时。父母通过视频在场已被证明在其他情况下是有用的(离婚，刑事法院)。这项研究报告了一项随机对照试验的可行性，该试验旨在研究视频父母在场和父母指导对引产术前焦虑的影响。
方法：这项研究是一项随机的，2×2阶乘设计试验检查父母的存在(虚拟与身体)和教练(提供vs.未提供)。通过入学率评估可行性，流失率，合规,以及工作人员对NASA任务负荷指数（NASA-TLX）和系统可用性量表（SUS）的虚拟方法的满意度。对于儿童的焦虑和术后结果，采用改良的耶鲁术前焦虑量表(mYPAS)和住院后行为问卷(PHBQ).使用状态特质焦虑量表（STAI）问卷评估父母的焦虑。
结果：共招募了41名父母/患者。入学率为32.2%,流失率25.5%。父母的合规性为87.8％，员工的合规性为85％。麻醉医师和入职护士的SUS分别为67.5/100和63.5/100，NASA-TLX分别为29.2（21.5-36.8）和27.6（8.2-3.7），分别。mYPAS无统计学差异,PHBQ和STAI。
结论：一项探索虚拟父母在场对术前焦虑的影响的随机对照试验是可行的。需要进一步的研究来研究其作用以及父母指导在减少术前焦虑中的作用。
方法：这项研究是一项随机的，2×2阶乘设计试验检查父母的存在(虚拟与身体)和教练(提供vs.未提供)。通过入学率评估可行性，流失率，合规,以及工作人员对NASA任务负荷指数（NASA-TLX）和系统可用性量表（SUS）的虚拟方法的满意度。对于儿童的焦虑和术后结果，采用改良的耶鲁术前焦虑量表(mYPAS)和住院后行为问卷(PHBQ).使用状态特质焦虑量表（STAI）问卷评估父母的焦虑。
结果：共招募了41名父母/患者。入学率为32.2%,流失率25.5%。父母的合规性为87.8％，员工的合规性为85％。麻醉医师和入职护士的SUS分别为67.5/100和63.5/100，NASA-TLX分别为29.2（21.5-36.8）和27.6（8.2-3.7），分别。mYPAS无统计学差异,PHBQ和STAI。
结论：一项探索虚拟父母在场对术前焦虑的影响的随机对照试验是可行的。需要进一步的研究来研究其作用以及父母指导在减少术前焦虑中的作用。
