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Pre and postoperative psychological profile of children submitted to adenoidectomy and/or tonsillectomy
Ilana Fukuchi1, Meyre Maria Marques Morato, Rubens Ernani Cozeto Rodrigues
1Medical School, ABC.
Insights
Pediatric adenoidectomy and tonsillectomy patients often experience fear, but preoperative guidance can reduce anxiety. Psychological support for children and parents is crucial for managing surgical stress and improving outcomes.
Area of Science:
- Otorhinolaryngology
- Pediatric Surgery
- Psychology
Background:
- Adenoidectomy and tonsillectomy are common pediatric surgeries.
- These procedures can cause psychological trauma in children due to surgery and anesthesia.
Purpose of the Study:
- To assess the psychological profiles of children and their guardians before and after adenoidectomy/tonsillectomy.
- To evaluate the effectiveness of preoperative services in managing patient psychology.
Main Methods:
- A clinical study involving 78 children aged 2-12 years undergoing adenoidectomy/tonsillectomy.
- Analysis of psychological profiles of patients and their guardians pre- and post-surgery.
Main Results:
- Preschoolers predominantly felt fear (59.4%), while school-aged children and guardians showed trust.
- Most children (73.08%) and guardians (96.15%) were optimistic about surgery outcomes.
- Children and guardians exhibited calm postoperative emotional reactions, with all children deemed psychologically fit for surgery.
Conclusions:
- Effective preoperative guidance is essential regardless of initial emotional state.
- Implementing preoperative teaching programs involving verbal descriptions and parent-child interaction can reduce anxiety.
- Such programs aid in managing surgical stress and minimizing postoperative sequelae.
Unlabelled:
Adenoidectomy and/or tonsillectomy are the most frequent surgeries in otorhinolaryngology. Infantile psychological trauma may be caused by surgeries and anesthesia.
Aim:
To estimate the preoperative service offered to children and their responsible people by examining their psychological profile pre and postoperatively.
Study Design:
Clinical perspective.
Material And Method:
We have evaluated the medical chart of children between two and twelve years old who were submitted to adenoidectomy and/or tonsillectomy during February to December of 2003 and analyzed the psychological profile applied to the children and their responsible person.
Results:
Out of the total of 78 patients, 32 (41.0%) were in pre-school age and 46 (59.0%) in school age. The predominant feeling in pre-school age was fear (59.4%), while in school-aged children and their responsible guardian it was trust: 63.0% and 48.72%, respectively. As to expectation of surgery results, both children (73.08%) and their responsible people (96.15%) showed optimism. Introverted emotional temperament was observed in the majority of the children (52.56%) and their responsible people (51.28%). The emotional reaction at the immediate postoperative period of children and their guardians was calm: 68.18% and 97.73%, respectively. All children were psychologically apt to be submitted to the surgery.
Conclusion:
Independent of the predominant feeling or emotional temperament, good preoperative guidance is required. We have to offer preoperative teaching program that includes verbal descriptions of the procedures among the sensations to be experienced, allied with the interaction of children and parents, looking for reduction of anxiety, response to surgical stress and possible postoperative sequelae.
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