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Hospitalization causes negative emotions in children, altering cardiac rhythm regulation and increasing sympathetic nervous system activity. Stress response mechanisms intensify with age, showing varied sensitivity to emotional stressors.
Area of Science:
- Pediatric Surgery
- Cardiology
- Pediatric Psychology
Background:
- Children undergoing surgery for inguinal or umbilical hernia experience stress.
- Hospitalization and surgical procedures can induce negative emotions and physiological stress in pediatric patients.
Purpose of the Study:
- To investigate the impact of hospitalization-induced negative emotions on cardiac rhythm regulation in children.
- To assess changes in autonomic nervous system balance during surgical hospitalization.
- To explore age-related differences in stress response to emotiogenic factors in children.
Main Methods:
- Cardiointervalography (CIG) was used to record heart rate variability.
- Measurements were taken on day 1, the day of surgery, and before discharge.
- 97 children undergoing surgery for inguinal or umbilical hernia were studied.
Main Results:
- Negative emotions during hospitalization significantly altered cardiac rhythm regulation.
- Vegetative balance was disrupted, with increased sympathetic nervous system influence.
- The tension of regulatory mechanisms in stressogenic situations increased with the child's age.
- Children exhibited age-associated differences in sensitivity to emotional stressors.
Conclusions:
- Hospital-induced stress and negative emotions in children disrupt autonomic balance and cardiac regulation.
- The pediatric surgical environment poses significant emotional challenges for children.
- Age is a critical factor influencing the physiological response to emotional stress in pediatric patients.
Abstract:
The cardiointervalogram was recorded in 97 children during their stay at the surgical hospital for inguinal or umbilical hernia. The investigation was carried out on day 1 of the child's hospitalization, on the day of operation (30 minutes before premedication) and on the eve of the discharge from the hospital. It has been shown that the negative emotions occurring in the child during stay at the hospital produce considerable changes in the mechanism by which the cardiac rhythm is regulated, interfering with vegetative balance and thus prompting the sympathetic part of the vegetative nervous system to exert a greater influence on the child's body. The tension of the regulatory mechanisms in emotional and stressogenic situations rises with the child's age. The age-associated differences have been revealed in the children's sensitivity to emotiogenic stressful factors of varying nature.