对影响印度儿童手术前焦虑的潜在预测因素的评估 - - 一项前性观察性研究
Preethy J Mathew1, Arun M Gopinath2, Aakriti Gupta1
1Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Journal of anaesthesiology, clinical pharmacology
|August 11, 2023
概括
在接受手术的2-6岁的印度儿童中,手术前的焦虑非常常见,在麻醉诱导期间升级. 兄弟姐妹的存在成为这种焦虑的关键预测因素.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 儿童心理学 儿童心理学
- 手术患者护理手术患者护理
背景情况:
- 手术前的焦虑是计划进行手术的儿童的一个重要问题.
- 了解印度儿科人口中的发病率和预测因素对于有针对性的干预至关重要.
研究的目的:
- 确定2-6岁印度儿童手术前焦虑的发生率.
- 在这个人口群体中确定手术前焦虑的预测因素.
主要方法:
- 一项前性观察性研究,涉及60名儿童 (ASA身体状况1/2,年龄在2-6岁之间).
- 在多个时间点使用修改的耶鲁手术前焦虑量表 (mYPAS) 评估焦虑.
- 用"州-海峡焦虑清单"测量父母的焦虑.
- 后勤回归用于识别焦虑预测因子.
主要成果:
- 观察到高频率的手术前焦虑:76%在手术前的房间,93%在父母分离,和96%在麻醉诱导.
- 兄弟姐妹的存在被确定为术前焦虑的重要独立预测因素 (P = 0.04).
- 麻醉师和心理学家对mYPAS进行了优异的评价者间协议 (加权卡帕=0.79).
结论:
- 2-6岁的印度儿童患上手术前焦虑的发病率非常高.
- 在父母分离和麻醉诱导期间,焦虑水平显著增加,即使在镇静药前期治疗中也是如此.
- 兄弟姐妹的存在是一个值得注意的预测因素,需要在手术前的焦虑管理策略中加以考虑.
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