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[Evaluation of perioperative psychological response to short-stay hospital surgery]
M V Moñiz Mora1, F J Vaz Leal, F Vázquez Rueda
1Departamento de Psiquiatría. Facultad de Medicina. Universidad de Extremadura. Hospital Universitario Reina Sofía. Córdoba.
Aim:
To determine the psychological response in children undergoing short-stay ambulatory surgery.
Patients And Methods:
< psychological responses (CDS, STAIC-E); factor 2: personality (EPQ-J and STAIC-R) and adaptability (TAMAI); factor 3: anxiety and hospital fears (HFRS). Student's paired t-test was used to compare clinical variables.
Results:
< 8.17 +/- 2.10). The most frequent diagnosis in boys was phymosis and that in girls was inguinal hernia. Forty-one children had previously been hospitalized, of which 29 had undergone surgery. Factorial analysis of the variables explained 46.8% of variance. STAIC-E and STAIC-R scores significantly decreased in the postoperative period. Girls had higher HFRS scores than boys. STAIC-R scores were lower in previously hospitalized children. FILE values in the previous 12 months correlated with increased STAIC-R scores.
Conclusions:
Elective ambulatory surgery in children minimizes emotional disruption to the child. In this study no differences were observed in the STIC-R and STAIC-E scores before and after surgery. Girls had higher levels of anxiety and fear of surgery. Previously hospitalized children, with or without surgery, had lower anxiety levels. Family problems during the 12 months prior to surgery increased the children's anxiety and depression.