在接受无痛胃镜检查的儿童中,与术后负面行为变化相关的发生率和风险因素
Pu YanYing1, Liu ShenLing1, Peng XiaoHan1
1Sedation and Analgesia Center, Kunming Children's Hospital, Kunming, China.
BMC pediatrics
|July 20, 2023
概括
在无痛胃镜检查后,14.13%的儿童出现了负面的术后行为变化 (NPOBC),随着时间的推移而减少. 儿童的严重焦虑,女性性别和父母的焦虑是这些变化的关键风险因素.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 儿童心理学 儿童心理学
- 门诊外科手术的结果
背景情况:
- 负面的术后行为变化 (NPOBCs) 可以影响儿科康复.
- 无痛胃镜是儿童常见的手术,需要了解潜在的不良行为影响.
研究的目的:
- 为了确定在接受无痛胃镜检查的儿童中NPOBCs的发生率.
- 在这个儿科群体中确定与NPOBCs相关的风险因素.
主要方法:
- 一项前性观察队列研究,包括1670名6-12岁儿童 (ASA I-II).
- 排除标准包括先前的手术/麻醉,发育异常和高的手术前疼痛评分.
- 门诊外科的住院后行为调查问卷 (PHBQ-AS) 评估了在手术后的1,14和30天的NPOBC.
主要成果:
- 无血性结肠癌的发病率为14.13% (第1天),4.55% (第14天) 和2.14% (第30天).
- 风险因素包括女性的性别,父母的焦虑和严重的儿童焦虑 (1日);父母的焦虑,父母的高等教育和严重的儿童焦虑 (14日);女性的性别,唯一孩子的身份,父母的高等教育和严重的儿童焦虑 (30日).
- 在儿童中,严重的手术前焦虑在整个30天的时间内成为一个一致的风险因素.
结论:
- 在无痛胃镜检查后的NPOBC最初相对常见,但在30天内显著下降.
- NPOBC的主要危险因素包括严重的儿童焦虑,女性性别,父母焦虑和父母教育背景.
- 解决儿童手术前的焦虑对于减轻NPOBCs至关重要.
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