背景:大多数父母在小儿外科手术前都有焦虑。父母的焦虑可能会削弱父母在孩子接受手术时应对新情况或紧张情况的能力。通过有效改善家长对诊断的教育,治疗,尿道下裂和手术修复的潜在并发症,在这个过程中减少他们的焦虑可能是可行的。
目的:确定结构化的视听信息与经典的言语信息相比是否会降低父母的焦虑水平。
方法:诊断,解释了治疗方案,父母在第一次咨询时填写了状态特质焦虑量表-状态焦虑(STAI-I)表格。在第二次磋商中,父母分为结构化视听信息组(第1组)和经典言语信息组(第2组).经过这些磋商,两组中的所有父母都再次填写了STAI-I。父母在术后第14天填写了最后一次表格,并比较了结果。
结果:共有124位(51.2%)父母获得了结构化视听信息材料,118位父母(48.8%)获得了经典的口头信息。第一组和第二组的第一个STAI-I得分分别为57.65±5.17和56.91±5.28,两组间无差异(p=0.709)。第1组和第2组第二次咨询后的STAI-I得分分别为44.82±5.65和49.42±2.81。第二次咨询后,两组父母的焦虑都有所下降。值得注意的是,发现两组之间的统计学显著优势有利于组-1(p=0.001).
结论:孩子将接受尿道下裂手术的父母经历了显著的焦虑。我们观察到,使用适当的方法以适当的语言充分地告知患者与减少焦虑有关。术前父母焦虑受几个变量的影响,包括父母年龄,父母性别,儿童年龄,缺乏知识,以及对并发症或疼痛的担忧。虽然我们无法改变孩子年龄和父母性别的因素,我们可以通过向父母提供充分和准确的信息来提高他们对手术的理解,从而影响他们对术后疼痛和麻醉的担忧。
结论:为父母提供关于尿道下裂手术前术前和术后期间的结构化视听信息与父母较低的焦虑水平相关。提供有关术前和术后时期的结构化视听信息可以帮助父母提高对手术的理解并最大程度地减少他们的焦虑。
BACKGROUND: Most parents have anxiety before a pediatric surgical procedure. Parental anxiety may impair the parents\' ability to cope with new or stressful situations while their children are undergoing surgery. By effectively improving the education of parents regarding the diagnosis, treatment, and potential complications of hypospadias and surgical repair, it might be feasible to reduce their anxiety during this process.
OBJECTIVE: To determine whether structured audiovisual information would reduce parents\' anxiety levels compared to classic verbal information.
METHODS: The diagnosis was made and, treatment options were explained, and State-Trait Anxiety Inventory Form - State Anxiety (STAI-I) forms were filled out by parents at the first consultation. In the second consultation, parents were divided into structured audio-visual-information (Group-1) and classic verbal information (Group-2) groups. Following these consultations, all parents in both groups filled out STAI-I again. Parents filled out the forms for the last time on the postoperative-14th-day and the results were compared.
RESULTS: A total of 124 (51.2%) parents were informed with structured-audiovisual-informational material and 118 parents (48.8%) were informed with classic verbal information. First STAI-I scores were 57.65 ± 5.17 and 56.91 ± 5.28 for Group-1 and Group-2, respectively, and there was no difference between the groups (p = 0.709). The STAI-I scores after the second consultation were 44.82 ± 5.65 and 49.42 ± 2.81 for Group-1 and Group-2, respectively. Parental anxiety decreased in both groups following the second consultation. Notably, a statistically significant superiority was found between the groups in favor of Group-1 (p = 0.001).
CONCLUSIONS: Parents whose children will undergo hypospadias surgery experience significant anxiety. We observed that informing patients adequately and in appropriate language using a suitable method was associated with less anxiety. Preoperative parental anxiety is influenced by several variables, including parent age, parent gender, child age, lack of knowledge, and concerns over complications or pain. Although we are unable to alter the factors of child age and parent gender, we can impact parents\' concerns regarding postoperative pain and anesthesia by enhancing their comprehension of the procedure via providing them of sufficient and accurate information.
CONCLUSIONS: Providing parents with structured audio-visual information about the preoperative and postoperative period before hypospadias surgery is associated with lower parental anxiety levels. Supplying structured audiovisual information regarding the preoperative and postoperative periods can help parents have an improved comprehension of the procedure and minimize their anxiety.