| 배뇨요도방광조영술 검사 전후 부모의 불안감에 대한 비교 |
| 이나라, 오정민, 임형은, 양재원, 유기환, 홍영숙, 이주원 |
1고려대학교 의과대학 소아과학교실
2고려대학교 의과대학 소아과학교실
3고려대학교 의과대학 소아과학교실
4고려대학교 의과대학 정신과학교실
5고려대학교 의과대학 소아과학교실
6고려대학교 의과대학 소아과학교실
7고려대학교 의과대학 소아과학교실 |
| Difference of Anxiety of Parents: before & after the VCUG |
| Na-Ra Lee, Jung-Min Oh, Hyung-Eun Yim, Jae-Won Yang, Kee-Hwan Yoo, Young-Sook Hong, Joo-Won Lee |
1Department of Pediatrics, College of Medicine, Korea University
2Department of Pediatrics, College of Medicine, Korea University
3Department of Pediatrics, College of Medicine, Korea University
4Department of Psychiatry, College of Medicine, Korea University
5Department of Pediatrics, College of Medicine, Korea University
6Department of Pediatrics, College of Medicine, Korea University
7Department of Pediatrics, College of Medicine, Korea University |
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Received: March 27, 2010; Revised: April 13, 2010. Accepted: April 20, 2010. |
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| ABSTRACT |
Purpose : The voiding cystourethrogram (VCUG) is the investigation of choice in detecting the vesicoureteral reflux in urinary tract infections in children. As it is a potentially distressing and invasive test, most of the parents are so concerned about the child's stress. In this study, we compared the difference of the state of anxiety of parents before and after the VCUG.
Methods : We divided 68 parents whose children underwent VCUG into 2 groups; who have given an explanation about VCUG in detail using pictures (group 1) Vs. who have given an oral explanation only (group 2). All the parents submitted the same questionnaire 2 times before and after the VCUG, which consisted of State-Trait-Anxiety-Inventory X-I (STAI-X-I) and visual analog scale (VAS) on the perception of worry, anxiety, confusion and pain.
Results : Before VCUG, the perception of pain was higher in group 1 (P<0.05). After VCUG, the anxiety and confusion were significantly higher in group 2 than group 1 (P<0.05). In group 1, STAI-X-I scores, the perception of worry and anxiety were significantly decreased after the VCUG (P<0.05). In group 2, the confusion and pain were increased after VCUG (P<0.05).
Conclusion : It showed that doctor's explanation on the procedure in advance may raise the perception of pain and the possibility of refusal by parents. But the STAI-X-I, worry, anxiety after VCUG were significantly decreased in group 1, while the confusion and pain were increased in group 2. Therefore we suggest that prior and sufficient explanation about invasive procedure like VCUG can be helpful in ameliorating the anxiety of the parents. |
| Key words:
Voiding cystourethrography | Children | Procedural pain |
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