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Postoperative Maladaptive Behavior, Preoperative Anxiety and Emergence Delirium in Children Undergone General
Huda Zainal Abidin1, Sanihah Che Omar1, Mohd Zulfakar Mazlan1
1Universiti Sains Malaysia, School of Medical Sciences, Kubang Kerian, Kelantan, Malaysia.
Insights
Pediatric surgery is increasing, with day care units expanding. Children undergoing surgery often experience psychological distress, manifesting as behavioral changes, which requires better attention.
Area of Science:
- Pediatric Surgery
- Child Psychology
- Healthcare Management
Background:
- The number of pediatric surgical procedures is steadily increasing.
- Day care surgery units are expanding, allowing same-day discharge for pediatric patients.
- Hospitalization and surgery can cause significant psychological distress in children, often expressed through behavioral changes.
Purpose of the Study:
- To highlight the increasing trend of pediatric surgeries.
- To emphasize the psychological impact of surgery on children.
- To advocate for addressing the unmet psychological needs of pediatric surgical patients.
Main Methods:
- Review of current trends in pediatric surgery.
- Analysis of the psychological effects of hospitalization and surgery on children.
- Identification of behavioral changes as indicators of distress.
Main Results:
- Pediatric surgical procedures are on the rise, encompassing both elective and emergency cases.
- Day care surgery models are becoming more prevalent, focusing on patient recovery and discharge criteria.
- Children's psychological well-being is significantly affected by surgical experiences, with behavioral changes serving as a key indicator.
Conclusions:
- There is a growing need for comprehensive care in pediatric surgery, extending beyond physical recovery.
- Addressing the psychological and emotional needs of children undergoing surgery is crucial.
- Healthcare providers must recognize and respond to behavioral changes as indicators of distress in pediatric patients.
Abstract:
Over the years, the number of pediatric patients undergoing surgeries are increasing steadily. The types of surgery vary between elective to emergency with involvement of multidisciplinary teams. The development of day care surgery unit is expanding where the patients will only come to the hospital on the day of surgery and discharge home after such as satisfactory parameters achieved, minimal to no pain, minimal to no bleeding from surgical site and able to tolerate fluids. Hospitalization and surgery could contribute to significant psychological disturbance to the children. These issues are not being addressed as children have difficulty in conveying their problems and fear. They do however express it through negative behavioral changes.
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