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[Preoperative psychoprophylaxis in childhood. Results of a hospital program]
I A Admetlla i Admetlla1, S Jover i Fulgueira
1Unidad de Cirugía Pediátrica, Hospital de la Santa Cruz y San Pablo, Barcelona.
Insights
This study presents a surgical psychoprophylaxis program using psychoanalytic theory to prepare children for surgery. Children under five years old face the highest risk of post-surgical psychological disturbances.
Area of Science:
- Pediatric surgery
- Psychoanalytic theory
- Psychological impact of surgery
Context:
- Surgical psychoprophylaxis programs are crucial for mitigating negative psychological outcomes in pediatric patients.
- Understanding pre-surgical readiness is key to effective intervention.
Purpose:
- To present a surgical psychoprophylaxis program grounded in psychoanalytic theory.
- To describe the methodology and criteria for assessing surgical readiness in children.
- To analyze post-surgical disturbances in relation to age.
Summary:
- The study details a psychoprophylaxis program for 134 children, outlining methods and readiness criteria.
- Analysis revealed that children up to five years old are at the highest risk for post-surgical psychological issues.
- Conclusions are drawn regarding the prevention of iatrogenic psychological disorders in pediatric surgery.
Impact:
- Highlights the critical developmental period (under five years) for heightened psychological vulnerability during surgery.
- Provides a framework for preventing iatrogenic psychological disorders in pediatric surgical care.
- Informs clinical practice on pre-surgical preparation and risk assessment for children.
Abstract:
Results of a surgical psychoprophylaxis program, theoretically and technically framed within psychoanalytic theory is presented. It also comprises a description of the method used, as well as criteria by which authors have determined whether or not a child is ready for surgery. Results obtained with 134 children and a description of those who showed post-surgical disturbances are presented. Analysis is carried out of the percentage of disorders according to age group, showing that highest risk is among children up to five years of age, coinciding with the finding put forth by other authors. Finally some conclusions in relation to prevention of psychologic iatrogenic disorders in pediatric surgery are drawn.