子どもの不安に対する手術前視覚的な説明の効果:ランダム化比較試験
Hülya Tosun Söner1, Süleyman Kızıldağ2, Osman Uzundere1
1Department of Anesthesia and Reanimation, Health Science University Gazi Yaşargil Training and Research Hospital, Diyarbakır 21070, Turkey.
Journal of clinical medicine
|February 13, 2026
まとめ
術後の過程を写真で説明することで,アデノトンジレクトミーを受けた小児患者の不安が著しく軽減されました. この視覚補助器のアプローチは,また,親の不安を軽減し,患者のアウトカムを改善しました.
科学分野:
- 小児麻酔医の麻酔学について
- 児童心理学 児童心理学について
- 医療教育 医療教育について
背景:
- 術前不安は,アデノトンジレクトミーを受ける小児患者の一般的な懸念です.
- 効果的なコミュニケーション戦略は,子供の不安管理に不可欠です.
- 視覚的支援は,若い患者に複雑な医療手順を説明するための有望な方法を提供することができます.
研究 の 目的:
- アデノトンジレクトミー前における小児患者の不安レベルに対する,手術後のプロセスの画像ベースの説明の影響を評価する.
- 心拍数などの不安の生理学的指標に視覚的補助物の影響を評価する.
- この介入が親の不安レベルに与える影響を判断する.
主な方法:
- アデノトンジレクトミーを予定している58人の小児患者を対象とした前向きなランダム化対照試験.
- グループ1は写真を使った説明を受けたが,グループ2 (対照群) は受けなかった.
- 児童の不安は,改訂されたイエール手術前不安スケール・ショートフォーム (mYPAS-SF) を用いて測定され,親の不安は,ビジュアルアナログ・スケール・フォー・アンキシー (VAS) を用いて評価された.
主要な成果:
- 画像に基づいた説明を受けた患者は,誘導および外科手術中に心拍数が著しく低下した.
- 画像群は,介入後の複数の時間点において,マイパス-SFスコアが著しく低下したことを示した.
- 画像群の親は,測定されたすべての時間点において,著しく低い不安レベルを報告しました.
結論:
- 術後のプロセスを視覚的補助器具で説明することは,小児アデノトンジレクトミー患者の術前不安を効果的に軽減します.
- この方法はまた,出現不安を予防し,親の不安を軽減するのに役立ちます.
- 実施の容易さにより,画像ベースの説明は,子供,親,医療従事者の間手術後の経験を管理するための貴重なツールになります.
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