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tonsillectomy と adenoidectomy の後の小児患者の家庭環境と出現妄想の間の関連性:観察的前向きな研究
Yubo Gao1, Huihui Pei1, Zhendong Liu1
1General Hospital of Ningxia Medical University, Department of Anesthesiology and Perioperative Medicine, Xingqing District, China.
Brazilian journal of anesthesiology (Elsevier)
|September 5, 2025
まとめ
子供の手術前の不安は 発症妄想 (ED) に繋がる可能性があります 家族の環境はEDに直接的な影響を与えないが 支援的な家庭は手術前の不安を軽減し EDのリスクを間接的に低下させる.
科学分野:
- 小児麻酔科
- 子どもの心理
- 家族 の 研究
背景:
- 小児における手術前の不安は,エマージェンシー・デリリウム (ED) の重要な危険因子です.
- 家族環境がEDに与える直接的な影響はよくわかっていませんが,不安のレベルに影響を与える可能性があります.
研究 の 目的:
- 家族の環境要因と子供におけるエマージェンシー・デリウムの発生との関連を調査する.
- EDのリスクを減らすための手術前介入の潜在的ターゲットを特定する.
主な方法:
- 選択性 amigdalectomy/adenoidectomy を受けた334人の子供 (3~7歳) を対象とした前向きな観察研究.
- 中国家庭環境スケール (FES-CV),親の不安,手術前の子供の不安 (m-YPAS) を用いて家庭環境の評価.
- 小児麻酔発現妄想スケール (PAED) を用いた術後のED評価
主要な成果:
- EDの発生率は21. 9%でした.
- 一般的な家庭環境とEDとの間には直接的な関連性は認められなかった.
- 家族環境における業績指向は,手術前の子供の不安 (m-YPAS) と負の相関関係を示した.
- EDの危険因子には,若い年齢,内向的な性格,手術後の痛みの高いスコアが含まれています.
結論:
- この研究は,家族環境とEmergence Deliriumの間の直接的な関連性を見出さなかった.
- 子どもの手術前の不安を 間接的に軽減するかもしれません
- 高リスクの子どもを年齢,性格,痛みに基づいて特定することは,EDの予防戦略にとって極めて重要です.
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