虚拟父母的存在与指导,以减少儿童的手术前焦虑:一个可行性和试点随机对照试验
Clyde T Matava1, Martina Bordini2, Ben O' Sullivan3
1The Hospital for Sick Children, Department of Anesthesia, Toronto, Ontario, Canada; University of Toronto, Department of Anesthesiology and Pain Medicine, Toronto, Ontario, Canada.
通过视频进行虚拟家长的存在是减少儿童手术前焦虑的可行策略. 这项随机对照试验发现该方法是可以接受的,尽管需要进一步的研究来证实其有效性.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 心理干预 心理干预
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童手术前的焦虑会对手术后的结果产生负面影响.
- 父母的存在是一种常见的减轻焦虑的策略,但并不总是可行的或有效的.
- 虚拟父母的存在提供了一个潜在的替代方案,在其他压力较大的环境中成功使用.
研究的目的:
- 评估一项随机对照试验的可行性,研究在诱导期间虚拟的父母存在和父母指导.
- 评估这些干预措施对儿童手术前焦虑和手术后结果的影响.
主要方法:
- 进行了一项随机的2x2因数设计试验.
- 干预措施包括虚拟与物理父母的存在和指导 (提供与未提供).
- 通过招生,消耗,合规和员工满意度 (NASA-TLX,SUS) 评估可行性;焦虑度通过mYPAS,PHBQ,STAI进行测量.
主要成果:
- 招募了41个家长/患者二元组;招生率为32.2%,退化率为25.5%.
- 报告了高的遵守率 (87.8%的家长,85%的员工) 和可接受的可用性得分 (SUS 67.5/100,63.5/100).
- 在儿童焦虑 (mYPAS),术后行为 (PHBQ) 或父母焦虑 (STAI) 中没有发现统计学上显著的差异.
结论:
- 一个随机对照试验探讨虚拟的父母存在的手术前焦虑是可行的.
- 虚拟方法证明了未来研究的可接受性和可行性.
- 需要进一步的研究来证实虚拟家长存在和家长指导在减少手术前焦虑方面的有效性.
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